HomeMy WebLinkAbout1519 CHESTNUT AVE; ; 78+6037; PermitPLUMBING PERMIT APPLICA!
City of CARLSBAD, CALIFORNIA
Phone 729-1181
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OWNER . . MAIL ADDRESS ZIP
2 PJULSAIWan 1519 CHESTHUT A?B. . CARLSBiD 92008
CONTRACTOR -<fi ' A;MAIL ADDRESS PHONE
3 BOBS PLDHaao snariar 75xa STATE STREET 729-2055
ARCHITECT OR DESICNEH MAIL ADDRESS PHONE
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ENGINEER '- ' — MAtt ADDRESS"' ••;-.-—•-•.. : 4Fr- PHONE --•-'• • ; -.
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- COMPENSATION (NS, CARRIER MAIL ADDRESS
6 ono caaijT co.. CM P.O.: MB w aizu. SAD DIHJO 921.38
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8 Classofwork: D NEW D ADDITION ' DALTERATION D REPAIR
9 Describe work: jnetallmticn «f 0«i Voter a»«Ur a
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1APPLICATION ACCEPTED BY PLANS/ftHJCKED BY APPROVE D FOR ISSUANCE BY .
\ \ •'•" DATE
THIS PERMIT BECOMES NULL AStD VOID IF WORK OR CONSTFOJC
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-
MENCED.
1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS
APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.
ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THISTYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIEDHEREIN 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.
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SIGNATURE or CONTRACTOR OR AUTHORIZED AGENT ' (DATE)
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SIGNATURE Or~««VNER (IF OWNER BUILDER) (DATE)
No.
1
Type <*
WATER CLOSET <T4|jj
PHONE
729-8795
STATE LIC. NO. CITY LIC. NO.
2*5707 13787
LICENSE NO.
•-•f- - ¥? -• LICENSE NO. •"•• '•:• ,"-'T.-~
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BATHTUB'. '^'/ •' ' - -.''i*'
LAVATORY (WASH'BASIN)
SHOWER
KITCHEN SINK & DISP.
DISHWASHER
LAUNDRY TRAY
CLOTHES WASHER
' WATER HEATER
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 NUMBER CLEANOUTS
CESSPOOL M •"-'-' „; •-.* ^
SEPTIC TA^K A Plf^
ROOF DRAINS 'T» ;
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ISSUANCE FEE-;; $
TOTAL FEES "'" $
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WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK.M.O.CASH PERMIT VALIDATION .| •. CK. M.O.CASH
INSPECTOR