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PLC:

a0042z

Agency:

carmel area wastewater district

For:

permit fee payments

Phone:

831-624-1248 x210

Address:

3945 rio road
carmel, california 93923

*Required Field

Payment Information

Transaction is on hold until the permit number is issued.

*Applicant Name:

Middle:

*Last:

Company Name:

*Is this a Company Credit Card?:

Yes

Phone #:

(### - ### - ####)

Applicant Address:

City:

State:

Zip:

Applicant's Email:

*Work Location Address:

*APN # (eg. 123-123-123):

*Owner Name:

City:

Yes

County:

Yes

*Certificate Of Insurance:

Yes

*Permit Type:

*Permit #:

Description of Work to be Performed & Location of Work:

Permit expires 60 days from date of issuance unless Certificate of Insurance (COI) effective date expires first. This transaction constitutes an agreement to comply with all District Ordinances. COI is required prior to commencement of work.

Permit is final only after District Inspection is completed. Advised to contact County of Monterey Environmental Health Department regarding health regulations.

Call 831-521-1475 or 831-917-1426 for District Final Approval and sign off for the completion of work.

Payment Amount

Payment Amount :

Subtotal:

$0.00

Total:

$0.00

Billing Information

*First Name:

Middle Initial:

*Last Name:

*Billing Address:

*City:

*State/Province:

*Zip:

*Country:

*Phone Number:

*Credit/Debit Card:

(enter the full card number without any dashes or spaces)

*Expiration Date:

*Card Security Number:

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