HomeMy WebLinkAbout165 CHESTNUT AVE; ; 65-8454; PermitCITY OF CAR15BAD
BUILDING DEPARTMENT
PLUMBING
PERMIT-APPLICATION
MAIL
ADDRESS
CITY
PLUMBER
ADDRESS
Z.
TEL. NO.
STATE
LICENSE NO.
CARLSBAD BUSINESS
LICENSE NO.
t NO.
'*J2
^
/
C?
MF
ITEM
TOILET
BATH TUB
SHOWER
WASH BASIN
KITCHEN SINK
DISHWASHER
LAUNDRY TUB OR
@ $1.25
@ 1.25
@ 1.25
@ 1.25
@ 1.25
@ 1.25
TRAY @ 1.25
AUTOMATIC WASHER @ 1.25
WATER HEATER a
GAS SYSTEM 1 TO
.30 EA. ADD.
VENT @ I. SO
15
@ 1.5O
FLOOR DRAIN OR SINK @ 1.25
LAWN SPRINKLER @ 2.OO
MISC. WATER PIPING @ I.5O
GARBAGE DISPOSAL @ l.OO
VACUUM BREAKER OR BACK
FLOW DEVICES 1 TO 5 @ 2.OO
GRADING PLAN
YES Q NO n
PERMIT $
TOTAL FEE S
FEE
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£
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^
2
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I 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 PLUMBING.
I CERTIFY THAT I AM PROPERLY REGISTERED AND LI-
CENSED AS REQUIRED.-BY THE CITY OF CARLSBAD AND
STATE OF CALIFORNIA d>R«£tkAT I AM THE LEGAL OWNER
OF THE ABOVE DESCRIBED RESfSEW?IAL PROPERTY.
AUG-5-65 !lT 897******R50
NEAREST
CROSS ST.
GROUP ZONE
Inspection Record
APPROVALS
UNDER FLOOR WORK
ROUGH PLUMBING
GAS PIPING
GAS VENTS
PLUMBING FIXTURES
MISC.
GAS TEST
UTILITY CO. NOTIFIED
FINAL
DATE INSPECTOR'S SIGNATURE
VALIDATION
This is a Plumbing Permit When Properly Filled Out, Signed and Validated.
Permit void if work is not commenced within 60 days of date of issuance.