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HomeMy WebLinkAbout1065 CARLSBAD VILLAGE DR; F; 64-7560; Permitr CITY OF CARLSI
BUILDING DEPARTMENT
729-II8I -£xt. 36
For Applicant to Fill In 7560
Appiicati* for BUILDING Permit
Building Permit Fee
Owner s Nome
Mail Address
Contraclo . J)&
Contr Address
To Const «fi To Add Q To Alter Q Convert
"o Move From
Type of Const.
To Be Used For
Knd of Foundation No of Stones.
r'-rif_firiri- (Sq Ft
Garage Floor Space (Sq Ft Attached.
Detached—
Log a! Description Lot Block
Section Township Range
No of Cxistmg Building .
Will tins consiruction include any plumbing installation or alter-
ation9 Yes Q No [~~1
Signature of Applicant
I ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO
COMPLY WITH 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 DESCRI BEO- RESI DENTI ALfPROPERTY
SIGNATURE
OF PERMITTEE
AUG-3-6M !>
Building Dept. Use Only
Building Address
St Nea
Contracto- Cify Bus Lie No
Water Meter Sewage Disposal System
Inspection Record
Utility Company Notified — Date-
Final
By.
If a check is tendered for oayment for the above fee and the
chock is not honored when presented for payment, your
building permit will be immediately revoked
City of Carlsbad Building Dept
Permit void if woilc is not commenced within 60 days of issuance