HomeMy WebLinkAbout2385 CAMINO VIDA ROBLE; BLDG 7; SE842216; PermitAPPLICATION FOR PERMIT TO CONNECT TO CITY SEWER%YSTEM
ENGINEERING DEPARTMENT
438-5H1
FOR APPLICANT TO FILL IN
AOORESS
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^<C/Y Ar.-,<£ '4* 7T-
BY f!
DATE ISSUED.
VALIDATION
LATERAL CHARGE COMPUTATION
_@LOVER 30* H
OVER 10* V
STANDARD 6" (Max. H. 3CC,
OVER 30' H
.FT..
.FT..
FT
TOTALXTONSTRUCTION COST.
SERVfpetlHARGE (REPAVfNG ETC.)
TOTAL LATERAL CHARGE-
7 ,,•
LINE COST DATA
CONNECTION FEE
MH UNITS OST PER UNIT-
/ / ?: .i
/'TOTAL
PUMP STATION FEES
NO.
TOTAL CHARGES (LATERAL
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