HomeMy WebLinkAbout2045 CHARLEEN CIR; ; 72-427; Permit2
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PLUMBING PERMIT APPLICATION
^ -4%27 City of CARLSBAD, CALIFORNIA J3&-A~>j^(;--6m»*.*>
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JOB ADDR ESS
. LEGAL
1 DESCR.
OWNER
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LOT NO. BLK TRACT
(1 [SEE ATTACHED SHEET)
MAIL ADDRESS ZIP PHONE
CONTRACTOR , MAIL ADDRESS PHONE ',. LICENSE NO.
ARCHITECT OR DESIGNER MAIL ADDRESS PHONE , LICENSE NO.
ENGINEER MAIL ADDRESS PHONE . LICENSE' NO.
5 . .. ' ,
LENDER
6
- .... MAIL ADDRESS ... .,, BRANCH.
USE OF BUILDI.NG • ;-, :
7 v: / ' • • "'• :- -• v'
8 Class of work: D NEW D ADDITION D ALTERATION , D REPAIR
9 Describe work: ***** **«**r «l»Mf»*at
SPECIAL CONDITIONS:
APPLICATION ACCEPTED BY: PLANS CHECKED BY: APPROVED FOR ISSUANCE BY:
THIS P
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CONST
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ALL PFTYPE (HEREIfPRESUPROVIS
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NOTICE
= RMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
OJTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF
RUCTION OR jWOJRKJS SUSPENDED OR ABAN.DONE.D FOR..A,
) OF : f20 DAYS* AT AtiV TIME "AFTER 'WORK "IS "COM-" '
D.
IBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS
ATION AND KNOW THE SAME TO BE TRUE AND CORRECT.
?OVISIONS OF LAWS AND ORDINANCES GOVERNING THIS
JF WORK, WILL BE COMPLIED WITH WHETHER SPECIFIED
M OR NOT, THE GRANTING OF A PERMIT DOES NOTME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
5IONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
RUCTION OR THE PERFORMANCE OF CONSTRUCTION.
•O -•• $ *~ > *
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SIGNATURE OF CONTRACTOR OR AU THORIZED/AGENT (DATE)
SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE)
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PERMIT FEES
No.
-,.« - -~ .;- .
Type of Fixture or Item
WATER CLOSET (TOILET)
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK & DISP.
DISHWASHER
LAUNDRY TRAY
CLOTHES WASHER
WATER HEATER
URINAL
DRINKING FOUNTAIN
FLOOR— SINK OR DRAIN^
-•iSLOVslNK- "- ' t ''; :f'I/""|:-r •'•"• :' " '•'- *'": -'' •"' "•--- -
GAS SYSTEMS: NO. OUTLETS
WATER PIPING ^'TREATING EQUIP.
WASTE INTERCEPTOR
VACUUM BREAKERS
LAWN SPRINKLER SYSTEM
SEWER
CESSPOOL
SEPTIC TANK & PIT
PERMIT $
TOTAL FEE $
Fee
$
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WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK.M.O.CASH
APPLICANT
Form 100.2 9-69 REORDER FROM: INTERNATIONAL CON FERENCE OF BUILDING OFFICIALS • so so. LOS ROBLES • PASADENA, CALIFORNIA 91 lot