HomeMy WebLinkAbout1645 CHESTNUT AVE; ; 65-8504; PermitCITY OF CARLSBAD
BUILDING DEPARTMENT
729-1181 -Ext. 36
For Applicant to Fill In
Application for BUILDING
Building Permit Fee
it
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fawner's Name ( V^'^v?^ ^^C- t /< f -i ' ' —
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r.nntrartor (^^(^C/~~Z^L£^t -'
r.ontr AHH">« CV £*— -t-^txt— *~ ._ .
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To Const. 6x^To Add Q To Alter Q Convert Q
/"* Frame, Masonry, etc.x""\ /-
To Be 'Ned F^r C^-' I t*rcuC ^^\
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Kind of Fo'indfltinn £*/**'& t***-* "N^, r»f St^ri^s r
Flnnr Spa^« (Sq, Ft,) fC>^f? ^>
AttachedGarage Floor Space (Sq. Ft.)
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" ' Lot - Block
1 "-••..'••
p Section . Township . Range
Will this construction include^-affy plumbing installation or alter-
ation? Yes D . No ^T - . '
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 I 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 DESCRIBEJ3-"EjtSIDENJIAL RRtJEERTY. /?
SIGNATURE /XA/^o—^, .^^ ) ( /^S^? <£C^!.A_S
Op PERMITTEE [// L*s£^L^"*~<S ^L-^ *K- ^--*-~* —
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•WU.JU OJ _ CC CWW-I. " V,
Building Dept. Use Qnly
R,,:win' A^»«. /&^/^ (^A^jLt^^^-
St. Nfiflr f // Cf\l^^ — *^C-^^
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Set Back Bldg. Valuation <£ tyfi'^^
Front P.L. •. ' ' Main Bldg. •
Side P.L. ; - . " Garage . • •
Rear P.L. Other "X
'Group ^Zens- . ApprSJjeck, byxi
Contrartnr City Rus. Lip. Nn.
Water Meter Sewage Disposal System
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Inspection Record
Utility Company r>|otifier) — Datn By
Fmar , . ...
If a check is tendered for payment for the above fee and the
check :is not honored when presented for payment, your
•building permit will be immed ately revoked.
City of Carlsbad Building Dept.
Permit void if work is not commenced within 60 days of issuance