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HomeMy WebLinkAbout182 CHINQUAPIN AVE; ; SE852590; Permit12 APPLICATION FOR PERMIT TO CONNECT TO CITY SEWER SYSTEM f t t*• i *. Pi- f- > IS 3Eft ^ | CITY OF CARLSBAD ENGINEERING DEPARTMENT 438 5541 FOR APPLICANT TO FILL IN BUILDING * >s -""•s ADDRESS fJ^^f ^fl//Vj(£l (*J>/ff /^V'A^ OWNER *JACyfc^ /J H A t <- <£& /*f C0~U& VT. _ ^ MAILING r"*' -T"* ijAi /t^JCl 'Hf ' i^.' /-» /. I(C ADDRESS W i4vr * ' * / ***«-<* "^.^ " Vf ' CONTRACTOR* y-^i ^ il AE C -* Tj^ 4 ^ f"»7 '" ^ *O *« /Tc* a« ^**2 'N CONTRACTORS ****•(,•> ? SwV KT^**" ADDRESS n^ NEW BUILDING <^V [ EXISTING BUILDING EGAL DESCRIPTION ^9^3^ tf /"& •& t ^~/f ' *• f „.. REMARKS / £" I'lJ'r*^ * <T /^<-/ ^X^ 3 *£*<st«*A tfht'j j* Jf**" / *" '" I «. ; "^tF"^ ^&LA1T'iRAL LOCATION te fe /* \ /^ \ ^ ST .ATERAL NO ' INSTALLATION DATE «^.^..i.-..jii«JBi<LiJffSJ.^lW*a5S!!.F.11T?..YBufl^ NVse 35PO / " / - <• ^ , IRSIIFn RY ' / PATF I*5''1 'ED VALIDATION //ll/^a^w 4Ji U»t,iM«« //H/Otl ». /. LATERAL CHARGE COMPUTATION STANDARD 4 (Max H 3O V 1O> OVER 30 H *~ © FT flf " «<. OVER 10V *s" © FT -l> « STANDARD 6 (Max H 3O V 10) G&/<!&'&0>~ OVER 30 H © FT OVER 10 V @ FT \ TOTAI CONSTRUCTION COST , -ftf, «* •$ SERVICE CHARGE (REPAVINR ETC ) W* TC1TAI I ATFRAI CHARHF &'(& && LINE COST DATA < T ASSESSMENT DI^T Mn ' * FpnwTAfiF rnsT PFR FT » JHT^I DTHFR ' co^MEifiQ^1 ^5i NO UNITS ^ rn^T PFR UNIT 1@®& 7 fTf 1\\ ^*@OO~~ t PUMP STATION FE£S ^ NO UNITS HOST PFR UNIT TrvfAT ~" ^«t tsT* TOTAL CHARGES (1 ATFRAI FTC) &*l£™ ®,-~^ * 3amt9*0^ ^&ABU"d'n9 J