HomeMy WebLinkAbout2190 CHESTNUT AVE; ; SE881882; PermitAPPLICATION FOR PERMIT TO CONNECT TO CITY SEWER SYSTEM
CITY OF CARLSBAD
ENGINEERING DEPARTMENT
438-5541
FOR APPLICANT TO FILL IN
BUILDING
ADDRESS C.
OWNER
MAILING
ADDRESS
CONTRACTOR
CONTRACTOR'S
ADDRESS
NEW BUILDING
"7 / sj / y / y x7
^I^Q ^fU^^yu^ £^t*-& '«
EXISTING BUILDING
LEGAL DESCRIPTION
REMARKS:
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'fife
1
LATERAL LOCATION
CO
O\.) vy
ATERAI NO.
ST.
INSTAI 1 AT|i~>N DATF
SE ;,"•"'.'
ISSIIFR RY
DATF I<;QI ipn
VALIDATION
'
LATERAL CHARGE COMPUTATION
STANDARD 0." (Max. H. 3Q', V. 1OM
OVER 30' H. (3
OVER 10' V. ®
FT.
FT.
STANDARD 6" (Max. H. 3O', V. 1O/>
OVER 3O' H. (31
OVER 10' V. @
TOTAL CONSTRUCTION
SERVICE CHARGE (REPAVING
TOTAL LATERAL CH
LINE COST
ASSFSSMFNT DIRT NO
FT
FT
r ncy
FTC.)
annF
DATA
FRDNTAnF TOST PFR FT. TOTAI
OTHFR
CONNECTION FEE
NO. UNITS COST PFR UNIT TOTAL
PUMP STATION FEES
NO UNITS mST PFR
TOTAL CHARGES (LATERAL E~
UNIT TDTAI
rr.)
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