HomeMy WebLinkAbout1511 BASSWOOD AVE; ; 67-10133; PermitApplication IJr BUILDING Permit CITY OF CARLSBAD BUILDING DEPARTMEN I 729-1 181 - Ext. 36 +!/d,Ja Building Permit Fee ._ For Applicant to Fill In
Owner's Name
Mail Address
Contractor
Contr. Address
To Conrtx TO Add To Alter 0 Convert 0
ro Move From
rype of Const. /,chc&&
Frame, Masonry, etc.
Gnd of Foundation
:loor Space (Sq. Ft.] // W Attached 3arage Floor Space (Sq. Ft.)
Detached
.egal Descripiion
Lot Block
Section Township Range
/ do. of Existing Building
Niil this construction includ any plumbing installation or alter-
Ifion? Yes c]
Iignature of Applicant
"OH
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 PRC)PERL.Y REGISTERED AND/OR LICENZED AS REQUIRED BY CITY OF CARLSBAD AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
SIGNATURE OF PERMITTEE -
Buildina Ded. Use Onlv
Building Address __
St. Near
- I Bldg. Valuation '& I Set Back -
Front P.L. 1 I Main Bldg. I Garage I Side P.L.
Rear P.L. Other
Group Approved by
Contractor City Bus. Lic. No. _______
Water Meter Sewage Disposal Sysfern
inspection Record
Uiii;ty Company Nctified -- date^-___--- By---.--.-
Flial . .~~~ - __ ~ ~. ___
Ii a clisck is lenderid for payment for the above fee and the
check is not hsrci.:ci vihon presented for payment, your buildi-g permit wii' ?.. immediately revoked.
City of Carlsbad Buildinq Dept. -.
Permit void if work is not commenced within 60 days of issuance.