HomeMy WebLinkAbout1751 BRUCE RD; ; SE852566; Permit--. -- -
.^ "- *-- APPLICATION FOR PERMIT TO CONNECT TO CITY SEWER,SYSTEM.
CITY OF CARLSBAD
EN G I N E E R I NG D EPA RTM E NT
438-5541
~ ~~ 1 FOR APPLICANT TO FILL IN
MAILING ADDRESS ,
1
...*. - -., - -.
CONTRACTOR'S ADDRESS
LATERAL LOCATION c
ST. 1
LATERAL NO. INSTALLATION DATE
VAL1 DATl ON
LATERAL CHARGE COMPUTATION
STANDARD 4" (Max. H. 30'. V. 10')
OVER 30' H.-@&FT.
O\Y€WlW. ---a -, FT.
STANOARO 6" (Max. H. 30'. V. 10') 1
OVER 30' +I.-@ FT.
OVER 10 V. -@) FT.
, TOTAL CONSTRUCTION COST
SERVICE CHARGE (REPAVING ETC.)
TOTAL LATERAL CHARGE
. v.
LI NE COST DATA
ASSESSMENT DiST. NO.
FROWTAGE COST PER FT. TOTAL
CONNECTION FEE A222- 4m*, COST PER UNIT TOTAL / NO. UNiTS
PUMP STATION FEES
NO. UNlTS----.--COST PER UNIT TOTAL-
kr OOr3, -
TOTAL CHARGES (LATERAL ETC.)
WHITE: Engineering GREEN: Finance YELLOW: Sanitation PINK: Building GOLDENROD: Permitter