HomeMy WebLinkAbout2736 WILSON ST; ; 77-3690; Permit,
PLUMBING PERMIT APPLICATION 11
City of CARLSBAD, CALIFORNIA
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COMPENSATION INS. CARRIER fr,,AAIL ADDRESS
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use OF BUILDING
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8 Class of work: □ NEW 0 ADDITION □ Al TE RATION
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SPECIAL CONDITIONS:
APPLICATION ACCEPTED ev PLANS CHECKED ev APPROVED FOR ISSUANCE BY
DATE
NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC·
TION AUTHORIZED IS N OT COMMENCED WITHIN 60 DAYS, OR IF
CONSTRUCTION O R WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-
MENCED.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ANO KNO W THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS
TYPE OF WORK WILL BE COMPLIED WITH WHET HER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL T HE PROVISIONS OF ANY OTHER ST-ATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION .
SIGNATUR E or CONTlltACTOR 0111: AUTH0 '41Zv ACE.NT {DATE)
□ REPAIR
PERMIT FEES
No. Type of Fixture or Item
WATER CLOSET (TOI LET)
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK & DISP.
DISHWASHER
LAUNDRY TRAY .. CLOTHES WASHER -WATER HEATER
U RINAL
DRINK ING FOUNTAIN
FL OOR--SINK OR DRAIN
SLOP SINK
GASSYSTEMS:NO.OUTLETS
WATER PIPING & TREATING EQUIP.
WASTE INTERCEPTOR
VACUUM BREAKERS
LAWN SPR INKLER SYSTEM
SEWER
CESSPOOL
SEPTIC TANK & PIT
ROOF DRAINS
PERMIT
SIGNATU1'£ OP' OWNCllt II,. OWN[llt l!IUILDClltJ TOTAL FEE
WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O.
INSPECTOR
$
$
$
CASH
Fee
INSPECTION REPORTS
DATE ITEM REMARKS INSPECTOR
-