HomeMy WebLinkAbout148 REDWOOD AVE; ; SE646079; PermitCITY OF CARLSBAD
BUILDING DEPARTMENT
FOR APPLICANT TO FILL IN
LEGAL
DESCRIPTION Lo·r NO.
BLOCK
USE OF
BUILDINGS
TRACT
coNTRAcToR Andersen & Robtiam Custaa In
ADDRESS 2Slii A State St
c 1TY Carlsbad, Cal TEL. No. 729 2318
CONTRACTOR'S STATE CARLSBAD BUSINESS
L ICENSE NO. LICENSE NO.
208.302
NO. DESCRIPTION OF WORK FEE
HOUSE SEWER CONNECTING TO 3 .oo PUBLIC SEWER @ $3.00
SEPTIC TANK, SEEPAGE PIT OR
PITS 0 $11.00
OVERFLOW SEEPAGE PIT, DRAINFIELD EXTN.,
CESSPOOL, ORYWELL, MANHOLE @ $!5.00
HOUSE SEWER CONNECTING TO
PRIVATE DISPOSAL SYSTEM @ $1.!50
CONNECT ADDITIONAL BLDG. OR
WORK TO HOUSE SEWER • S l.!50
ALTER, REPAIR OR ABANDON HOUSE
SEWER OR DISPOSAL SYSTEM @ $2.00
@ s
OWNER'S PERMIT s 2 00
AUTHORIZATION I TOTAL FEE 2-00
HAYE AT THIS DATE A CONTRACT WITH THE HEREIN
CONTRACTOR TO CONNECT THE ABOVE DESCRIBED BUILD-
,NG TO THE PUBLIC SEWER.
SIGNED THIS -----DAY OF ---------OWNER OR
OWNER'S AGENT----------------
ADDRESS
SEWER s; -6079 PERMIT. APPLICATION
BUILDING
ADDRESS 148 Remrood Street
NEAREST CROSS ST.
OWNER
MAIL
ADDRESS
Walter Cambell
148 Remrood Street
c 1TY Carlsbad Cali.t • TEL. No.
CONNECTION DATA
Lateral Charge Computation
30' H., 10' V. @ 4" = __ b"=--
Add. Horiz. @ 4" = __ b" ---
Add. Vert. @ 4" = __ b"=--
Total Construction Cost
I 0% Service Charge
Total Lateral Charge ____ _
Lat. No.: Lo ed in Plat:
LINE COST DATA
A. D. & Assmt. No.----------------
LINE COST: _______________ _
C. C. @ __ / dwelling _____________ _
P. S. @ __ / dwelling _____________ _
OTHER __________________ _
TOTAL
Grand Total, Lateral, etc.
FOR SEWER LOCATION
~----------------~
St.
ENGINEERING SEWER DEPT.
NORTH
Signed ________ _ Signed ________ _
Filled Out, Signed and Validated
Issued By __________________ _
PERMIT VALIDATION