HomeMy WebLinkAbout1198 PINE AVE; ; 69-1100; Permit-
To Move From-------~~---------
Type of Coos+. :rt:-.--N
Frame, Masonry, etc.
To Be Used For &R~
Kind of Foundati~ 1kf. of Stories /
Floor Space [Sq. Ft.) ~ l{=/)
Gtnage Floor Space ( Sq. Ft.)
Legal Description
Lot
Subdivision
Section
Atteched--------
Detached
Block
Townstlip Range
No. of Existing Building --------~-------
Will this construction in~u¥any
ation? Yes D No/if
plumbing insto!lation or alter·
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 ANO STATE LAWS REGULATING
BUILDING.
I CERTIFY THAT I AM PROPERLY REGISTERED ANO/OR LICENSED AS REQUIRl:'.D BY CITY OF CARLSBAD AND
STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER
OF THE ABOVE DmE IBED RESIDEE~N ~~RR PEATY, -
SIGNATURE -.d (: m -OF FERM ITTEE..
Set Back Bldg. Valuation
Front P.L. Main Bldg.
Side P.l. Garage
Contractor City Bus. lie. No.
w~
Inspection Record
Utility Company Notified -Date_
Final
-----Bv----
If a check is Tendered for payment for the above fee and the
check is not honor,;ad when prosented for payment, your
buildia1g permit will be immediately revoked.
City of Carlsbad Building Dept.
Permit void if work is not commenced within 60 days of issuance.