HomeMy WebLinkAbout2808 VIA CASCADA; ; 78-861; Permit&; ----:; • l .. j) ..
PLUMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 729-1181 Permit No .
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LOT NO, I OL~ I TUCT LE GAL I 1 D£5ta,
OWN [,t MA.IL A.OO,t[SS ZIP PMONE
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CONT/ CTO,t MAIL AOOJlll[SS P ... ONt. STATE LIC. NO. CITY LIC. NO.
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C1n-,,1~ 111, • J J I i J//1/I'-I /fl/11-'. 9/!-7~~ r1 ./ ,,., " /J ✓--' .:'~~d
•".CMIT[CT 0,t DCSIGN[,t MA.IL AOOJlll[5S PHONE Ll([NSC NO.
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[NGIN[[fll' MAIL AOO,t[5S PHONE LICENSE NO.
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COMPENSATION INS. CARRIER MAIL AOOfll£SS IIIIANCM
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use OF BUILDING
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8 Class of work: □NEW 0 ADDITION 0 ALTERATION [j" REPAIR
9 Describe work: ,! c /J I.A <. !.i (J j //,;A'TC/~ ,
PERMIT FEES
No. Type of Fixture or Item Fee
SPECIAL CONDITIONS: WATER CLOSET (TOILET) $
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK & DISP.
DISHWASHER
APPLtCA T ION ACCEPT:_/V PLANS CHECKEO BY APPROVED FQA ISSUANCE BY LAUNDRY TRAY
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CLOTHES WASHER
,, DATE / WATER HEATER / .) (,
NOTICE URINAL
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-DRINKING FOUNTAIN
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF FLOOR-SINK OR DRAIN CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-SLOP SINK
MENCED. GAS SYSTEMS: NO.OUTLETS I HEREBY CERTIFY THAT I HAVE AEAD AND EXAMINED THIS
APPLICATION AND KNOW THE SAME TO Bf TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS WATER PIPING & TREATING EQUIP.
TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED WASTE INTERCEPTOR HEREIN OR NOT, THE GRANTING OF A PERMIT DOES N OT
PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE VACUUM BREAKERS PROVISIONS OF ANY OTHEA STATE QA LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. LAWN SPRINKLER SYSTEM
SEWER NUMBER CLEANOUTS
CESSPOOL
_., l ,,,,, I ? 3/;fat" SEPTIC TANK & PIT
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SIGNATURE: 0,-CONT,tACTO" 0,t AUTHO,ttz.tO AGENT ,, ( .. ATC)
ISSUANCE FEE $ "7 ) /}
SIGNATUft( o, OWN[,t (1, OWNC,t 9UIL0tlil) (OATEI TOTAL FEES $ ',;,
WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK . M.O. CASH PERMIT VALIDATION CK. M.Q. CASH
INSPECTOR