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Home My WebLink About1700 ANDREA AVE; ; 62-4125; Permit,., ~ " ~ __ "I +/7 A APPLICATION FOR B 1 ,, D I G PERMIT - $df / -~ . N? 4125 CITY OF CARLSBAD - BUILDING INSPECTION DiVlSlON L, PHONE PArhvay 9-1181 . W. 36 Owner Name .....d& ..!!*..fl .x Mailing Address .......... (Please Print) (Last) [First) (Middle) Number Street Phons Contractor .................... ... ................................................ Mailing Address ................... s&..k?E .................................................... Number Street City Phone To Alter 0 To Repair To Convert 0 To Move From Floor Spas. of Proposed Construction (rq. feet) ...... Floor Space ef Garage (rq. feet) ....... LEGAL DESCRIPTION .................. Lot Located at ... k7d.a ....... ........................................... Street, Near ....... d/$//ey .......................................................................... Assigned House Number LAND AREA ...................................... NUMBER OF EXISTING DWELLINGS ON PROPOSED BUILDING SITE .. ..Nd.&..C ....................... (INDICATE SIZE, USE AND LOCATION ON PLOT PLAN). WILL THIS CONSTRUCTION INCLUDE ANY PLUMBING INSTALLATION, ALTERATION, OR ADDITION? YES ... I/ .... 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 FaYment of the above fee and the check is immediately revoked. x.. not honored when presented far payment, your Building Permit will be / c".- Front Yard Set Baet ......... 2.o .......... ~...NL.*l~ ................ Driveway Permit Required Yes [ ) Ne ( <'Fee ...................................... Side Yard Sat Baet ................. di ... ........ B1.k ............. Grading Permit Required Yes [ ) No ( / ) ........................................................ Rear Yard Set Bast ................. /.~s ........................................... Serer Disposal Plant Capital Cont. Fee ...................................................................... Distance Between Bldg. ......... /# ........................................... Sewer Pumping Station Capital Cont. he .................................................................... / J v I Off Stnet Parting Spacer ................. .................................... Sower Main Line Cost ........................................................................................................ Sewage Disposal System Sewer Lateral Connection Charge .................................................................................. Zone . Residential ( / ) Water Stosted Lands Charge Zone . Commercial ( ) Water Main Pipe Line Fee ............................................................ ......................................................................................... .......................................................... ............................................................................................ Variance Water House Service Charge .......................................................................................... Eng. Chset By ................................................................................ Water Meter Charge so Sub Total ...................................................................................... Plans Plan Chest Fee ....................................................................................................... Approved by ....... .................. Building Permit Fee ....... d.../..~- .......................................................... Date .............. /~-..//.~ - .... 6.z" ............................................... Total Charger .............. ??6 ....................................................................... " 80 d2 ~ ~~~ __ 9. 7; ~