HomeMy WebLinkAbout1910 BASSWOOD AVE; ; 69-904; PermitCITY OF CARLSBP' BUILDING DEPARThh,-. - 729-1 181 - Ext. 36
-Applicant to Fill In 67-
L
, , .- . ~. .
Building Dept. Use Only
Building Address flfo &?%+f s WOOD
St. Near
Side P.L.
Rear P.L.
' -/
Contractor City Bus. Lic. No. ______
Water Meter I Sewaqe Disposal System
Inspection Record
Mail Address
Contractor Q
Contr. Address
To Const. HAdd 0 To Alter 0 Convert 0
To Move From
Type of Const.
-
To Be Used For
Kind of Foundation.-, No. of Stories 1
Floor Space (Sq. Ft)
Garage Floor Space (Sq. Ft ] Attached
Detached
Legal Description Lot Block
Subdivision .__-_ or
Section Township Range
No of Existing Building -
plumbing installation or alter-
Siqnature of Applicant
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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 AND STATE LAWS REGULATING BUILDING
I CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY CITY OF CARLSBAD AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF 1HE ABOVE DESCRIBED RESIDENTIAL PROPERTY
SIGNATURE OF PERMITTEE
Permit void if work is not commenced within 60 days of issuance.
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Util:ty Company Nctified -- Date.--L By- ___ Final - -- -- __ ~ ~-.-_____I_ ___
If a cl:eck is :erider::ii for payrnant for the above fee and the
check is not honziwd when presented for payment, your buildi!:g permit wi' 1.0 imrcdiately revoked.
City of Carlsbad Building Dept.