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1185 TAMARACK AVE; ; SE647575; Permit
CITY OF CARLSBAD BUILDING DEPARTMENT PERMIT 7575 APPLICATION 8119******5500 FOR APPLICANT TO FILL IN LEGAL DESCRIPTION LOT NO BLOCK TRACT USE OF BUILDINGS CONTRACTOR C> O /*? L ADDRESS i *-, £ ( W CITY ^\^^^ \Q V\ CONTRACTOR S STATE LICENSE NO "7 / ^ ff~ *} *7?" NO DESCRIPTION OF w C*«*L <?„,w<- ATEL NO *) £3 - 1^-r<o CARLSBAD BUSINESS LICENSE NO WORK FEE HOUSE SEWER CONNECTING TO PUBLIC SEWER @ $3 OO SEPTIC TANK SEEPAGE PIT OR PITS @ $5 OO OVERFLOW SEEPAGE PIT DRA1NTIELD EXTN CESSPOOL DRYWELL MANHOLE @ $5 OO HOUSE SEWER CONNECTING TO PRIVATE DISPOSAL SYSTEM @ $1 5O CONNECT ADDITIONAL BLD3 OR WORK TO HOUSE SEWER @ $1 5O ALTER REPAIR OR ABANDON HOUSE SEWER OR DISPOSAL SYSTEM @ $2 OO @ $ OWNER'S ^ AUTHORIZATION r 1 HAVE AT THIS DATE A 1 CONTRACTOR TO CONNEC ING TO THE PUBLIC SEW SIGNED THIS -•• • OWNER OR OWNER 5 AGENT ADDRESS PERMIT $ TOTAL FEE ^ ^ ^' Qtf OO CONTRACT WITH THE HEREIN T THE ABOVE DESCRIBED BUILD ER PAY na 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALI CITY ORDINANCES AND STATE LAWS REGULATING PLUMBING AND SEWERS 1 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 SIGNATURE BUILDING * f s- ** _^~*^ £* ADDRESS // V S / /t/1>1 Sift/} £S\ NEAREST >7 / CROSS ST /& t?/Q ty>) £ OWNER ??t/) f *Z /? y f) ^i I MAIL , / o ^ r~-f^- .^f ADDRESS // 0 1$ -7>8^/<^7 /^-/*^"C-^l CITY/?^^X' /fl'^TfSf TEL N0 ^ CONNECTION DATA Lateral Charge Computation 30 H 10 V © 4" — h" — Add Honz ^ 4" t>" Add Vert © 4" — b" — Total Construction Cnst 10% Service Charge Total Intern! Chargn Lat No Logged in Plat LINE COST DATA A D & Assmt No LINE COST C C (ft-**A'/ Hwfillmg jTl^-'Xi- PS© / dwnllmg OTHFR TOTAI «i^? FOR SEWER LOCATIONi «" v> St NORTH ENGINEERING SEWER DEPT Sigrmr) j Sign^H 1 This is a Sewer Permit When Properly Filled Out Signed and Validated Issued By PERMIT VALIDATION