HomeMy WebLinkAbout1065 CARLSBAD VILLAGE DR; ; 64-7488; PermitCITY OF CARLSBAD
BUILDING DEPAI^ENT
729-1181 -£xt. 36
For Applicant to Fill In
Applk^n for BUILDING Permit
Building Permit Fee
Owner's Nam
Mail Address
o
ffa/S/SlTTTA-
f
Contr Address
To Const D To Add
^^To Move From
jType of Const £ [ t^->
To Alter Convert Q
To Be Used For
Frame, Masonry, etc
l/£-W
Kind of Foundation.No of Stones.
J"lugii' 'S^iiue (Sq Ft
Garage Floor Space (Sq Ft Attached-
Detached—
Legal Description
Subdivision
Lot Bloclc
Section
No of Existing Building _
Township Range«.I Will this consimction include any plumbing installation or alter-• ^ . . -*-^-^ ^V . . r- * _^.I ation/
I Signaturc^of Applicant- „.
1 ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STAT/THAT THE ABOVE IS CORrJECI AMD AGREE TO
COMPLY WfTH ALL CITY AND STATE LAWS REGULATING
BUILDING
I CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY CITY OF CARLSBAD AND
STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER
OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY
SIGNATURE
OF PERMITTEE „ -
HAY 29-64 ?TT a228*******lj.50
Building Dept. Use Only
Building Address f O v> -J
»St Near
Sot Back
Front P L
Side PL
Rear P L
Group Zone
Bldg Valuation ^2^0 ^
Main Bldg
Garage
Other
Approved by
Contractor City Bus Lie No ••=,
Water Meter Sewage Disposal System
Inspection Record
Utility Company Notified — Dale.
Final
By-
!f a check is tendered for payment for the above foe and the
chaclc is not honored when presented for payment, your
building permit will bo immediately revoked
City of Carlsbad Building Dept
void if wo-k is not commenced within 60 days of issuance