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HomeMy WebLinkAbout155 CHESTNUT AVE; ; SE721071; PermitAPPLICATION FOR PERMIT TO QONN CITY OF CARLSBAD ENGINEERING DEPARTMENT 729-1181 EXT. 35 FOR APPLICANT TO FILL IN BUILDING ADDRESS OWNER MAILING ADDRESS CONTRACTOR . CONTRACTOR'S ADDRESS NEW BUILDING /&fc//c-$™vr /^"T y ^*t f~?c>4£ ls<£ O ST^c-- / EXISTING BUILDING LEGAL DESCRIPTION REMARKS: ^"fe' ££/&€£? /S £*Cj>u*J& j> \ f^M^*~;L LATERAL LOCATION ^ $ i<l r ATFRAL N<~>. ' 1Xk ^ 4fe$f~*-> & f ST. x -7 -x—-C> ' ^^ INSTAI 1 AT|<~>N PATF ECT TO CITY SEWER SYSTEM ^ N? SE 1^1 £.CJ/'i'-)tfisqiiFn RV r~fl *~* DATE ISSUEB ^ VALIDATION BUILDING DEPt. '4 "*** ' .'• ^ »• /• y- ^ * -j j LATERAL CHARGE COMPUTATION ... ^ STANDARD 4" (Max. H. 30', OVER 30' H. /C? © */ OVER 10' V. (ft i/. io-> /y£ FT. •/£' * " FT. * STANDARD R" (Max. H. 3O', V. 1O'> , OVER 30' H. © OVFR m' V © TOTAL CONSTRUCTION SERVICE CHARGE (REPAVING TOTAL LATERAL CH FT *FT rciST "3- -3 «i — ETC.> "3- "? "i." ARnF ^-^ *? • ' • ±. LINE COST DATA ASSESSMENT PIST NO •* 1. 0 £' •- i ^" " FRONTAOF rnsT PFR FT ' TDTAI ~4 OTHER r: ''J J CONNECTION FEE NO UNITS ' mST PFR UNIT 4& TDTAI ^ " *-"X", : 1 PUMP STATION FEES ft / TOTAL CHARGES (LATERAL E UNIT TDTAI ...-J /J TP) T3&&* «S^V ^ *' * * *1*]1