HomeMy WebLinkAbout1215 BASSWOOD AVE; ; SE751703; PermitAPPLICATION FOR PERMIT TO CONNECT TO CITY SEWER SYSTEM
CITY OF CARLSBAD
ENGINEERING DEPARTMENT
729-1181 EXT. 35
FOR APPLICANT TO FILL IN
c. (. ,, r -- CONTRACTOR
CONTRACTOR'S ADDRESS
NEW BUILDING I\ I EXISTING BUILDING
EGAL DESCRlPTlON
LATERAL LOCATION
fT I I
LATERAL NO. INSTALLATION DATE
N~SE 1708 ~___
BUILDING DEPT.
LATERAL CHARGE COMPUTATION
STANDARD 4" (Max. H. 3W, V. 10')
OVER30'H. FT.
OVERlO'V. 6 FT.
STANDARD 6" (Max. H. 30'. V. 10')
OVER 30' H. @, F T.
OVER 10'V. -@ FT.
TOTAL CONSTRUCTION COST
SERVICE CHARGE (REPAVING ETC.)
TOTAL LATERAL CHARGE
LINE COST DATA
ASSESSMENT DIST. NO.
FRONTAGE COST PER FT. TOTAL
OTHER
CONNECTION FEE
NO. UNITS COST PER UNIT TOTAL
-~ ~ PUMP STATION FEES
NO. UNITS COST PER UNIT TOTAL
TOTAL CHARGES (LATERAL ETC.)