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HomeMy WebLinkAbout1551 BASSWOOD AVE; ; SE679890; PermitLEGAL DESCRIPTION LOT NO. PERMIT OWNER'S FOR APPLICANT TO FILL IN t /s-r/ /54?J L&- ocr/ B U lLDl NG ADDRESS NEAREST CROSS ST A, OWNER MA11 $200 CON~RACTOR.~ STATE CARLS~AD BUSINESS - LICENSE NO. LICENSE NO. 1 OVERFLOW SEEPAGE PIT. DRAINFIELD EXTN.. I I CESSqOOL. DRYWELL. MANHOLE 8 $5.00 HOUSE SEWER CONNECTING TO PRIVATE DISPOSAL SYSTEM @ $1.50 CONNECT ADDITIONAL BLDG. OR WORK-TO HOUSE SEWER Q $1.50 ALTER, REPAIR OR ABANDON HOUSE SEWER OR DISPOSAL SYSTEM @ $2.00 I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN CONTRACTOR TO CONNECT THE ABOVE DESCRIBED BUILD. ING TO THE PUBLIC SEWER. SIGNED THIS DAY 6F OWNER OR OWNER'S AGENT ..._..- ADDRESS CITY TEL. NO. CONNECTION DATA Lateral Charge Computation 30' H., IO' V. @ 4" = - 6" = - Add. Horir. @ 4" = - 6" = __ Add. Vert. @ 4" = __ 6" = - Total Construction Cost 10% Service Charge Total Lateral Charge Lat. No.: Logged in Plat: LINE COST DATA A. D. & Ass.int. No. LINE COST: C. C. Q- / dwelling P. S. 8- / dwelling OTHER TOTAL Grand Total. Lateral, etc. FOR SEWER LOCATION I I I I ENGINEERING SEWER DEPT. st. NORM I Signed Signed / fir a Seyn Properly Filled Out, Signed and Validated Issued By PERMIT VALIDATION BUILDING DEPARTMENT OWNER MBll / U 9 “8;z 7 MrnM PERMIT - APPLlCATlON NO. ITEM 2, TOILET @ s1.25 3- BATH TUB BP 1.25 3 WASH BASIN 8 1.28 1 KITCHEN SINK 8 1.25 SHOWER 1.25 ~ r DISHWASHER 0 1.25 LAUNDRY TUB OR TRAY 8 1.25 / AUTOMATIC WASHER 8 1.25 f WATER HEATER & VENT @ 1.50 GAS SYSTEM 1 TO 15 .so EA. ADD. 0 1.50 FLOOR DRAIN OR SINK @ 1.25 / LAWN SPRINKLER 8 2.00 MISC. WATER PIPING 8 1.50 GARBAGE DISPOSAL VACUUM BREAKER OR BACK FLOW DEVICES 1 To 5 I PERMIT s NoO I TOTALFEE B GRADING PLAN YES I- I- I ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING PLUMBING. I CERTIFY THAT I AM PROPERLY REGISTERED AND LI- CENSED AS REQUIRED BY THE CITY OF CARLSBAD AND SIGNATURE OF PERMITTEE 9*7 7 B U I LD I N G ADDRESS NEAREST CROSS ST. I GROUP I ZONE InsDection Record APPROVALS I DATE I INSPECTOR’S SIGNATURE UNDER FLOOR WORK ROUGH PLUMBING GAS PIPING PLUMBING FIXTURES t-----i GAS TEST UTILITY CO. NOTIFIED FINAL / VALIDATION This is a Plumbing Permit When Properly Filled Out, Signed and Validated. Permit void if work is not commenced wifhin 60 days of date of issuance.