HomeMy WebLinkAbout1104 KNOWLES AVE; ; 77-127; Permit)
PLUMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA
Applicant to complete numbered spaces only Permit No . -
Joa AOOft E5S A"G
LOT NO. I ac< I TUCT
L <GAL I 1 D£5tft.
OWN£A MAIL ADDRtSS ZI p PHONE: 6957 2 • ~it ... ~~..: CAPTJm.,.. • • 9 (,
CONTAACTOR MAIi.. A00Rt5S PHONE LICtNSE NO. STATE CITY
3 &j ,1.,••---· n 2501 Jt, tc, I • f!,_, Cl,_,,. 729-✓5 S7 '( 1,
AlltCMITECT OR OCSIGNtft MAIL A00R[5S PHONE I..ICCN.S[ NO.
4
ENGINE.tfll ~AIL AODR [55 PHONE L ICENSE NO.
5
COMPENSATION (NS. CARRIER MAIL A.D011:ESS BflANCH ..,_._nf'> ~--'-,-
6 ..,1 l m JI ll.AIIA•wt . , • • -__ ,..,
US£ OF BUILDING
7
8 Class of work: □NEW 0 ADDITION 0 ALTERATION 0 REPAIR
q Describe work : . --_, •t ----~-.. -
* PERMIT FEES
J No. Type of Fixture or Item Fee
SPECIAL CONDITIONS: WATER CLOSET (TOILET) $
• BATHTUB
LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK & OISP.
DISHWASHER
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY LAUNDRY T RAY
CLOTHES WASHER ... WATER HEATER J. /J
DATE
NOTICE URINAL
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC· DRINKING FOUNTAIN
TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF FLOOR SINK OR DRAIN
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM· SLOP SINK
MENCED. GAS SYSTEMS, NO.OUTLETS I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS
APPLICATION ANO KNOW THE SAME TO BE TRUE AND CORRECT. WATER PIPING & TREATING EQUIP.
ALL PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS
TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED WASTE INTERCEPTOR HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME. TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE VACUUM BREAKERS PROVISIONS OF ANY OTHER STATE OR LOCAL LAW RE.GULATI NG CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. LAWN SPRINKLER SYSTEM
SEWER
CESSPOOL
~A~/./,~ -,_l'J?u1/#m::r1 1/l I'll SEPTIC TANK & PIT
ROOF DRAINS
SIG'""'°litl O" CONTfU,CTOJII o.-AUTHOFt~D AGtNT (0AT£1
PERMIT $ ---
TOTAL FEE $ . ; ......
SIGNATUIIIII'. OP' OWH!llt i, OWN[" 8UILOtfll (DATt)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR