HomeMy WebLinkAbout1375 BASSWOOD AVE; ; SE771502; PermitCITY OF CARLSBAD
ENGINEERING DEPARTMENT
729.1181 EXT. 35
r FOR APPLICANT TO FILL IN
1
I OWNER
MAILING ADDRESS
I ST. F I
LATERAL N-4' INSTALLATION DATE
LATERAL CHARGE CaMPWATroN
STANDARD 4" (Mex. H. 3(y, V. %v)
OVER 30' H.-IFT.
OVER 10' v.-@-FT.
STANDARD 6" (Max. H. 3(Y, V. T0').
OVER 30' H.-@,-FT-.
OVER lO'V.-@
TOTAL CONSTRUCTION COS
SERVICE CHARGE (REPAVING ET c
TOTAL LATERAL CHARG
OTHER
5 x+ PUMP STATION FEES .~-
TOTAL *- ' $-f COST PER UNIT t$#? UNITS
I HAVE INSPECTED THE SEWAGE DISPOSAL SYSTEM AT
County ualth Officer
5-23-77 DATED