HomeMy WebLinkAbout155 CHINQUAPIN AVE; ; SE679847; PermitCITY OF (ARLSBAfc
BUILDING DEPARTMENT 0994-7 SEWER
PERMIT - APPLICATION
VK 26-67 5*5? t23*******5.00
FOR APPLICANT TO FILL IN
LEGAL
DE CR1PT1ON LOT NO
BLOCK
USE OF
BUILDINGS
TRACT
_ s
n
CONTRACTOR (JL.^ A— \&J -Z-SL lS~C. (_-C_^
ADDRESS ,-£L!D / V
CITY t-'/Q *rf-4. •
CONTRACTOR S STATE
LICENSE NO
NO DESCRIPTION OF
*xt4 ULJ
TEL NO
CARLSBAD BUSINESS
LICENSE NO
WORK FEE
HOUSE SEWER CONNECTING TO
PUBLIC 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 5O
CONNECT ADDITIONAL BLDG OR
WORK TO HOUSE SEWER @ S1 5O
A_TtR REPAIR OR ABANDON HOUSE
Si: VCR OR DISPOSAL SYSTEM @ $2 OO
@ S
OWNER S
AUTHORIZATION
1 HAVE AT THIS DATE A
CONTRACTOR TO CONNEC
ING TO THE PUBLIC SEW
SIGNED THIS
OWNER OR
OWNER S AGENT
ADDRESS -&.
1 HEREBY ACKNOWLE
APPLICATION AND STATE
AND AGREE TO COMPLY V\
STATE LAWS REGULATINC
1 HEREBY CERTIFY TH
AND/OR LICENSED AS RE
BAD AND STATE OF CALIF
OWNER OF THE ABOVEERTY s~^ ,A
SIGNATURE ( V^
OF PERMITTEE V.yf.r'C*
PERMIT $
TOTAL FEE
*>
2
%$n
00
OO
00
CONTRACT WITH THE HEREIN
T THE ABOVE DESCRIBED BUILD
ER
PAY "F
DGE THAT I HAVE READ THIS
THAT THE ABOVE IS CORRECT
flTH ALL CITY ORDINANCES AND
3 PLUMBING AND SEWERS
AT 1 AM PROPERLY REGISTERED
QUIRED BY THE.C.ITY OF CARLS
ORNIA QB-*UAXl AM THE LEGAL
gBpCyBED RESIDENTIAL PROP
£_•*. _^«>Ox5x«r/%^^'— — *•p/r* •*/6f0V*Vr
BUILDING y __x,^- /~) / > S^s .ADDRESS /OT5 CJ»>7/vv 4?£4<p /^yt/
NEAREST /
CROSS ST
OWNER //J&. -ftetsStfr"
ADDRESS /?T ? j?$x:*3>$£2-o
CITY CrfY/7)&/ TEL NO
CONNECTION DATA
Lateral Charge Computation
30 H m V (a) 4' — A —
A.I.I 1 |...n. (n) 4.' //' —
Arlrl Vni-t (0) 4 — A" —
Tntfll Cnn*;+ructmn Co$t . ,.
10% Snrvir.fi Chargn
Total 1 fltsral Chflrgn
Lat No Logged in Plat
LINE COST DATA
An» A«mt N"
LINF COST
C C (5) / rlwcllmfj
P S <3) / rJwBllmrj
OTHFR
TOTAI
FOR SEWER LOCATION
St NORTH
ENGINEERING SEWER DEPT
Signfiri 1 ^irjnfirl
This is a Sewer Permit When Properly Filled Out Signed and Validated
Issued By
PERMIT VALIDATION