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1519 CHESTNUT AVE; ; SE751363; Permit
APPLICATION 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 MAI ADD .ING RESS CONTRACTOR CONTRACTOR'S ADDRESS NEW BUILDING LEGAL i /T* 1 <"\ /• i i - f — , , — •—1 _J / „/ f » ' .«••-•.'! ;.,.-, ;t j^'nm e~ - ... ,^(? .<„ y EXISTING BUILDING DESCRIPTION REMARKS: h-' cV LATERA , ,• • . -_ I - ( f •• ' t, i f ' ' .! .. 't ' 't ,.x( ' LATERAL LOCATION C/3 \ ^ ) \.) L NO, ST. IN55TAI 1 ATI DM HATF -W » SE IdOa BUILDING DEPT. r' •• t ' ' .- i • .ISSUFn RY '. - DATF ISSUFD '"' :/ ** ;' VALIDATION LATERAL CHARGE COMPUTATION STANDARD A" (Max. H. 3O1, V. 1OM OVER 30' H. (3 FT. OVER 10' V. © FT. STANDARD 6" (Max. H. 3O', V. 10') OVER 30' H. © FT OVER 10' V. © FT TOTAI CONSTRUCTION COST SFRVICF CHARRF (RFPAVINiri FTC.) TOTAI I ATFRAI, CHARfF LINE COST DATA ASSESSMFMT DIST NO FRni\iTARF rnsr PFR FT. TOTAI OTHFR CONNECTION FEE tl a.«=vO^ D^O^MO UNITS V rn.9T PFR UNIT ^^-^ TOTAI <27^-"-"~ PUMP STATION FEES wn UNITS rn.^T PFR UNIT TOT-^I TOTAI CHARGES (I ATFRAI FTC.)