HomeMy WebLinkAbout2402 BUENA VISTA CIR; ; SE801638; Permit1 APPLICATION FOR PERMIT TO CONNECT TO CITY SEWER SYSTEM
N?SE 1638 CITY OF CARLSBAD
EN GIN E E R IN G D EPA RTM ENT
729-1181 EXT. 35
BUILDING D'EPT.
FOR APPLICANT TO FILL IN
OWNER
MAILING ADDRESS
CONTRACTOR
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CONTRACTOR'S ADDRESS
NEW BUILDING
t I EXISTING BUILDING I
REMARKS:
"NEW BUILDING: Expires with
Building Permit or, if nonc, in 121 days
EXISTING BUILDING : Expires 123
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LATERAL LOCATION
l+l I I ST.
LATERAL NO. I NSTALLATI ON DATE
LATERAL CHARGE COMPUTATION
STANDARD 4" (Max. H. 30', V. $0')
OVER 30' H.--@-FT.
OVER10'V. 0 FT.
STANDARD 6" (Max. H. 30'. V. 10')
F T. OVER 30' H. @
OVER 10' V.-@ FT.
TOTAL CONSTRUCTION COST
SERVICE CHARGE (REPAVING ETC.)
TOTAL LATERAL CHARGE
LINE COST DATA
ASSESSMENT DIST. NO.
FRONTAGE COST PER FT. TOTAL
OTHER
PUMP STATION FEES
NO. UNITS-COST PER UNIT TOTAL .
TOTAL CHARGES (LATERAL ETC.)
CITY OF CARLSBAD
ENGINE E R IN G D EPA RTM EN1
729-1 181 EXT. 35
FOR APPLICANT TO FILL IN
( ivt*'.S v CONTRACTOR
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CONTRACTOR'S ADDRESS
I
NEW BUILDING Y I EXISTING BUILDING 1
EGAL DESCRIPTION
N!?sE 16
LATERAL CHARGE CWPUTATtON
STANDARD 4" (Max. H. 30'. V. 10')
OVER 30' H.--@-.FT. .,"
OVERlVV. FT.
STANDARD 6" (Max. H. 30'. V. 10')
OVER 10' V. -@
OVER 30' H. @, PT.
TOTAL CONSTRUCTION C
SERVICE CHARGE (REPAVING e
TOTAL LATERAL CHAR
LINE COST DATA
1 ASSESSMENT DIST. NO.
FRONTAGE COST PER FT. TOTAL I
OTHER I
~ PUMP STATfON FEES
NO. UNITS COST PER UNIT TQTAL- , I
TOTAL CHARGES (LATERAL EX.) i