HomeMy WebLinkAbout165 CHESTNUT AVE; ; 65-8165; PermitCITY OF CARLSBAD
BUILDING DEPARTMENT
729-1181-Ext. 36
For Applicant to Fill In
Application lor BUILDING Permit
or Building Permit Fee
I <U
JMID .
A4xPA*yg// , JA /*/
/A<r~S?/^<./^6>^
Contr Address <S&>*<~<~*-
To Const. D To Add l&r To Alter Q Convert Q
f*1""e\ Frajrie, Masonry, etc.
Kind of Foundation {-"C****^**^- f (sjrti nf ^fnpA^ r
Garage Floor Space (Sq. Ft.) •
Lot Block
j~7 /l&4 £? ^j^ia^^a ^.
^•j Section Township . Range
8 Will this construction includaxtfny plumbing installation or alter-
1 ation? Yes D No IgT ' '
\ . ' • :
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 CALIFORNWOOR THAT 1 AM THE LEGAL OWNER
OF THE ABOVE DESOFyBEB^RESIDENTIAL PROPERTY.
HAK IV-DD - CC '«->' -*
Building Dept. Use Only
./
Set Back />
Front P.L. . /
Side P.L. | .
Rear P.L. '
Group .ZoaB..,
• Contractor City Bus. Lie. No.
Water Met§r »
&J2JJ&&
S^L^T^Z^- -/
^
Bldg. Valuation O (J-&
Main Bldg.
Garage
Other
Tf&o,
Sewage Disposal System
inspection Record
:
Utility Company Notified — Dat(
Final
» Ry_
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 immediately revoked.
• ' City of Carlsbad Building Dept.
Permit void If work !s not commenced within 60 days of issuance-