HomeMy WebLinkAbout1345 CYNTHIA LN; ; SE842350; Permit/ - '/ - /i
APPLICATION FOR PERMIT TO CONNECT TO CITY SEWER SYSTEM
CITY OF CARLSBAD
ENGINEERING DEPARTMENT
438-5541
FOR APPLICANT TO FILL IN
BUILDING
ADDRESS
OWNER
MAILING
ADDRESS
CONTRACTOR
CONTRACTOR S
ADDRESS
NEW BUILDING
LEGAL DESCRIPTION
| EXISTING BUILDING
N»SE
ISSUED BY
DATE ISSUED.
v.
' y//y :
VALIDATION t*
LATERAL CHARGE COMPUTATION
STANDARD 4 (Max H 30" V 10').
OVER 30 H @ FT _
OVERIffV
STANDARD 6 (Max /H
OVER 30* H
OVER
TOTAL CONSJWJCTION COST-
SERVICE CHARGE (REPAVING ETC ).
TOTAL LATERAL I
REMARKS LINE COST DATA
ASSESSMENT DIST NO ..-^"^^
FRONTAGE __j^±l_COST PER FT TOTAL.
LATERAL LOCATION CONNECTION FEE
wn UNITS .jL COST PER UNIT,4~i ^-TOTAL-
NO UNITS.
PUMP STATION FEES
.COST PER UNIT..TOTAL.
/ .
LATERAL NO
~s
.INSTALLATION DATE-
., -r
TOTAL CHARGES (LATERAL E
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