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HomeMy WebLinkAbout1255 CYNTHIA LN; ; 75-809; PermitPLUMBING PERMIT APPLICATION City of CARLSBAD, CALIFORNIA ___ ^ Applicant to complete numbered spaces only Permit No •* -^ * f'^ ^7 LEGAL DESCR OWN ER2 W53SWI!1255 CONTRACTOR MAIL ADDRESS LICENSE NO ST AT E3563. State Carlsbal MAI L ADDRESS LICENSE NO ENG IN EER LICENSE NO COMPENSATION fNS CARRIER ST4TS MAIL ADDRESS ISSWtjUICS fW ?. o. ta 8@*a8, SMI Dingo, C». USE OF BUI LDIN G 8 Class of work D NEW D ADDITION D ALTERATION D REPAIR Describe work 1&&Q* 3KH&8T PERMIT R£ES No Type of Fixture or Item Fee SPECIAL CONDITIONS WATER CLOSET (TOILET) BATHTUB LAVATORY (WASH BASIN) SHOWER KITCHEN SINK & DISP DISHWASHER V.APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED fOR ISSUANCE BY LAUNDRY TRAY CLOTHES WASHER WATER HEATER rt NOTICE THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THISAPPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION 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 CESSPOOL 6/23.75 SEPTIC TANK & PIT ROOF DRAINS SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT PERMIT SIGNATURE OF OWNER OF OWNER BUILDER)TOTAL FEE WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION CK M O CASH INSPECTOR