HomeMy WebLinkAbout1307 PINE AVE; ; SE771414; PermitAPPLICATION FOR PERMIT TO CONNECT TO CITY SEWER SYStEM
CITY OF CARLSBAD
ENGINEERING DEPARTMENT
729-1181 EXT. 35
FOR APPLICANT TO FILL IN '
BUILDING
ADDRESS
OWNER
MAILING
ADDRESS
CONTRACTOR
130? Woe
ilrs.tttltoa
same
unknown
CONTRACTOR'S
ADDRESS
NEW BUILDING EXISTING BUILDING
LEGAL DESCRIPTION
LATERAL CHARGE
STANDARD 4" (Max. H. 30V V,
OVER 30' H Qi Pty
OVER 101 V.
STANDARD 6" (Max, H.*j&t*', V-
OVER 30* H.
OVER 10* V.
TOTAL CONSTRUd-nON• ' ;-SERVICE CHARGE
TOTAL LATEfiAt, CHAI.
REMARKS:
contact tii» following for any
coordination or cQamunicatioosiHBJ Bftal Estate c/o Mary
617 W» Coumoaw^althytilL>rtont Calif. 926^2
ASSESSMENT DIST. NO..
FRONTAGE
fTTHFR COST.«ff; ^'^}^^j^^
LATERAL LOCATION CONNECttON f;EE
ST.
NO, UNITS.one
PUMP STATldM
NO. UNITS.PER''
r-f:i>!i/.n'
LATERAL NO...INSTALLATION DATE.
TOTAL CHARGES (LATERAL ETC.)