HomeMy WebLinkAbout1811 BASSWOOD AVE; ; SE647496; Permit. cFn'OF CAWBAD
NO. -
DING DEPARTMENT
DESCRIPTION OF WORK FEE
HOUSE SEWER CONNECTING TO PUBLIC SEWER 8 $3.00 IT
SEPTIC TANK. SEEPAGE PIT OR
FOR APPLICANT TO FILL IN
iEGAL OESCRfPTlON LOT NO
BLOCK TRACT
USE OF BUI LDl NGS
CONTRACTOR Andmsm 8C Robihrarat Cu8fa
ADDRESS 25u A State S-e t
CITY Carlabad, CUEL. NO. 729 2318
CONTRACTOR'S STATE CARLSBAD BUSINESS LICENSE NO. LICENSE NO.
208302 4785
0 $5.00
OVERFLOW SEEPAGE PIT. DRAINFIELD EXTN..
SEWER OR DISPOSAL SYSTEM @ $2.00
OWNER'S 1 PERMIT 51 z51g
I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN CONTRACTOR TO CONNECT THE ABOVE DESCRIBED BUILD- ING TO THE PUBLIC SEWER.
AUTHORIZATION TOTAL FEE
SIGNED THIS DAY OF OWNER OR OWNER'S AGENT
ADDRESS
I HEREBY 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 AND SEWERS. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED
SIGNATURE cKl Y. {///'~~~, +."'--- OF PERMITTEE - /e Y
I,
7496
PERMIT - APPLICATION
PAID I Jvn -4-64 ?r2872*******5.OO
BU I LDl NG ADDRESS
NEAREST CROSS ST
OWNER tQarrdMachado
MAIL ADDRESS ~~ood
CONNECTION DATA r
Lateral Charge Computation
30' H., IO' V. @ 4" = __ 6" - - __
Add. Horiz. @ 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. & Assmt. No.
LINE COST:
C. C. @- / dwelling
P. S. @- / dwelling
OTHER
TOTAL
Grand Total, Lateral, etc.
FOR SEWER LOCATION
st. NORTH
ENGINEERING SEWER DEPT.
Signed I Signed
This is LSeCr Permit When Properly Filled Out, Signed and Validated
Issued By
PERMIT VALIDATION
NG DEPARTMENT PERMIT APPLICATION
FOR APPLICANT TO FILL IN
LEGAL DESCRIPTION LOT NO
BLOCK TRACT
USE OF BUILDINGS : 4'
ADDRESS
CI TY TEL. NO.
CONTRACTOR'S STATE CARLSBAD BUSINESS LICENSE NO. LICENSE NO.
I
OWNER'S
AUTHORIZATION TOTAL FEE
I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN CONTRACTOR TO CONNECT THE ABOVE DESCRIBED BUILD- tNCI TO THE PUBLIC SEWER.
SlCPPlkD THIS DAY OF OWNER OR OWNER'S AGENT
. . --- I HEREBY ACKNOWLEDGE THAT I HAVE READ THF 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 I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY THE CITY OF CARLS- 5An AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROP- ERTY. SIGNATURE OF PERMITTEE
MAIL ADDRESS
TEL. NO. CITY
CONNECTION DATA Lateral Charge Computation
30' H., IO' V. @ 4" = __ 6" = -
Add. Horiz. @ 4" = ___ 6" = -
@ 4" = __ 6" = __ Add. Vert.
//5< 0 0
Total Construction Cost //5#00
lOyo Service Charge //.50
Total Lateral Charge &
Logged in Plat: MAP 27~64 ILat. No.:
LINE COST DATA
C. C. d! / dwelling so ~00
MOMf
OTHER n/sh/lF
P. S. @- / dwelling
TOTAL
Grand Total, Lateral, etc. 55/
FOR SEWER LOCATION $1
st. NORTH
ENGINEERING SEWER DEPT.
Signed _____-___ 1 Signed
This is a Sewer Permit When Proper1
Issued By
PERMIT VALIDATION