HomeMy WebLinkAbout1252 BASSWOOD AVE; ; SE658486; PermitSEWER
PERMIT - APPLICATION PP rn BUILDING DEPARTMENT
AUG 12-65 ?-Cc-1780* * ** * 326.50
AUC 1 2-65 ZcC- 1 78 1 * * ** * 2 94.56
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P&lO 848b
1 0"LtYp- - J(4,7q - 4.-
OP&lO. FOR APPLICANT TO FILL IN
DESCRIPTION LOT NO LEGAL
BLOCK TRACT
USE OF
ADDRESS BUILDING 1252 """..# - 3-227Zz-
NEAREST CROSS ST &pdbfs 57.
BUILDING8 OWNER Fa?&& €.CCAD-/SS
CONTRACTOR awrf/Fn_ ADDRESS .fA M € MAIL
ADDRESS TEL NO. 729- 35/0
CITY TEL. NO.
CONTRACTOR'S STATE CARLSBAD BUSINESS LICENSE NO. LICENSE NO.
NO. DESCRIPTION OF WORK FEE
HOUSE SEWER CONNECTING TO PUBLIC SEWER
SEPTIC TANK, SEEPAGE PIT OR PITS
AUTHORIZATION TOTAL FEE
I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN CONTRACTOR TO CONNECT THE ABOVE DESCRIBED BUILD. ING TO THE PUBLIC SEWER.
SIGNED THIS DAY OF OWNER OR OWNERS AGENT
-... .. SIGNATURE OF PERMITTEE
CONNECTION DATA Lateral Charge Computation
30' H., IO' V. @ 4" = __ 6" = ___ //5m
Add. Horiz. @ 4" = __ 6" = __ n/OWi
&OW& Add. Vert. @ 4" = __ ut = -
Total Construction Cost //3r0a
10% Service Charge
Total Lateral Charge
Lat. No.: Logged in Plat:
LINE COST DATA
A. D. & Assrnt. No.
LINE COST.
C. C. dwelling
P. S. 8- / dwelling
OTHER
Grand Total, lateral, et
FOR SEWER LOCATION
Sf. NORTH 4 SEWER DEPT.
Signed brc_/l wm I Signed
This is a Sewer Permit When Properly
Issued By V PERMIT VALIDATION
BUtLDlN6 DEPARTMENT
OWNER Frank Curtis8
ADDREss 12#2 Basswood
CIN Carlsbad TEL. NO. 729 351(
PLUMBER Arrow Service CO, BIG.
MAIL
C?6 17 7553 FEE I ITEM I--,-- 6711 NO. I
TO I LET @ $1.25
BATH TUB @ 1.25
SHOWER
WASH BASIN
KITCHEN SINK
DISHWASHER Q 1.2s
-
LAUNDRY rut3 OR TRAY @ 1.25
AUTOMATIC WASHER
I
WATER HEATER e VENT Q 1.50 __I
.30 EA. ADD. 0 1.90 GASSYSTEM I To 15
FLOOR DRAIN OR SINK
LAWN SPRINKLER
MISC. WATER PIPING
GARBAGE DISPOSAL
VACUUM BREAKER OR BACK FLOW DEVICES I TO 5
PERMIT
TOTALFEE 95
GRADING PLAN
YES 0
I ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING PLUMBING.
I CFRTIFY THAT I AM PROPERLY REGISTERED AND L1- CENSED AS RE THE CITY OF CARLSBAD AND STATE OF AL OWNER OF THE A
SIGNATURE OF PERMllT
VAI This is 4 Plumbing Permil When Pr
Permit void if work is not comrner
PERMIT - APPLICATION
BUILDING ADDRESS
NEAREST # CROSS ST.
I
GROUP 1 ZONE
Insmction Record
APPROVALS DATE INSPECTOR’S SIGNATURE
UNDER FLOOR WORK
ROUGH PLUMBING
GAS PIPING
GAS VENTS
PLUMBING FIXTURES
MI SC.
GAS TEST
UTiLlTY CO. NOTIFIED
FINAL
__
TlON ly Filled Out, Signed and Validated. within 60 days of date of issuance.