HomeMy WebLinkAbout163 ACACIA AVE; ; 69-888; PermitCITY OF CARLSBlCa - BUILDING DEPARTkr ~
729-1 181 - kt. 36
For Applicant to Fill In 1
J Be Used For
V Attached mags Floor Space (Sq. Ft.) Detached
sgal Description Lot Block
ubdivirioo or
Section Township Range
lo. of Existing Building
Viil this construction inclu e any plumbing installation or alter- tion? Yes No OQ
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL CITY AND STATE LAWS REGULATING BUILDING.
1 ACKNOWLEDGE THAT I HAVE READ THIS APPL-
LICENSED AS REQUIRED BY CITY OF CARLSBAD AND STATE OF CALIFDRNIA OR THAT I AM THE LEGAL OWNER
I CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
SlGNATURE OF PERMITTE -
Permit void if work is not comr
Building Permit Fee2 7 &
vm-a ?%km-"*2?.00 I b9-~nq Dept. Use Only
r
Inspection Record
Utility Company Notified - Date.
Final BY
"~ _____
If a check is iendered for payment for the above fee and the check is not honored when prorented for payment, your building permit will bo immediately revoked.
City of Carlrbad Building Dept.
sed within M) days of issuance.