HomeMy WebLinkAbout1706 EVERGREEN CIR; ; 75-320; Permit. >
PLUMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA
Applicant to complete numbered spaces only.Permit No".
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CONTRACTOR MAIL ADDRESS LICENSE NO. STATE CITY
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ARCHITECT OR DESIGNER MAIL ADDRESS LICENSE NO.
ENGINEER MAIL ADDRESS LICENSE NO.
COMPENSATION fN5. CARRIER
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USE OF BUILDING
8 Clan of work; NEW □ADDITION □ ALTERATION □ REPAIR
9 OBjcribe work:
1
PERMIT FEES
No.Type of Fixture or Item Fee
SPECIAL CONDITIONS:WATER CLOSET (TOILET)
BATHTUB i trro
.LAVATORY (WASH BASIN)
,SHOWER
/KITCHEN SINK & DISP./ISo
/DISHWASHER |./
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FORHSSUAN^E BY
oATE^y/f/yS
, /LAUNDRY TRAY /•
/CLOTHES WASHER //WATER HEATER '
NOTICE '' '
THIS PERfifllT BECOHflES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM
MENCED.
1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THISAPPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THISTYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIEDHEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOTPRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THEPROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATINGCONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
URINAL
DRINKING FOUNTAIN
FLOOR—SINK OR, DRAIN
SLOP SINK
/GAS SYSTEMS: NO. OUTLETS
WATER PIPING & TREATING EQUIP.
WASTE INTERCEPTOR
VACUUM BREAKERS
LAWN SPRINKLER SYSTEM ■ ■
/SEWER s
CESSPOOL .
SEPTIC TANK & PIT
ROOF DRAINSSIGNATunK.^ CONTHACTOn OP AUTHORIZED AGENT (DATE)
i PERMIT $
SIGNATURE OF OWNER'liF OWNER BUILDER) (DATE); TOTAL FEE $
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION ck:M.O.CASH PERMIT VALIDATION,M.O.CASH
INSPECTOR