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HomeMy WebLinkAbout1165 CAPE AIRE LN; ; SE680277; PermitCITY OF CARLSBAD BUILDING DEPARTMENT SEWER PERMIT - APPLICATION AUG 29-68 r 2775* *** * *bO.CO FOR APPLICANT TO FILL IN 1 dS" v7 LEGAL . DESCRIPTION LOT NO. 1 BLOCK 1 ? J ' -rnicCgijzf&t*-? £*^USE OF yv. X? /I BUILDINGS ^ J l<t^\ V cPAID-3. 7^7 AUG 29-68 !~cT~277M* ****** BUILDING / / / £ S^y' Sj ^ ~Z* ADDRESS / / L£' ^) ^~^t-^fff-^L^i^^\-^ <^>7 t * NEAREST /-l /) C~*tM" CROSS ST.t^~£fcJ"se-^*^,^r_^i-^f owNER^5-r-^- £s2<~*G-*~<-JfZ-~*~-e£/' — w, 7^ .t ^L^Ji' MAIL ADDRESS CITY (_--t-xC-~£f CO NTR ACTOR 'ifst ATE LICENSE NO. \^_y NO. DESCRIPTION OF TEL. NO. CARLSBAD BUSINESS LICENSE NO. WORK FEE HOUSE SEWER CONNECTING TO PUBLIC SEWER @ J3.OO SEPTIC TANK, SEEPAGE PIT OR PITS @ $5.OO OVERFLOW SEEPAGE PIT, DRAINFIELD EXTN., CESSPOOL, DRYWELL, MANHOLE @ $5.OO HOUSE SEWER CONNECTING TO PRIVATE DISPOSAL SYSTEM @ $I.5O CONNECT ADDITIONAL BLDG. OR WORK TO HOUSE SEWER @ $1.5O ALTER, REPAIR OR ABANDON HOUSE SEWER OR DISPOSAL SYSTEM @ $2.OO @ $ OWNER'S AUTHORIZATION I HAVE AT THIS DATE A CONTRACTOR TO CONNEC ING TO THE PUBLIC SEW SIGNED THIS OWNER OR ADDRESS PERMIT $ TOTAL FEE ^ c$C) 2 OO ^<9O CONTRACT WITH THE HEREIN T THE ABOVE DESCRIBED BUILD- ER. DAY OF I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING PLUMBING AND SEWERS. I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY THE CITY OF CARLS- BAD AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROP- ERTY. jf\ /},/? SIGNATURE M^^r) OF PERMITTEE 1^—- CITY C^ZZ^ TEL- N0- (^ CONNECTION DATA Lateral Charge Computation 30' H., 10' V. © 4" — 6" — Add. Ho Add. Ver 10% Serv Lat. No.: ,: . (f?) Af» t" . t. & 4" — h" — Total Cnnttrnrtinn Cnsf ice Charge Total Latfiral Chargn Logged in Plat: LINE COST DATA A. D. & Assmt. Nrv 1 INF COST- /C. C. ©.^^T^wBlImn i^/^^^" P. S. @ OTHER ;/> EN Signed / rlwnlllng TOTAI £O'OO Granr) Total, Lateral, fttr.^ CX->» f*-/ FOR SEWER LOCATION CO x\ fcK NORTH GINttfflNel j SEWER DEPT. ...U^A Pf. Signfirl This is a Sewer Permit When Properly Filled Out, Signed and Validated By. —_ PERMIT VALIDATION