HomeMy WebLinkAbout1005 CARLSBAD VILLAGE DR; B; SE761830; PermitAPPLICATION FOR PERMIT TO CONNECT TO CITY SEWER SYSTE^I
CITY OF CARLSBAD
ENGINEERING DEPARTMENT
729-1181 EXT. 35
FOR APPLICANT TO FILL IN
BUILDING
ADDRESS y
OWNER y
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MAILING
ADDRESS y
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CONTRACTOR *^
CONTRACTOR'S
ADDRESS
NEW BUILDING
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&/S 0 A^ST tfg? y
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EXISTING BUILDING ^^"
LEGAL DESCRfPTION
REMARKS
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LATERAL LOCATION
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SX
LATERAL NO.
ST '
INSTA,! | ATION PATF
N?SE 1830
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BUILDING DEPT.y -.
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VALIDATION
LATERAL CHARGE COMPUTATION
STANDARD 4" (Max. H. 30*,
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OVER 1O* V . _ ,Q
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PT
FT
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TOTAL CONSTRUCTION
SERVICE CHARGE (REPAVINC
TOTAL LATERAL CH
COffT • . . -
rT?\
AROF , - •• • -
LINE COST DATA
ASSFSSMFNT HIST NO
FRONTA1F COST PpB PT TrtTAt
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CONNECTIQN FEE
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PUMP STATION FEES
NO 1'NITS COST PpP "MIT YfiTAi
TOTAL CHARGES (LATERAL E:Tr| 4 z£r#~~*~