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2261 COSMOS CT; ; SE832063; Permit
V APPLICATION FOR PERMIT TO CONNECT TO CITY SEWER SYSTEM CITY OF CARLSBAD ENGINEERING DEPARTMENT 438 5541 FOR APPLICANT TO FILL IN BUILDING ADDRESS OWNER MAII ADD JNG RESS CONTRACTOR CONTRACTOR S ADDRESS NEW BUILDING • i : ' A'/ . , T•v- ^ EXISTING BUILDING "XT""' LEGAL DESCRIPTION -, ,•• , * - , f_ , REMARKS c-\. LATER A > 1 ''4 1 LATERAL LOCATION fe /^J W ( wn ST INSTAI i ATION DATP .,, /' > ISSI IFH RY V- -*f . ,^\J \, j ^_. ^-^^.^ •**i i '*PATF ISSMFD \ • v VALIDATION LATERAL CHARGE COMPUTATION STANDARD 4 (Max H 3O V 1O> OVER 30 H 0> FT OVER 10 V (ft FT STANDARD R (Max H 3D V 1Q) OVER 30 H <3> , 'FT OVER 10 V © . '' FT TDTAI C"NSTRIirTfoN TORT SERVICE CHARGE (RE/AVING FTC ) TDTAI I.A^FRAI rHARGF f LINE COST DATA ^ ASSF^SMFNT HIST NI~I •-'"" .-"•FRONTAnF rf^T'-pFR FT TOTAI OTHER .S~ JW /O/j/ >^ // AIXI CONNECTION FEE //VVj ^ Tn&U- ND UNITS'-^ 4 --/ HOST PFR UNIT . • T^TAL PUMP STATION FE£$ ND UNITS rnSTPFRjlNIT TOTAI TOTAL THARCFS (1 ATFRAI FTP) -" ' « WHITE Engineering GREEN Finance YELLOW Sanitation PINK Building GOLDENROD Permitter