HomeMy WebLinkAbout1715 BUTTERS RD; ; SE751392; PermitAPPLICATION FOR PERMIT TO CONNECT TO CITY SEWER SYSTEM
CITY OF CARLSBAD
ENGINE E R ING D EPA RTM ENT
729-1 181 EXT. 35
FOR APPLICANT TO FILL IN
BUILDING ADDRESS
MA1 LING ADDRESS --
CONTRACT0 R'S ADDRESS t I
NEW BUILDING 1 EXISTING BUILDING I
REMARKS:
LATERAL LOCATION
I ST. 1 I
LATERAL NO. INSTALLATION DATE
N!? SE 1898 BUI tDlMG DEPT.
ISSUED BY 4 u'li 1 .t L ti ,J *<
13 .I .I ""1 DATE ISSUED L, L, w
VAL1 DATION
LATERAL CHARGE COMPUTATION
STANDARD 4" (Max. H. 30', V. 10')
OVER30'H. FT.
OVERlO'V. FT.
STANDARD 6" (Max. H. 30'. V.
OVER 30' H. @
OVER 1WV. -@
TOTAL CONSTRUCTION C
SERVICE CHARGE (REPAVING E
TOTAL LATERAL CHARG
11 . LINE COST DATA
ASSESSMENT DIST. NO.
COST PER FT.
CONNECTION FEE
NO. UNITS COST PER UNIT
%*
PUMP STATION FEES
NO. UNITS-COST PER UNIT-TOTAL&
TOTAL CHARGES (LATERAL ETC.) L.3
i I APPLICATION FOR PERMIT TO CONI
CITY OF CARLSBAD
ENGINEERING DEPARTMENT
729-1 181 EXT. 35
FOR APPLICANT TO FILL IN
BUI LDING
ADDRESS TF.25
MAILING ADDRESS
CONTRACTOR I
I CONTRACTOR'S ADDRESS
NEW BUI LDJNG I I EXISTING BUILDING I
EGAL DESCRIPTION
ST. 1
I LATERAL NO. INSTALLATION DATE
iCT TO CITY SEWER SYSTEM t
I BUILDING bfPT.
LATE R A L CHARGE COMPUtATJ ON
STANDARD 4" (Max. H. W, V. 10')
OVER 30' H.-~-FT.
OVER10'V. 6% FT.
STANDARD 6" (Max. H. 30'. V. 10')
OVER 30' H. @ FT.
OVER 10' V. -0 FT.
TOTAL CONSTRUCTION COST
SERVICE CHARGE (REPAVING ETC.)
TOTAL LATERAL CHARGE
LINE COST DATA .
t- t*J ASSESSMENT DIST. NO.
FRONTAGE COST PER FT. TmAL
OTHER
.f 1' CONNECTION FEE
NO. UNITS I ' COST PER UNIT &TOT+&
PUMP STATION FEES
NO. UNITS COST PER UNIT
*'do TOTAL CHARGES (LATERAL ETC.)
k.
APPtlCATlON FOR PERMIT TO CON
CITY OF CARLSBAD
ENGINEERING DEPARTMENT -. 729-1181 EXT. 35
~
FOR APPLICANT TO FILL IN
MA1 LING ADDRESS
CONTRACTOR
~ 1
CONTRACTOR’S ADDRESS
NEW BUILDING I Y I EXISTING BUILDING I
.EGAL DESCRIPTION
LATERAL LOCATION
LATERAL NO. INSTALLATION DATE
I BUfLDlWG bE&.
ISSUED BY
DATE ISSU
VALIDATION
LATERAc CHARGE COMPUTATION
STANDARD 4“ (Max. H. W, V. 16’)
OVER 30’ H.-@-FT.
OVERlWV. a FT.
STANDARD 6” {Max. H. 30’. V. 10’)
OVER WH. @ FT.
OVER 10’ V. -@ FT.
TOTAL CONSTRUCTION COST
SERVICE CHARGE (REPAVING ETC.)
I
TOTAL LATERAL CHARGE
LINE COST DATA
ASSESSMENT DIST. NO.
FRONTAGE COST PER FT.. TOTAL-
OTHER
CONNECTION FEE
NO. UNITS LrCOST PER UNIT
PUMP STATtON FEES *
NO. UNITS COST PER UNIT
TOTAL CHARGES (LATERAL fTC.1 J 1