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HomeMy WebLinkAbout150 REDWOOD AVE; ; SE658787; PermitCITY OF CARLSBAD BUILDING DEPARTMENT 3'SEWER PERMIT - APPLICATION OK-1-65 5-Jr310Z***-i**5.CO FOR APPLICANT TO FILL IN LEGAL DESCRIPTION LOP NO BLOCK TRACT USE OF BUILDINGS CONTRACTOR Brown & Snider Plumbinrr ^ADDRESS 2691 State St* BCITY Carlsbad CONTRACTOR S STATE LICENSE NO 2lll536 NO DESCRIPTION OF TEL NO?29-ij-9llL CARLSBAD BUSINESS LICENSE NO 53^2 WORK FEE HOUSE SEWER CONNECTING TO PUBLIC bLWkft @ $3 OO SEPTIC TANK SEEPAGE PIT OR PITS @ $5 OO OVERFLOW SEEPAGE PIT DRAINF1ELD EXTN CESSPOOL DRYWELL MANHOLE @ S5 OO HOUSE SEWER CONNECTING TO PRIVATE DISPOSAL SYSTEM @ $1 5O CONNECT ADDITIONAL BLDG OR ALTER REPAIR OR ABANDON HOUSE SEWER OR DISPOSAL SYSTEM @ $2 OO © S OWNER'S AUTHORIZATION ^Pl HAVE AT THIS DATE A f CONTRACTOR TO CONNEC ING TO THE PUBLIC SEW SIGNED THI S OWNER OR ADDRESS PERMIT $ TOTAL FEE 3 2 $ 00 OO 00 CONTRACT WITH THE HEREIN T THE ABOVE DESCRIBED BUILD ER PAY <->F 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING PLUMBING AND SEWERS 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY THE CITY OF CARLS- BAD AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROP- ERTY SIGNATURE BUILDING -1 rT» U^^Tr^^^!ADDRESS Ibu Keawooo. NEAREST CROSS ST OWNER Preston B. Griff ing, Jr9/ ADDRESS SCOtt AFB, 111. CITY TEL NO CONNECTION DATA Lateral Charge Computation in H , m1 v (5> 4" — A" — A.I.I 1 L ,t i/ ffl) A." • A" ArM Verr © 4" — h" — Total Construction Cost m°/0 .Wvirn Chargo Total 1 fltnrs| CliargB Lar No Logged in Plat LINE COST DATA A D » Assmt Nn 1 INF COST C C (Si / H^nllinrj P S (0) / rWllmri OTHFR TDTAI FOR SEWER LOCATION V) (/I St NORTH ENGINEERING SEWER DEPT Signfiri 1 Signer)1 This is a Sewer Permit When Properly Filled Out, Signed and Validated Issued By PERMIT VALIDATION