HomeMy WebLinkAbout1515 GRADY PL; ; 78-6264; Permit12/ 17
000177
PLUMBING PERMIT APPLICATION
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City of CARLSBAD, CALIFORNIA 92008
Phone 729-1181 Applicant to complete numbered spaces only
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Permit No 18--/v:;J{p !:,:
Joa AODllt 1:$5
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OWNE.11 MAIL ADDIIIE.SS ZI p PHONC
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CONTIIIACTOIII M AIL AOOl'ltSS PHONl STATE LIC, NO, C IT,,Y 1j9• NO.
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AIIICHITCCT 0111 OCSIGN[llt MAIL AOO .. CSS PHONC LICCNSC NO,
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(NGIN[l.1111 MAIL ADOIII CS$ PHONC LICtNSl NO,
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COMPENSATION INS. CARRIER MA1L AODJIICSS *"-'NCH
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use 0,. I UIL.OING
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8 Class of work. •NEW 0 ADDITION •ALTERATION ~REPAIR
9 Describe work: R~ /)L-AC:: ,:: L~..)ATPP I.I' ~.o r hL •
PERMIT FEES
No. Type of Fixture or Item Fee
SPECIAL CONDITIONS WATER CLOSET (TOILET) $
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK & OISP
DISHWASHER
APPLICATION ACC(PT£0 BY PLANS CHECl<EO BY APPROVED FOR ISSUANCE BY LAUNDRY TRAY
?!-Y1r.,J CLOTHES WASHER /J . I WATER HEATER ~ t:>O DATE
NOTICE URINAL
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-DRINKING FOUNTAIN
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS,OR IF FLOOR-SINK OR DRAIN CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-SLOP SINK
MENCED GAS SYSTEMS NO. OUTLETS I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT. WATER PIPING & TREATING EQUIP ALL PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED WASTE INTERCEPTOR HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT
PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE VACUUM BREAKERS PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. LAWN SPRINKLER SYSTEM
SEWER NUMBER CLEANOUTS
CESSPOOL
?:J;~,a-A~ ~ /:..12--1~/zsl7f SEPTIC TANK&. PIT
ROOF DRAINS
StGNAT01't£ o, CONTl'tACTOfl oi. AUTHOltlllD AGf.NT ( IOATI/ .
ISSUANCE FEE $ 3 co
SIGNATUAt o, 0WN[III IP' OWNCIII I UILO[IIII OAT[) TOTAL FEES $ -~-.oa
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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