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HomeMy WebLinkAbout2075 LINDA LN; ; SE658067; PermitCITY OF CARLSBAD BUILDING DEPARTMENT 1 SEWER PERMIT - APPLICATION FE82565 5^8353*******5 00 FOR APPLICANT TO FILL IN LEGAL DESCRIPTION LOT NO BLOCK USE OF JT\ BUILDINGS /^"W. /TRACT juJLtZtCk-o r\ CONTRACTOR ft~lf—f^ ^A^^DV\ fc^4vCL L AnnRESS .^L^T f . / WciTf (V*-L*4-l!M\ CONTRACTOR S STATE LICENSE NO NO DESCRIPTION OF Q- S^-rafcr Si^- TEL NO As2-y /^2.-5 [o CARLSBAD BUSINESS LICENSE NO WORK FEE7HOUSE SEWER CONNECTING TO — 1 W-» PUBLIC SEWER @ S3 OO _ fj1 CJ SEPTIC TANK SEEPAGE PIT OR PITS @ 95 OO OVERFLOW SEEPAGE PIT DRAINFIEUD EXTN CESSPOOL DRYWELL MANHOLE @ $5 OO HOUSE SEWER CONNECTING TO PRIVATE DISPOSAL SYSTEM @ SI SO CONNECT ADDITIONAL BLDG OR AL^ER REPAIR OR ABANDON HOUSE SEWER OR DISPOSAL SYSTEM @ $2 OO © $ 1 OWNERS L^ AUTHORIZATION Pi HAVE AT THIS DATE A 1 CONTRACTOR TO CONNEC 1 ING TO THE PUBLIC SEW 1 SIGNED THIS 1 OWNER OR ADDRESS PERMIT 9 2 OO TOTAL FEE ^ >&Q CONTRACT WITH THE HEREIN T THE ABOVE DESCRIBED BUILD ER DAY OF 1 HEREBY ACKNOWLEDGE THAT 1 HAVE RElAD 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 1 AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY THE CITY OF CARLS BAD AND STATE OF CALIFORNIA ORJRHAT U-*ffiPTHE LEGAL OWNER OF THE ABOVE DESdRlBra^BeSjfeENTIAL PROP- ERTY .%/ ^y? e=^7r SIGNATURE £rj/;' ^Sl/?1/2>gS0?^- r ^~ \Z// / ^ BUILDING ^7 A **7 ^-^ £ s / ADDRESS ^£ (' f •— ? AJwfi&Sl- AdrAf^i^ NEAREST /s* .,, ^_ ' CROSS ST rff/f ft A/'Kf) Ct OWNER /C^O f£/2-&^>Stf7^D MAIL ' ~.0 f) 'S? «yt.XT IP- ADDRESS JT^. CJ /£ <5Sf f 7^ x- C1TY &L*J^-lLd/ TEL NO ^/-^%Z CONNECTION DATA Lateral Charge Computation 30HIOV <5>4— h — Add Vfirt O) 4 — A — Total Constructfon Cost . _ 10 / Servirn Chargn Tntfll Lateral Chnrgfi Lat No Logged in Plat LINE COST DATA A n X. A«rp+ N" 1 INF CO.^T C C. (5) / ^u/xlling P S (S) / Jw«ll.n0 OTHFR TOTAI Granrf Total 1 nfAr^l i=>ti" FOR SEWER LOCATION "> </> St NORTH ENGINEERING SEWER DEPT — filgTifid 1 Smnfirl This is a Saver permit When Properly Filled Out Signed and Validated Issued By PERMIT VALIDATION