HomeMy WebLinkAbout2172 CHESTNUT AVE; ; SE781906; PermitAPPLICATION FOR PERMIT TO CONNECT TO CITY SEWER SYSTEM
CITY OF CARLSBAD
ENGINEERING DEPARTMENT
,729-1181 EXT. 35
FOR APPLICANT TO FJLL IN
BUILDING
ADDRESS
OWNER
MAILING
ADDRESS
CONTRACTOR
CONTRACTOR'S
ADDRESS
NEW BUILDING
Aisle.
EXISTING BUILING
LEGAL DESCRIPTION
BUILDING
ISSUED BY
DATE "~ "*
VALIDATION
LATERAL CHARGE'
STANDARD 4" (Max H 30', V. 10') i.
OVER 30' H. @ FT k
OVER 10' V. @
->**>
@ FT..
STANDARD 6" (Max H. 30', V. 1O') ' " I'^feP? *?v,. "T'Ok'- ,OVER 30' H. @ FT._ v_> 3,-tL* _1
OVER 10' V. @ FT
TOTAL CONSTRUCTION COST
SERVICE CHARGE (REPAVING ETC )
^•>"7'TOTAL LATERAL CHARGE * .
Sf
REMARKS:
£" •<•••• >•>..£>*-• • &'•/;•
LINE COST DATA,
ASSESSMENT DIST
FRONTAHF /TC* POST PER FT
OTHER
LATERAL LOCATION
ST.
LATERAL NO..-INSTALLATION