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HomeMy WebLinkAbout2030 BASSWOOD AVE; ; 64-6014; Permite- - Application for BEUllDING Permit CITY OF CARLSBAD BUILDING DEPARTMENT 729-1 I81 - Ext. 36 5 -6014 Building Permit Fee For Applicanf +o Fill In Qwner's Name &M/, Lo44 (c /Hi Meil Address ZO&X 7/ Contractor 5- Contr. Address To Const.& To Add 0 To Alter IJ Convert 0 To Move From E Type of Const. &az P QC-L-t, . Frame, Masonry, etc. I Kind of Foundation /&'#+'c a NO. of Stories ' Floor Space (Sq. Ft.) /@ .BD Attached2 Garage Floor Space (Sq. Ft.) Detached Legal Description iaf /6 Subd ivirion -FA&. CH 5 Z' or Lot Block Section Township Range No. of Existing Building Will this construction include any plumbing installation or alter- ation? Yes W No Signature of Applicant I ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AP117 STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL CITY AND STATE LAWS REGULATING BUILDING. . I CERTIFY THAT I AM PROPERLY REGISTE LICENSED OF THE A Building Pept. Use Only - Building Address Set Back 1 Front P.L. Main Bldg. I Bldg. Valuation IRA?& Side P.L. Garage /760 I I Rear P.L. Other Group Contractor City Bus. Lic. No. __ 3syL Water Meter Inspection Record Utiiity 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. , P Permit void if wi-k is not commbdcsd within 60 days of issuance.