HomeMy WebLinkAbout1721 BRUCE RD; ; SE862838; Permit----.---
APPLICATION FOR PERMIT TO CONNECT TO CITY SEWER SYSTEM
CITY OF CARLSBAD
ENGINEERING DEPARTMENT
438-5541
FOR APPLICANT TO FILL IN
1 BUILDING ADDRESS /?a
MAILING ADDRESS
CONTRACTOR
CONTRACTOR'S ADDRESS I t
REMAR KS.
LATERAL LOCATION
LATERAL NO. INSTALLATION DATE
ISSUED BY
DATE ISSUED ' 9 ' -
VAL1 DATION
LATERAL CHARGE COMPUTATON
STANDARD 4" (Max. H. 30'. V. lo')
OVER30H. @r FT.
OVEA10'V. @ FT.
STANDARD 6" (Max. H. 30, V. 10)
OVER 30' H. @ FT.
OVER lOV.-@ FT.
TOTAL CONSTRUCTION COST
SERVICE CHARGE (REPAVING ETC.)
TOTAL LATERAL CHARGE
LINE COST DATA
ASSESSMENT DIST. NO.
FRONTAGE COST PER FT. TOTAL
OTHER
CONNECTION FEE
*r 5 NO. UNITS COST PEA UNIT TOTAL
~ PUMP STATION FEES
NO. UNlTS-----COST PER UNIT TOTAL
/
TOTAL CHARGES (LATERAL ETC.)
WHITE: Engineering GREEN: Finance YELLOW Sanitation PINK Building GOLDENROD Permitter ..