HomeMy WebLinkAbout1570 BASSWOOD AVE; ; SE741287; PermitAPPLICATION FOR PERMIT TO CONNECT TO CITY SEWER SYSTEM
CITY OF CARLSBAD
ENGINEER IN G D EPARTM ENT
729-1181 EXT. 35
FOR APPLICANT TO FILL IN
1
MAILING ADDRESS
I I
CONTRACTOR'S I ADDRESS I I I 1 -',
NEW BUILDING 1 EXISTING BUILDING 1
LATERAL LOCATION
., . .. -<.- . . .. , . . , . , . . . i 1 ..
I I ST 1 I
LATERAL NO. INSTALLATION DATE
LATERAL CHARGE COU~?~TA+I&
STANDARD 4" (Max. H. 30'. V. 10'
OVER 30' H.-@-FT
OVERlO'V. FT
STANDARD 6" (Max. H. 30'. V. 10'
OVER 30' H.-@ FT
OVER 10' v. -@
TOTAL CONSTRUCTION C
SERVICE CHARGE (REPAVING E
TOTAL LATERAL CHAR
ASSESSMENT DIST. NO.
COST PER FT.
NO. UNITS COST PER UNIT ' '. *-a-
NO. UNITS COST PER UNIT ',, ,;
TOTAL CHARGES (LATERAL ETC.)