HomeMy WebLinkAbout2001 BASSWOOD AVE; ; 66-9573; PermitCITY OF CARLSBAD BUILDING DEPARTMENT
729-1 181 -'Ed. 36
For Applicant to Fill In
Owner's Name GMl4 d&L 7-d
Mail Address doo/ 8-wm #@*
Contr. Address A r UC
Contractor
To C0nst.y TO Add 0 TO Alter 0 Convert 0
Fo Move From
wocw -loor Space (Sq. Ft.) 1701~ WR/(. 96
Attached Sarage Floor Space (Sq. Ft.) Detache'
-egal Description 4
Lot Block
Subdivision && f; s7* or
Section Township Range
No. of Existing Building
Will this
>tion? Yes 0 e any plumbing installation or alter-
Signature of Applicant
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 THE ABOVE DESCRIBED RESIDENTIAL PROPERTY.
SIGNATURE OF PERMITTEE
dpplication for BUIl"G$ermil
--(._. Building Permit Fee +go
mt7-66 Fp w+-+-
Set Back 1 Bldg. Valuatio?399
Front P.L.
side P.L.
Rear P.L.
Group Approved by
Contractor City Bus. Lie. No.
Water Meter Sewage Disposal System I
Inspection Record
BY Utility Company Notified - Date Final
If a check is tendered for payment for the above fee and the check is not honored when presented for payment, your building permit will be imme 'ately revoked. '% of Carlsbad Building Dept.
Permit voia ir work is not commenced within 60 days of hruwu.
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