HomeMy WebLinkAbout1570 BASSWOOD AVE; ; SE771455; Permiti- - '6 P 1*4a*L.*yll(
APPLICATION FOR PERMIT TO CONNECT TO CITY SEWER SYSTEM
I
CITY OF CARLSBAD
EN G IN E E R ING 0 EPARTM ENT
729-1 181 EXT. 35
FOR APPLICANT TO FILL IN
BUILDING I ADDRESS 1570 Ih8sWood
OWNER
MA1 LING ADDRESS
CONTRACTOR I
61- CONTRACTOR'S ADDRESS
NEW BUILDING I YI I EXISTING BUILDING I
LEGAL DESCRIPTION
292
1 LATERAL LOCATION
LATERAL NO. INSTAL LATl ON DATE t
t ISSUED BY
DATE IS SUED^ ..
VAL1 DATION
LATERAL CHARGE COMPUTATION
STANDARD 4" (Max. H. 30'. V. 10')
OVER 30' H.~@-FT.
OVER 10' V.-@-.FT.
STANDARD 6" (Max. H. 30'. V. 10')
OVER 30' H.--@-.FT,
OVER 10' V.-@ FT.
TOTAL CONSTRUCTION COST
SERVICE CHARGE (REPAVING ETC.)
TOTAL LATERAL CHAR
ASSESSMENT DIST. NO.
NO. UNITS COST PER UNIT
<*
PUMP STATlbN FEES '' - '
COST PER UNIT
TOTAL CHARGES (LATERAL ETC,) 9;:rS:,
>*
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