HomeMy WebLinkAbout1173 CHESTNUT AVE; ; 66-9421; PermitCITY OF CARLSBAD
BUILDING DEPARTMENT
729-1181 -Ext. 36
For Applicant to Fill In
Owner's Name
Mail Address _
Contractor ——
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Contr. Address _
To Const. Ef To Add Q To Alter D Convert
To Move From
Type of Const. _—
Frame, Masonry, etc.
To Be Used For
No. of Stories-
Garage Floor Space (Sq, Ft.)Attached-
Detached
Legal Description
Subdivision
Lot Block
Section Township Range
No. of Existing Building
Will this construction include any plumbing installation or alter-
ation? Yes D -
Signature of Applicant
I ACKNOWLEDGE THAT I 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 TWAT I AM THE LEGAL OWNER
OF THE ABOVE DESCRIBErXJfSfSID^TJAL PROPERTY.
SIGNATURE
OF PERMITTEE
Application for BUILDING Permit
iJL
Building Permit Fee
JW.Z7-66
Building Dept. Use Only
Building Address
St. Near _
/ /^^7
Set Back
Front P.L
Side P.L.
Rear P.L.
Group
Bldg/
Main Bldg.
Sarage
Other- -^
Contractor City Bus. Lie. No.
Water Meter Sewage Disposal System
Inspection Record
Utility Company Notified
Final
Date-By-
If a check is tendered for payment for the above fee and the
check 'is not honored when presented . for payment, your
building permit will be immediately revoked.
City of Carlsbad Building Dept.
if work is not commenced within 60 days of is