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2168 CHESTNUT AVE; ; SE751371; Permit
APPLICATION 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 MAI ADD .ING RESS CONTRACTOR CONTRACTOR'SADDRESS NEW BUILDING LEGAL 2L 1 (c % C tt* "^ Ki- ^ •''.('• S t • ' I "• if tfr C'^Cf E I" *~ ^ 'A ' J '" r~ -' i**1 f • ' "• <T"I "*-'Kvn,« /V?- '2.S'5^ EXISTING BUILDING V DESCRIPTION '.'.-' " ' f 'i ' ; 1 tr " / - r " / <•: - ('•(<? REMARKS: i - ' l.-—^-, -~\ ,'-. • ~(. f-~f 1 '•*- " ' ' ^Hfc , • — *""" t f "• ' '", J • ^ ' ';*„ •, 'i?-'l I.." * . • * * {'- V' ' ' ' c\, .ATERA LATERAL LOCATION te' ' i wn ST. INRTAI i ATI^M D^TF Sf? SE 1B71 BUILDING DEPT.•**" * . «*^T W ^B . _,; :_, ^.. -"T^- -• ' \\f ••""••" '"'•-' ''' '•' ' ' issiipn RY \ ..' H i f\..; ' • >- DATE ISSUED L? ~~ ' *fl ~ -j'« ' VALIDATION -; . - • • • " ' - . • • • ' , • : • . LATERAL CHARGE COMPUTATION .- ' • '.• • • :. '•" '• y Tj- .-••-•' . • STANinARn 4" (Max. H. SQ', V m') t l -••• OVER 30' H. ''' ' © -4'" FT. '.-'.'.OVER 10' V. <& FT. RJANDARn fi" (Max H 3O' V 1O') OVER 30' H. ffi FT : -' OVFR 10'V @ FT ' * T<~>TAI r«~>NPTRi if"TION COST '• ' ' ' ' ••: : ;: • •'• "•-.'•''-.•- '••'•'. 'SERVICF HHARRF (REPAVINO FTri.) f C 7 -^ : .•'. TOTAI I ATFRAI CH AR'OF : ' - " '.• : ' • T -" - ''.'••"•'',• '• l2-^5"K?f^"' LINE COST DATA . v' ;:; . ,"•-..- ..'•'.' A^^F^MPMT niqT MO '• - ; .^Vi-'-'ri-WV^:';' V •' '.' •: .• i; .. '•- •;•• ••'.- • . .FRONTAnp r.nRTPPR'Ft- : ; /, - TOTAI ' OTHFR • ', '••-'•:-'. ..-:'".- '•'•".• CONNECTION FEE ;; • : Nn UNITS \ HOST PFR iiMiT,.%D'^ .« fnTAi &0 ^ - ,''.•:". .' -'•.. .',- • , '--,'•-,: /. ••:•'-" ''.'•• ". :'.- .'-'-.' PUMP STATION FEES . " : •• : Nin UNITS rnRj PFR UNIT" TOTAI, ••"-H <"* '•' jrijAI r-HAR^F-5 (| ATPRAI FT^.) ' <&O (0