HomeMy WebLinkAbout1550 BASSWOOD AVE; ; SE771512; PermitAPPLICATION FOR PERMIT TO CONNE
CITY OF CARLSBAD
EN GIN E E R I NG 0 EPA RTM EYT
729-1181 EXT. 35
FOR APPLICANT TO FILL IN
MAILING ADDRESS
p& -..
CONTRACTOR
1
4 I
6,
CONTRACTOR'S ADDRESS
I ST. I 1-
! LATERAL No. INSTALLATION DATE
STANDARD 4" (Mex. H. 3(y, V. 10)
OVER 3(v H.&~~L~SLFT.
STANDARD 6" (Max. H. 30'. V.
OVJR 30' H.-@-
OVER 10' V.-@
TOTAL CONSTRUCTION
SERVICE CHARGE (REPAVlNG
TOTAL LATERAL CHA
ASSESSMENT DIST. NO.
COST PER UNIT