HomeMy WebLinkAbout1202 BASSWOOD AVE; ; 68-125; PermitCITY OF CARLSBP BUILDING DEPARTkr-AT
729-1 181 - Ext. 36 1)-
Sewage Disposal Sys-tern I Water Meter
Owner's Nam hv&.@ht * 3 .L.&W.
Applicatic- for BUILDING Permit
Mail Address /as p&r.
Contractor
Contr. Address
ro Const. 'f"' To Add 0 To Alter 0 Convert 0
To Move From
,. Frame. Masonrv. etc.,
<ind of Foundation No. of Stories -
:loor Space (Sq. Ft.) Rk.
Attached 3arage Floor Space [Sq. Ft.)
Detached
-egal Description Lot Block
hbdivision ______ or
Section Township Range
No. of Existing Building
Signature of Applican
I ACKNOWLEDGE THAT I HAVE READ THIS AP I~ATION AND STATE THAT THE ABOVE IS CORRECT AN&GREE TO COMPLY WITH ALL CITY AND STATE LAWS REGULATING Bu ILDI NG.
I CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER LICENSED AS REQUIRED ay CITY OF CARLSBAD AND
OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY.
S I G N AT U RE OF PERMITTEE
Building Permit Fee
gPkXD N-rr-68 -= E0011+**f*ilZl5O
Approved by
I
Utility Company Notified - Date Final By--
___ ---_-__I______ __-
If a chsck is Tender54 for payment for the above fee and the
check is not honcred when presented for payment, your build:;g permit will be imrrediately revoked.
City of Carlsbad Building Dept.
Permit void if work is not commenced wiihin 60 days of issuance.