HomeMy WebLinkAbout1655 BUENA VISTA WAY; ; SE852674; PermitAPPLICATION FOR PERMIT TO CONNECT TO CITY SEWER SYSTEM.
CITY OF CARLSBAD
EN GIN E E R IN G D €PA RTM E NT
438-5541 1 FOR APPLICANT TO FILL Iw L 1
BUILDING ADDRESS /6 #
L/
OWNER
MA1 LING ADDRESS
1 CONTRACTOR I
CONTRACTOR'S ADDRESS I I
LATERAL LOCATION
~
LATERAL NO. INSTALLATION DATE
4 VAL1 DATION
LATERAL CHARGE COMPUTATION
STANDARD 4. (Max. H. 3O', V. 10')
OVER30'H. 4 FT.
OVERlO'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 CHARGE
LINE COST DATA kkrnLfi a-
As3EgM DIST. NO.
FRONTAGE COST PER FT. TOTAL
OTHER
CONNECTION FEE
NO. UNITS I COST PER UNIT dm TOTAL w!@t90 -
PUMP STATION FEES
TOTAL- NO. UNlTS-----.-COST PER UNIT
TOTAL CHARGES (LATERAL ETC.) "&&45.00
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