HomeMy WebLinkAbout2010 BASSWOOD AVE; ; 64-7636; PermitCITY OF CARLSBAD BUILDING DEPARTMENT
Rber P.L.
Group
7636 Application for MLMNG Permil
Other
Zone Approved by
729-1 181 -ht. 36
For Applicant to Fill In
Qwner's Name e€ 0-
Mail Address ~0/49&-2-?Se 4
Contractor 14 -S,7d
Contr. Address
To Const. To Add 0 To Alter 0 Convert 0
'0 Move From
.1
Kind of Foundation- No. of Stories-
Floor & /Mm! Space (-1 - z/ -0
At+ached Garage Floor Space [Sq. Ft.)
Detached
Leaal DescriDtion /K lot Block
Section Township Range
No. of Existing Building
Will this construction include any plumbing installation or alter- ation? Yes 0 No 0
Signature of Applleanf .
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 REQULATlblG BUILDING.
I CERTIFY THAT I AM PROPERLY REGISTERED ANQ/QR LICENSED AS REQUIRED BY CITY OF CARLSFAD ANP
OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. STATE OF CALIFORNIA OR THAT I AM THE CECAL QWNE~
-- . i .I, SIGNATURE OF PERMITTEE
Building Permit F,ee
PAID SW 15-64 S~t82f***f***4.50
Buildina Ded. Use Onlv
Contractor City Bus. Lic. No. -
Water Meter Sewage Disposal 5ydeem I
Inspection Record
Utility Company Notified - Date BY 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 immediately revoked. City of Carlsbad Building Dept.
Permit void if work is not commenced within 60 days of issuance. ~ . ...