HomeMy WebLinkAbout1250 MAGNOLIA AVE; ; SE1989; PermitC
C I T Y 0 f C A R L S B A D
DEVELOPMENT PROCESSING SERVICES
APPLICATION ANO COST ESTIMATE Of
SANITARY SEWER LATERAL CONNECTION
WORK ORDER NO. :
PART I -TO BE COMPLETED BY DPS
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SEWER LOCATION: BUILDING PLAN CHECK NO.: M .
ADDRESS: /,Zs-o APN: 2..C>S--2/o -z.s:
LEGAL DESCRIPTION: ----"~'--.c;::;;.:.,_~ _ _=::~..i.:;.:z;;__;:;.34-~~--------
or 72.C}-h')!>-S-:'
CONTACT PERSON:....L=w.:t.!::!.....k:C=.!:-L.;'4-,-"""=.:::::::....!=~1---PHONE NO.: 439-9/3/
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MINIMUM ...d::_ INCH ABS SEWER PIPE IN PLACE -NOT TO EXCEED
10 FEET DEEP AND 30 LINEAL FEET HORIZONTAL DISTANCE.
ADDIITONAL CHARGES FOR ANY DISTANCE EXCEEDING 30 LINEAL
FEET HORIZONTALLY ____ FEET AT ____ PER FOOT
ADDITIONAL CHARGES FOR ANY DEPTH EXCEEDING 10 FEET ____ FEET DEEP AT ____ PER FOOT
ADDITIONAL CHARGES FOR PLUGGING EXISTING SEWER LATERAL
$ ___ _
$
$
TOTAL CHARGES FOR CONSTRUCTION $. ____ _
ADDITIONAL CHARGES FOR CITY OF CARLSBAD SERVICES AT 50% OF
ABOVE CHARGES $;.._ ___ _
TOTAL CHARGES . $ . ....:i;o;.&;-=;.,.,..
1911 ACT A.D. NO.: -c::·· DWG. NO.: ~RECT. NO.: o/72'z] BY:
PART II -TO BE COMPLETED BY UTILITIES DEPARTMENT
FOR SEWER LOCATION
Main Depth: ___ _
Lateral Depth at Property: ___ _
DPD2:FORM:DPD8
DATE SET: ______________ _ SIZE: ___________ )
,iORK DONE BY:
AMOUNT MATERIAL TOTAL
Joints Pipe
Joints Pipe
Joints Pipe
Joints Pipe
Saddle
Bushing
Stopper
Couplers
Tees
Ells -..
Boxes
Skiploader Hrs. @ $ per hour
Truck Hrs. @ $ per hour
Backhoe Hrs. @ $ per hour
Compressor Hrs. @ $ per hour
Labor Hrs. for Mechanic, @ $ per hour
Labor Hrs. for Helper, @ $ per hour
SUBTOTAL
% Overhead Expense -
TOTAL
Engineering Data: ,
---~-•···· .. ---~---·-
• #
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CITY OF CARLSBAD
1200 ELM AVENUE CARLSBAD, CALIFORNIA 92008
438-5621
ACCOUNT NO. # DESCRIPTION
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I t' I ;,,~ J -I t ....., A£ f?r i'LJ-}V
/;250 7/ lrt6J1~ &1t11r
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I' / ~10)2;{( &1£1.9 08/2.l 1 >r
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RECEIPT NO. 9729.:, TOTAL
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AMOUNT
091, I ) 1
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· )01 01 0
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