HomeMy WebLinkAbout1165 CARLSBAD VILLAGE DR; ; 64-6158; PermitCITY OF CARLSBAD
BUILDING DEPARTMENT
729-1181 -Ext. 36
_ For Applicant to Fill In
R ]i
Owner's Name
Mail Address
Contractor
Contr Addros
To Const n To Add Q To AlterTo Const Ll
^J fot^f55From
1 Type of Const'
Convert
Frame, Masonry, etc
To Be Used For
Kind of Foundation
Floor Spaco (Sq Ft )
•No of Stones.
Garage Floor Space (Sq Ft
Legal
Subdivision
Aitachod-
Dotachod_
Lot Block
Section Township Range
f /V^Nfc^TNo of Existing Building
Will this construction include 3ny plumbing installation or alter-
ation? Yes D No ~
Signature of Applicant
I ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
STATE THAT THE ABOVE IS CORRECT AND AGREE TO
COMPLY WITH ALL CITY AND STATE LAWS REGULATING
BUILDING
I CERTIFY THAT IAU-Cf?OPERLY REGISTERED AND/OR
LICENSED AS RECHJTREDXBY CITY/ OF CAJILSBAD AND
STATE OF CALIFfifRfyiAJg'R THAT/AM THE /LEGAL OWNER
OF THE ABOVE/DE^flT^ED gESI/jfNTlAL
SIGNATURE
OF PERMITTEE
X
Building Permit Fee
FEB 21-64 !~cLr1
Building Dept. Use Only
Building Address / /&&g
St Nea
^ V
Set Back
Front PL
Side PL
Rear P L
Group
1
/
/
jipne
Dldq Valuation /
Main Bldg
Garage
1
Other /
AppTSvSoS by -~
£r\~fi)s
Contralto" CHy Bus Lie No
Meter Sewage Disposal System
Inspection Record
Utility Cornpan/ Notified — Doie_
Fmal
-.By-
If a check is toide ed fo- payment for the'above fee and the
chock is no* honored whan presented for payment, your
building permit will be immediately revoked
City of Carlsbad Building Dept
Permit void if work is not commenced within 60 days of issuance