HomeMy WebLinkAbout1287 CYNTHIA LN; ; 70-75; PermitCITY OF CARLSBAD
BUILDING DEPARTME9
729-1181 -Ext. 36
For Applicant to Fill In
. Owner's Name
Mail Address /^P f
Contractor
Contr Address
To Const Br To Add D
To Move From
Type of Const
To Alter Q ConverD
Frame, *Masonry, etc\ f^r
Kind of
Floor Space (Sq Ft
Garage Floor Space
Section Township ^^^ Range
No of Existing Bu.ld.ng .^
Will this construction include any
ation? Yes D No
mbmg installation or alter-
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 CABtSBAD AND
STATE OF CALIFORNIA OR THAT I AM THE I/E^AL OWNER
OF THE ABOVE DESQftJBED RES^DENT,ifL
SIGNATURE
OF PERMITTEE
Application^ BUILDING Permit
Building Permit Fee ^ ^. ^
JAM 39-70 5TT3176*******9.00
7?
Building Dept. Use Only
Building Address
Set Back
Front P I
Side PI/
i
\5ear
^/
Z
Bldg Valuati
Mam Bldg
Garage
Other
Contractor City Bus Lie No
J Water Meier Sewage Disposal System
Utility Company Notified — Date
Final
By-
If a check is rendered for payment for the above fee and the
check is not honored when presented for payment, your
building permit wii! bo immod ately revoked
City of Carlsbad Building Dept
Permit void if work is not commenced within 60 days of issuance