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1065 CARLSBAD VILLAGE DR; D; 68-514; Permit
CITY OF CARL5B4** BUILDING DEPARTMENT OWNER MAIL ADDRESS PLUMBER /TEL NO y ADDRESS STATE LICENSE NO TEL CARLSBAD BUSINESS LICENSE NO NO / / ITEM TOILET BATH TUB SHOWER WASH BASIN KITCHEN SINK DISHWASHER @ SI 25 @ 1 25 @ 1 25 © 1 25 @ 1 25 ® 1 25 LAUNDRY TUB OR TRAY @ I 25 AUTOMATIC WASHER @ 1 25 WATER HEATER & GAS SYSTEM 1 TO 3O EA ADD VENT ® 1 50 [ 5 @ 1 5O FLOOR DRAIN OR SINK @ 1 25 LAWN SPRINKLER @ ZOO M1SC WATER PIPING @ I SO GARBAGE DISPOSAL @ I OO VACUUM BREAKER OR BACK FL.OW DEVICES 1 TO 5 @ a OO GRADING PLAN YESrj NOPJ PERMIT S TOTAL FEE S FEE / / 2 -^ fr TO OOm I ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING PLUMBING i CERTIFY THAT i AM PROPERLY REGISTERED AND LI CENSED AS REQUIRED BY THE ClTY OF CARLSBAD AND STATE OF CALIFORNIA OR THAT/I/AM THE LEGAL OWNER OF THE ABOVE DESCRI BEDtfdeSKTETTnAL PROPERTY SIGNATURE OF PERMITTEE • 4LUMBIKO PERMIT-APPLICATION 5^3285*******^.^ BUILDING ADDRESS /PC 5-"0 \ NEAREST CROSS ST ZONE Inspection Record APPROVALS UNDER FLOOR WORK ROUGH PLUMBING GAS PIPING GAS VENTS PLUMBING FIXTURES MISC GAS TEST UTILITY CO NOTIFIED 7 FINAL DATE INSPECTOR s SIGNATURE // /VALIDATION This is a Pliffribing Permit When Properly Filled Out, Signed and Validated Permit•void if work is not commenced within 60 Jays of data of issuance