HomeMy WebLinkAbout1704 EVERGREEN CIR; ; 75-318; Permit0 0 .. • l9.
PLUMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA
Applicant to complete numbered spaces only.
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Permit No. I;:;,-3/.t
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OWN[fll MAIL A00111£SS 11 p PHOM£
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CON Tfll.A.C TOfll . MAIL AD011t&SS PHONE. LICE.NS[ NO • STATE CITY
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[NGIN[Ellt MAIL ADD,-[S.5 PM ONE LICEHSC NO,
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COMPENSATION (NS. CARRIER MAIL ADOIIC.SS ~ 811tANCH
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8 Class of work: O NEW 0 ADDITION 0 ALTERATION 0 REPAIR
q Describe work:
PERMIT FEES
No. Type of Fixture or Item Fee
SPECIAL CONDITIONS· /) WATER CLOSET (TOILET) $ ~
ii BATHTUB '
") LAVATORY (WASH BASIN)
SHOWER
I KITCHEN SINK & OISP /. :,u
I DISHWASHER / ":>&
APPLtCA TION ACCEPT[ D BY PLANS CHECKED BY APPROVED FOR ISSUANCE 8Y I LAUNDRY TRAY ./ ~o
J CLOTHES WASHER ./ ,S-0
DATE I WATER HEATER / 5"'iJ
NOTICE URINAL "
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC· DRINKING FOUNTAIN ,..
TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF FLOOR SINK OR DRAIN CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-SLOP SINK
MENCED. I GASSYSTEMS NO.OUTLETS r ,..J lfV I HEREBY CERTIFY THAT I HAVE RE.AO ANO EXAMINED THIS
APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT. WATER PIPING lo TREATING EQUIP. ALL PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS
TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED WASTE INTERCEPTOR HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE VACUUM BREAKERS PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. LAWN S1'RINKLER SYSTEM I I SEWER -~ 'it7'P
CESSPOOL ~,~~ SEPTIC TANK & PIT .
ROOF DRAINS
51GNATUPl<~COHTPIACTOIII 0 .. AUTH091tlZ£0 AtEMT IDATC) ---·
PERMIT s / .,I fl
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SIGNATUIU o, 0Wtril[PI (t , OW~tlt 8·JILD(.R) IDATC) TOTAL FEE s1.:,;~ 15.0
WHEN PROPERLY VALIDATED IIN THIS SPACEI THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
INSPECTION REPORTS
DATE ITEM REMARKS INSPECTOR
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.
4-24-75 Topout and gas; O.K. E. Plude