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HomeMy WebLinkAbout1175 CAPE AIRE LN; ; SE680276; PermitCITY Of CARLSBAD BUILDING DEPARTMENT SEWER PERMIT - APPLICATION FOR APPLICANT^) FILL IN LEGAL DESCRIPTION LOT NO. BLOCK 9T TRAcrGa.^ CU^tCaZt USE OF 3-x /7 V BUILDINGS JL2-O--C'>-T CONTRACTOR /^^T-y ADDRESS CITY G-0^<i CONTRACTOR<ft-STATE LICENSE NO. NO. DESCRIPTION OF ^^"ste-c^xJL^j TEL. NO. CARLSBAD BUSINESS LICENSE NO. WORK FEE - HOUSE SEWER CONNECTING TO « > IKS' PUBLIC SEWER 9 S3.OO ^> O O' SEPTIC TANK, SEEPAGE PIT OR PITS © S5.OO OVERFLOW SEEPAGE PIT, DRAINFIELD EXTN., CESSPOOL, DRYWELL, MANHOLE @ $5.OO HOUSE SEWER CONNECTING TO PRIVATE DISPOSAL SYSTEM @ $1.BO CONNECT ADDITIONAL BLDG. OR WORK TO HOUSE SEWER ® $1.SO ALTER. REPAIR OR ABANDON HOUSE SEWER OR DISPOSAL SYSTEM @ $2.OO 9 9 OWNER'S AUTHORIZATION 1 HAVE AT THIS DATE A CONTRACTOR TO CONNEC ING TO THE PUBLIC SEW SIGNED THIS OWNER OR ADDRESS 1 HEREBY ACKNOWLE APPLICATION AND STATEAND AGREE TO COMPLY VSTATE LAWS REGULATIN< 1 HEREBY CERTIFY TH AND/OR LICENSED AS RE BAD AND STATE OF CALIFOWNER OF THE ABOVE ERTY. /• SIGNATURE £* PERMIT $ 2 OO TOTAL FEE J5~ @& CONTRACT WITH THE HEREIN T THE ABOVE DESCRIBED BUILD- ER. DAY OF DGE THAT 1 HAVE READ THIS THAT THE ABOVE IS CORRECT /ITH ALL CITY ORDINANCES AND 3 PLUMBING AND SEWERS.AT 1 AM PROPERLY REGISTEREDQUIRED BY THE CITY OF CARLS- ORNIA OR THAT 1 AM THE LEGAL DESCRIBED RESIDENTIAL PROP- i nuu f.-y -uo _ CC £.f»J ^d^S*/7^- 5PMDOT79******1 AlHi /*Q-nR J rr P|/?"f«»*** BUILDING 1 / <r"7 '/• /r* X"? 7^ "^ ADDRESS f / / C? C^-rft^f^^ U't<xLf' <^7^7 NEAREST x-% X^ ~V Oi^! /* CROSS ST. ^ - ^Y^^^?f ^*1 -V-^^L— <* _j^V y OWNER /ld~)^1 /~5 ^SL- Q*t_sL >I51^C_XX MAIL ""*• k- ADDRESS CITY C-<--'2'C1 TEL. NO. ^ CONNECTION DATA Lateral Charge Computation 30' H.. 10' V. © 4" — A" — Add. Vert. & 4" — A" — Total Construction 0"** 10% Service Charqa Total IfltBfdl f:h»rga , _ Lat. No.: Logged in Plat: LINE COST DATA A. D. & Assmt. No LINE COW- - C. C. </^O / Ailing *SO.OO P. S. © / Hu/Bllmg OTHER Jf TOTAI JjSO'OO Grand Totsl, L»tB™l, ntr. *55^'O0 FOR SEWER LOCATION u> — £ X-\ Pt- NORTH ENGIN^EMrjIgU SEWER DEPT. Signed VK_X* fe' ' Signsd JU.UU *s no This is a Sewer Permit When Properly Filled Out, Signed and Validated Issued By PERMIT VALIDATION