HomeMy WebLinkAbout1571 BASSWOOD AVE; ; 67-10130; PermitCITY OF CARLSBAB BUILDING DEPARTMEN L 729-1 181 - Ext. 36
For Applicant to Fill In f 0 /
I
Owner's Name 1 P OPP
Mail Addresr
Contractor
Contr. Address
To Const. CfTo Add To Alter Convert 0
To Move From
rype of Const.
To Be Used For -FA%-
<ind of Foundation
Frame?Masonry, etc.
No. of Stories
f
c -loor Space (Sq. Ft.)
Attached 5arage Floor Space (Sq. Ft.)
Detached-
.€gal Description ___ Lot Block
iubdivision or
Section Township Range
\lo. of Existing Building 2
Wiil this construction include any plumbing installation or alter-
3tion? Yes 0 NO 0
signature of Applicant
I ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ClTY AND STATE LAWS REGULATING B U I LD I NG.
I CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY CITY OF CARLSBAD AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DE
SI GNAT LIRE OF PERMITTEE
_. dmlication .3r BUILDING Permit
Building Permit Fee c;(I S@
Building Address d
St. Near
E Set Back - 1 Bldg. Valuation
Front P.L.
Side P.L. ,ReRe;'.L. I Zone 1 Other
Approved by
Contractor City Bus. Lic. No. I_
Water Meier Sewage Disposal System
Inspection Record
Uti!ity Company Nctified -- Date.---__ By- ~ Final
-.~~...._-----__~_.___...____I __-___~._ ~--_I_______.l___l
I!' a check is reridersd for p<3yment for the above fee and the check is not honcid when presented for payment. your 5u:ldi-g perrnyt wii' t. irnrradiately revoked.
City of Carlsbad Buildinq DeDt. -.
/ Permit void if work is not commenced within 60 days of issuance.