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1520 SANDALWOOD LN; ; SE679894; Permit
CITY OF CARLSBAD* BUILDING DEPARTMENT OS SEWER PERMIT - APPLICATION FOR APPLICANT TO FILL IN LEGAL **) "\ DESCRIPTION LOT NO ,-*<<?— BLOCK TRAZT/ USE OF *7 ^ // 7>7 BUILDINGS / -T^j^V^y/ / *+ *X / CONTRACTOR >y *=n~ $£-/ (/ C^S-yfcr& *^~~*> ADDRESe-^/^ ^%lj^ CITY ( C^~-/(A>frJ TEL NO"77>^ ^2 3V /f""~ CONTRACTOR S STATET CARLSBAD BUSINESS LICENSE NO LICENSE NO ^^/y3^<S £-~^ • x' NO DESCRIPTION OF WORK FEE HOUSE SEWER CONNECTING TO ,-7 x'ixvPUBLIC SEWER @ $3 OO ^> -~' SEPTIC TANK SEEPAGE PIT OR PITS @ $5 OO OVERFLOW SEEPAGE PIT DRAINFIELD EXTN CESSPOOL DRYWELL MANHOLE @ $5 OO HOUSE SEWER CONNECTING TO PRIVATE DISPOSAL SYSTEM @ $1 SO CONNECT ADDITIONAL BLDG OR WORK TO HOUSE SEWER @ $1 SO ALTER REPAIR OR ABANDON HOUSE SEWER OR DISPOSAL SYSTEM @ $2 OO @ $ OWNERS PERMIT $ 2 OO AUTHORIZATION TOTAL FEE /~ W*^ \ HAVE AT THIS DATE A CONTRACT WITH THE HEREIN CONTRACTOR TO CONNECT THE ABOVE DESCRIBED BUILD ING TO THE PUBLIC SEWER cr[^N£D THIS PAY OF OWNER OR OWNER S AGENT • -- ADDRESS 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING PLUMBING AND SEWERS I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRES BY THE CITY OF CARLS BAD AND STATE OF CALIFORMWOR THAT 1 AM THE LEGAL OWNER OF THfi— ABOWE—DESOBJBED RESIDENTIAL PROP- SIGNATURE ^ — -^Lf7 / S^frOP PFPM'T"r"|J, -^IfS' , „ ^X>^, — r~ V K ^ </ XV^5^--^--^ ' CC- °u\ BUILDING > 6^*~) >•} C" 1 / / Ij I ADDRESS / J tS*' ^>-J < O/-4?/ ^*^<:'<- V NEAREST CROSS ST OWNER Z/<**^ UT ^ ^P MAIL ' ADDRESS CITY TEL NO CONNECTION DATA Lateral Charge Computation 30 H 10 V ® 4" — h" — Add Ho Add Ver 10% Serv Lat No I- © 4 = A" — Total Constrnr+ion C"«t ice Charge Total Lrttnivil Chnrrjn . Logged in Plat LINE COST DATA A D » Astmt No LINF COST C C @ P S @ OTHER . -4- EN _Signed / Hwfillinrj / HwBllmrj TOTAl FOR SEWER LOCATION St NORTH GINEERING SEWER DEPT ^qnfld Thit is Permit ^Properly Filled Out Signed and Validated Issued By PERMIT VALIDATION CITY Of CARUBAD BUILDING DEPARTMENT •LIMING PERMIT - APPLICATION x» / /S c/ A I ^ / ] ^OWNER ./Xx*3*» YJ ( X^/S9 / ^;^» >5^"MAIL -• * & U V t - L t ,^ ADDRESS y CITY ( -*l£~-/f'/SLlf-S TEL .NO PLUMBER ,tf ^T j^^ 0 ' J/^^~0 **~\ ADDRESS £, falf / ^Z-^ffT—f CITY ( -^t-^/J tajf* TEL NO /7&~'2'J/fi~ STATE CARLSBAD BUSINESS LICENSE NO LICENSE NO NO 7 *7 *^7 / / yv/ / y* ITEM TOILET @ $1 25 BATH TUB @ 1 25 SHOWER @ I 25 WASH BASIN @ 1 25 KITCHEN SINK @ 1 25 DISHWASHER @ I 25 LAUNDRY TUB OR TRAY @ I 25 AUTOMATIC WASHER ® I 25 WATER HEATER a VENT @ 1 SO GAS SYSTEM 1 TO IS 3O EA ADO @ I SO FLOOR DRAIN OR SINK @ 1 25 LAWN SPRINKLER @ 2 OO MISC WATER PIPING @ I SO GARBAGE DISPOSAL @ 1 OO VACUUM BREAKER OR BACK FLOW DEVICES I TO 5 @ 2 OO - GRADING PLAN PERMIT $ YES|[ 1 ACK AND £ COMP REGUl 1 CER CENSE STATE OF TH SIGNA OF F D NOD TOTAL FEE S / FEE -1 ^ 1 'x X / ^ ^/^ 2 fv J-^ /t) 71 " 2//" ix r" i^/" ^ ^ j ^ - OO J tf NOWLEDGE THAT 1 HAVE READ THIS APPLICATION TATE THAT THE ABOVE IS CORRECT AND AGREE TO _Y WITH ALL CITY ORDINANCES AND STATE LAWS -ATING PLUMBING TIFY THAT 1 AM PROPERLY REGISTERED AND LI D AS REQUIRED BY THE/ CITY OF CARLSBAD AND OF CALIFORNIA-OR/fHifr 1 AM THE LEGAL OWNER E ABOVE DgsCR+BEIT'ReSTIiENTIAL PROPERTY TURE ^ ~^/~~/ / ^tr•ERMITTEP7 C7 j.X •^•"^ — > ^*^r •°r^°*' ^^ wnr-2-67 !^r 87«i******l ADDRESS3 Xi> c^7 v_J«^g^<5^^X^ /^/^^x NEAREST CROSS ST GROUP ] ZONE Inspection Record APPROVALS DATE INSPECTOR a SIGNATURE UNDER FLOOR WORK ROUGH PLUMBING GAS PIPING GAS VENTS PLUMBING FIXTURES MISC GAS TEST UTILITY CO NOTIFIED ^,NAL VALIDATION Plumbing Permit When Properly Filled Out Signed and Validated Permit void if work is not commenced within 60 days of date of issuance