HomeMy WebLinkAbout1015 BUENA PL; ; 75-126; Permit-1 -
LOT NO BLK LEGAL I DESCR.
"s:
TRACT
PLUMBING PERMIT APPLICATION
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City of CARLSBAD, CALIFORNIA
Applicant to complete numbered spaces only.
KITCHEN SINK & DISP
Permit No.
iPPLlCATlON ACCEPTED BY PLANS CHEChED 8Y APPROVED FOR ISSUANCE E* 1 LAUNDRY TRAY I 1
I I
OWNER MAIL ADDRESS ZIP PHONE ? pt.
Q
SIGYATURE OF CONTRACTOR OR AUTHORIZED AGEWT IDATEI
CONTRACTOR STATE CITY
3
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ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO
LICENSE NO. ENGINEER MAIL ADDRESS PHONE
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COMPENSATION fNS. CARRIER MAIL ADDRESS BRANCH
CESSPOOL
SEPTIC TANK & PIT
ROOF DRAINS
USE OF BUILDING
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! Class of work: NEW 0 ADDlTlON 0 ALTERATION xo REPAIR
! Describe work:
--I___ I PERMIT FEES
No. I Type of Fkture or Item . [ Fee
i? E C I A L CON I2 I TLONS I WATER CLOSET (TOILET) I$ 1
I 1 SHOWER II
CLOTHES WASHER
~ -- NOTICE 1 URINAL ' DRINKING FOUNTAIN I - THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC
TlON AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A .
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM- 1 SLOPSINK
I ' FLOOR SINK OR
GAS SYSTEMS NO. OUTLETS NICIVLCU
VACUUM BREAKEHS
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW. THF SAhlF TO Rt TRUE AND CORRECT RNlNG THIS ? SPECIFIED
rtnwii I DOES NOT TE OR CANCEL THE rL LAW REGULATING OF CONSTRUCTION
I I SEWER II
t PERMIT $1 1
SIG'IATJRE OF OWkER llF&*= BLILDERI [:ATE1 TOTAL FEE $1 9.F
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT __-- PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR