HomeMy WebLinkAbout1207 CARLSBAD VILLAGE DR; ; 77-9925; PermitPLUMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
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MAIL ADDRESS ZIP PHONE
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MAIL ADDRESS PHONE LICENSE. KO
MAIL ADDRESS PHONE LICENSE NO
MAIL ADDRESS BRANCH
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Q^LTERATION D REPAIR
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SPECIAL CONDITIONS
APPLICATION ACCEPTED BY PLAN.
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CHECKED BY
f NOTICE
THIS PERMIT BECOMES NULL AND VOID IF V
TION AUTHORIZED IS NOT COMMENCED Wl
CONSTRUCTION OR WORK IS SUSPENDED OP
PERIOD OF 120 DAYS AT ANY TIME AF
MENCED
I HEREBY CERTIFY THAT I HAVE READ P-
APPLICATION AND KNOW THE SAME TO BE
ALL PROVISIONS OF LAWS AND ORDINANC
TYPE OF WORK WILL BE COMPLIED WITH
HEREIN OR NOT, THE GRANTING OF A
PRESUME TO GIVE AUTHORITY TO VIOLA
PROVISIONS OF ANY OTHER STATE OR LOC£
CONSTRUCTION OR THE PERFORMANCE
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SIGNATURE OF CONTRACTOR OR AUTHORIZED AGEN*T
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SI SN ATUHE OF OWNER (IF OWNE 1 BU ILOERI
APPROVED K3R ISSUANCE BY
DATE
VORK OR CONSTRUC
FHIN 120DAYS.OR IF
ABANDONED FOR A
TER WORK IS COW
ND EXAMINED THIS
rRUE AND CORRECT
ES GOVERNING THIS
WHETHER SPECIFIED
PERMIT DOES NOT
TE OR CANCEL THE
^L LAW REGULATING
OF CONSTRUCTION
IDATEI
(DATE)
PERMIT FEES
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Type of Fixture or Itsm
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 NIIMRFB ri P-ANDIITS
CESSPOOL
SEPTIC TANK 8. PIT
ROOF DRAINS
ISSUANCE FEE S
TOTAL FEES $
Fee
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WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION CK M O CASH
INSPECTOR
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DATE ITEM
INSPECTION REPORTS
REMARKS INSPECTOR
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC