HomeMy WebLinkAbout1120 CHESTNUT AVE; ; 75-3085; PermitPLUMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA
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MAIL ADDRESS • ZIP PHONE
Honda, S. 1120 Cfc»8tB«t 729-37*3
\ -CONTRACTOR • '•' \ . . ''• MA1LADDRESS PHONE . . LICENSE NO. STATE CITY
3 lob»* floating 2501 State St. Sairlafcad. 729-0255 7698
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CT OR DESIGNER MAIL ADDRESS . PHONE ' LICENSE NO.'
ENGINEER - MAIL ADDRESS . - PHONE . LICENSE NO.
5 • ' '"' •'••'• ' •
, 'COMPENSATION fNS. CARRIER MAIL ADDRESS • •_. BRANCH
6 State Cwro. Ills. Pond PO Box 80^88 Ssn m«a» <92T<i8
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8 Class
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of work: D NEW D ADDITION D ALTERATION D REPAIR
n ' "-n , . ¥at«jr feegter efasngeoat '•- ' . '9 Describe work: — -^»
SPECIAL CONDITIONS:
. ••• .
1 /
AppLiCATiON^ecEPTED-ey PLANS CHECKED BY. . . APPROVED FOR ISSUANCE BY.x:
THIS PETION'A
CONSTI
PERIOD
MENCE
1 HEREAPPLICALL PP• TYPE C
HEREII*
PRESUI\
PROVIS
CONST
&
DATE
NOTICE
RMIT BECOMES NULL AND',VOID IF WORK OR CONSTRUC-
UTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF
AUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
OF 120 DAYS AT ANY TIME AFTER WORK IS COM-
D.
BY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS
ATION AND KNOW THE SAME TO BE TRUE AND CORRECT.
OVISIONS OF LAWS AND ORDINANCES GOVERNING THIS
>F WORK WILL BE COMPLIED WITH WHETHER SPECIFIEDJ OR NOT, THE GRANTING OF A PERMIT DOES NOT/IE TO GIVE AUTHORITY TO VIOLATE OR CANCEL THEIONS OF ANY OTHER STATE OR LOCAL LAW REGULATINGRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
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SIGNATURE OF CONTRACTOR OR AUTHOA^ZED AGENT (DATE),
SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE)
1 -' ~ PERMIT FEES
No.
1
Type of Fixture or Item
WATER CLOSET (TOILET)
BATHTUB
LAVATORY (WASH BASIN) '. •
SHOWER
KITCHEN SINK & DISP.
DISHWASHER
LAUNDRY TRAY
CLOTHES WASHER
WATER HEATER
URINAL . •
DRINKING FOUNTAIN
FLOOR— SINK OR DRAIN ,...
SLOP SINK
GAS SYSTEMS: NO. OUTLETS
WATER PIPING & TREATING EQUIP.
WASTE INTERCEPTOR
VACUUM BREAKERS
LAWN SPRINKLER SYSTEM
SEWER
CESSPOOL
SEPTIC TANK & PIT
ROOF DRAINS
PERMIT $
TOTAL FEE $
Fee
$ •
V tk»
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK.M.O. CASH PERMIT VALIDATION .~, CK. M.O. CASH
INSPECTOR