HomeMy WebLinkAbout1981 CHESTNUT AVE; ; SE801674; PermitAPPLICATION FOR PERMIT TO CONNECT TO CITY SEWER SYSTEM
CITY OF CARLSBAD
ENGINEERING DEPARTMENT
729-1181 EXT. 35
FOR APPLICANT TO FILL IN
BUILDING
ADDRESS
OWNER
MAILING
ADDRESS
CONTRACTOR
/* L u, - r , D
/'O/./r
CONTRACTOR'S
ADDRESS
NEW BUILDING
^ PI t*~'Cr' W'r'.'V*! r r'jT-
EXISTING BUILDING
LEGAL DESCRIPTION
Iff SE Ii74 BUILDING D,EPT.
ISSUED BY c—•
DATE ISSUED -> *•»»„
VALIDATION
LATERAL CHARGE COMPUTATION
STANDARD 4" (Max. H. 30', V. 10').
OVER 30' H. @ FT._
OVER 10' V. • @ FT.
STANDARD 6" (Max. H. 30', V. 10').
OVER 30' H. &, FT.
OVER 10'V <SL_ FT.-
TOTAL CONSTRUCTION l
SERVICE CHARGE (R*EPAVING I
TOTAL LATERAL CHARGE-
REMARKS:LINE COST DATA
ASSESSMENT DIST. NO.
FRONTAGE COST PER FT..
OTHER
1TOT-AL.
LATERAL LOCATION
ST.
NO UNIT?;
CONNECTION FEE
-COST PER
PUMP STATION FEES
NO. UNITS COST PER UNIT TOTAL-
LATERAL NO...INSTALLATION TOTAL CHARGES (LATERAL ETC.)