HomeMy WebLinkAbout2310 CAMINO VIDA ROBLE; ; SE852464; Permit7
APPLICATION FOR PERMIT TO CONNECT TO CITY SEWER SYSTEM
CITY OF CARLSBAD
ENGINEERING DEPARTMENT
438-5541
FOR APPLICANT TO FILL IN
BUILDING
ADDRESS
OWNER
MAILING
ADDRESS
CONTRACTOR
1 - K.
~/t
CONTRACTOR'S
ADDRESS
NEW BUILDING
5 &
-t-t
EXISTING BUILDING •#
LEGAL DESCRIPTION /' "* /
DATE ISSUED
VALIDATION
LATERALMflW fcOM(*WW l«l
STANDARD 4" (Max. H. 30', V. 10')
OVER 30' H. @ FT..
OVER 10' V. @@ FT..
STANDARD 6" (Max. H. 30', V. 10').
OVER 30' H (ft ^.PTT!~Z -*"^OVER 10'V. m m^'-*r" FT
TOTAL COJSJSTR^JCTION
SERVICEpMA*RGE (REPAVING
TOTAL LATERAL CHARGE.
REMARKS: 7""Jf7 LINE COST DATA
LATERAL LOCATION CONNECTION FEE
NO. UNITS .COST PER UNI-J**&
TOTAL.
PUMP STATION FEES
NO. UNiT
LATERAL NO..DATE-
TOTAL CHARGES (LATERAL ETC.)
TTft-
WHITE: Engineering GREEN: Finance YELLOW: Sanitation PINK: Building GOLDENROD: Permitter
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