HomeMy WebLinkAbout1251 BASSWOOD AVE; ; 65-8129; PermitCITY OF CARLSBAD BUILDING DEPARTMEtNT
729-1 I8 I - bt. 36
For Applicant to Fill In
Owner's Name
Contractor .x;Iwd~--
Contr. Address
To Const. p To Add
To Move From 1
,ype of Const. *
To Alter 0 Convert
Frame, Masonry, e+c.
To Be Used For
Kind of Foundation e k- cI No. of Storiec
Atiached Garage Floor Space (-S&b.)
Detached
Legal Description Lot Block
Subdivision or
Section Township Range
No. of Existing Building
Will this ation? Yes [7
any plumbing installation or aiter-
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
OF THE ABOVE
SIGNATURE OF PERMIT
dpplicafion for MLMMG Permit
Build% Permit Fee
Building Dept. Use Only
Building Address ,I 2 *I/ A? h-L.w-4 .
St. Near
Front P.L.
Side P.L.
Rear P.L. Other
Group Zone 1 Approved by
Contractor City Bus. Lie. No. __
Water Meter I Sewage Disposal System I
Inspection Record
Utility Company Notified - Date BY Final
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 Oept.
' Permit void if work is not commenced within 60 days of issuance. .--
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