HomeMy WebLinkAbout1634 CHESTNUT AVE; ; 62-5074; PermitAPPLICATION FOR BllffDING
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PERMIT
5074
CITY OF CARLSBAD — BUILDING INSPECTION DIVISION
PHONE PArkway 9-1181 - Ext. 36
Owner Name JJ>&..l3^.:..tt..J..~.l&.tt.A....-...../..~J~>. Mailing Address '../..«..*£ J
(Please Print) (Last) / (First) (Middle) ', Number
Contractor \L^-...-x.-\~.Q.idt.../>>~-.l\—*$£..- 4s)..xf..J....'..3.^~../5r..-^...'.n5laifing Address c
(Please Print) . • Number
.Street
Street
i./..vM.*.-V.
City/
City
Phone
Phone
fey To Add D To Alter O To Repair Q To Convert fj To Move From
/} /«Y~> /jnd of Foundation.....L...?.7r^dS=y No: of Stories /. To Be Used for
To Construct
Type of Const.
(Frame, Masonry, Etc.)
Floor Space of Proposed Construction (sq. feet) ....... £....~~. ................. .Const. Valuation $.
D f/A attached 6"""""Floor Space of Garage (sq. feet) ............. . ..... ...^...bf...^' ....... detached QConst. Valuation .$.
Addre/
'-^A.
(One Family Dwelling, Store, Etc.)
LEGAL DESCRIPTION
OJSt*""-'38 Block Subdivision
Township : Range..
Locate!! at .t&sMJr. .K^^L./^a^c.../^. .....J Street, Near
LAND AREA .v...£.<?.....:.... NUMBER OF EXISTING DWELLINGS ON PROPOSED BUILDING SITE [INDICATE
SIZE, USE AND LOCATION ON PLOT PLAN). WILL THIS CONSTRUCTION INCLUDE ANY PLUMBING INSTALLATION, ALTERATION, OR
ADDITION? YK..JU^. NO..
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
If a check is tendered for payment of the above fee and the check is
not honored when presented for payment, your Building Permit will be SIGNATURE OF
immediately revoked. . .' PERMITTEE
Front Yard Set Back
Side Yard Set Back
Rear Yard Set Back
Distance Between. Bldg
Off Street Parking Spaces
Sewage Disposal System ....
Zone - Residential ( / )
Zone - Commercial ( )
Variance
Eng. Check By
/
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Driveway Permit Required Yes (I/) No ( ) Fee
Grading Permit Required Yes ( ) No (
Sewer Disposal Plant Capital Cont. Fee ......
Sewer Pumping Station Capital Cont. Fee
Sewer. Main Line Cost
Sewer Lateral Connection Charge
Water Stocked Lands Charge
Water Main Pipe Line Fee
it
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Water House Service Charge ./.....
^ / "
Water Meter Charge
SubTofal
-A
Plans Approved by ............................... .^—-.... ......... . ............................ . ..... . .......... Plan Check Fee
Approved by ...yC.^...,..'sO...^.jb-!S£...<^L^^^ Permit Fee
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