HomeMy WebLinkAbout155 CHESTNUT AVE; ; 67-30; PermitCITY OF CARlSBfl)
BUILDING DEPARTMENT
729-1181 -Ext. 36
For Applicant to Fill In
Mail Address
-. Address ^_
To Const. [y'To Add D To Alter D Convert D
To Move From ______—,
Type of ConstNX^/^M7. S
Frame, Masonry, etc.
Garage Floor Space (Sq. Ft.
Detached-
Legal Description
Lot Block
Subdivision
Section Township Range
No. of Existing Building
Will this construction include any plumbing installation or alter-
ation? Yes D No/^1
/
Signature of Applicant
1 ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO
COMPLY WITH ALL CITY AND STATE LAWS REGULATING
BUILDING.
1 CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY CITY OF CARLSBAD AND
STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWNER
OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY.
SIGNATURE
OF PERMITTE
Applkaf*i '.00
Building Permit Fee
Building Dept. Use Only
Building Address
St. Near
/?JT.
Set Back
Front P.L.
Side P.L.
Rear P.L.
Group •zP-V
Bldg. Valuation /^^M
Main Bldg.
Garage
Other
Approved by
Contractor City Bus. Lie. No.
Water Meter Sewage Disposal System
Inspection Record
Utility Company Notified
Final
Date-By-
If a check is tendered for payment for the above fee and the
check is not honored when presented for payment, your
building permit v/il! be immediately revoked.
City of Carlsbad Building Depf.
Permit void if work is not commenced within 60 days of issuance.