Loading...
HomeMy WebLinkAbout2716 MORNING GLORY LN; ; SE6710196; PermitCITY OF CARLSBAD BUILDING DEPARTMENT SEWER PERMIT - APPLICATION jPAIOFB-6-68 !!rr1057******5U.OO FOR APPLICANT TO FILL IN LEGAL DESCRIPTION LOT NO BLOCK TRACT USE OF BUILDINGS , f l CONTRACTOR Z^L r/ v»v£ >JL> *a %- / \ /J L& / *i Jv '< ADDRESS ^ ^7// ,J$4Z^< CITY (_, iftlsAf VM TEL NO /Is?"2^3/ '/"" CONTRACTOR S STATE CARLSBAD BUSINESS LICENSE NO LICENSE NO 2-^ o'Zs ~*~~ NO /f DESCRIPTION OF WORK FEE HOUSE SEWER CONNECTING TO PUBLIC SEWER @ S3 OO SEPTIC TANK SEEPAGE PIT OR PITS @ $5 OO OVERFLOW SEEPAGE PIT DRAINFIELD EXTN CESSPOOL DRYWELL MANHOLE @ $5 OO HOUSE SEWER CONNECTING TO PRIVATE DISPOSAL SYSTEM @ SI SO CONNECT ADDITIONAL BLDG OR WORK TO HOUSE SEWER @ $1 SO ALTER REPAIR OR ABANDON HOUSE SEWER OR DISPOSAL SYSTEM @ $2 OO @ S rtWMCP'C PERMIT S AUTHORIZATION TOTAl_ FEE 1 HA CON'ING SIGNOWN OWN ADDF 1 APPLAND STAT 1 AND,BAD OWN ERTY SIGN 0 "£ a& 2. OO k. — CCS VE AT THIS DATE A CONTRACT WITH THE HEREIN CRACTOR TO CONNECT THE ABOVE DESCRIBED BUILD TO THE PUBLIC SEWER EH THIS HAY OF ER ORFTR g AGFNT iESS HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS ICATION AND STATE THAT THE ABOVE IS CORRECT AGREE TO COMPLY WITH ALL CITY ORDINANCES AND E LAWS REGULATING PLUMBING AND SEWERS HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED 'OR LICENSED AS REQUIRE!) BY THE CITY OF CARLS- AND STATE OF CALIFORfll/ OR THAT 1 AM THE LEGAL ER OF THE ABO\r6-Jj£gS£RlBED RESIDENTIAL PROP- ATURE V>^O J2 — -TV 7T ^-^ *c/4-<fc~*.7 /£ ^ £?/? BUILD^G a *-~7/ S" ^^ < /^ / ADDRESS Z-* // fe, /"Y&S^ ^7 f IS^L ^7d/T//} NEAREST 1 . ' rj / •'>' / CROSS ST / ^/_/' /^-^/fy SI 4>S "* OWNER /?**? *& C-&? MAIL r^ ^ ADDRESS CITY (^«-J<^/^>^JK/ TEL NO CONNECTION DATA Lateral Charge Computation 30' H 10 V © 4" — A" — Add Honz @ 4" V Add Vert @ 4" — 6" — Total Constrnrtmn Cost 10% Service Charqe Total Lateral Chnn-jn Lat No . ... . Logged in Plat LINE COST DATA ADA A«mt No LINF COST C C ©__ ,' Hw«ll,n0 PS © ...../ dwnllmg OTHFR TOTAI _. Grand Total, Lateral, etc FOR SEWER LOCATION <" & St NORTH ENGINEERING SEWER DEPT Signer) 1 ^ignnrl ' Ttf^Is a Sewer Permit/When Properly Filled Out, Signed and Validated Issued By PERMIT VALIDATION