HomeMy WebLinkAbout2097 CHESTNUT AVE; ; 64-7555; PermitCITY OF CARLSBAD
BUSIDSNG DEPARTMENT
729-1181 -Ext. 36
For Applicant to Fill In
Application for BUILDING Permit
7555 Building Permit Fee
Owner's Name
Mail Address
Contractor _
Contr. Address
To Const. rj^'To Add
^flBKb Move From
I Type of Const.
To Alter D Convert D
Frame, Masonry, etc.
To Be Used For
Kind of Foundation \-&n. of Stories-
Sq. Ft.)
Garage Floor Space (Sq. Ft.)Attached-
Detached—
Legal Description
Lot Block
Subdivision
<r Section Township Range
No. of Existing Building
Will this construction include any plumbing installation or alter-
ation? Yes D No
S\T//ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AfcKD STATE THAT THE ABOVE IS CORRECT AND AGREE TO
CfOMPLY WITH ALL CITY AND STATE LAWS REGULATING
BUILDING.
I CERTIFY THAT 1 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
PAID
JUL31-6M •>
Building Dept. Use Only
Building
St. Near
Set Back
Front P.L.
Side P.L.
Rear P.L.
Group Zone
f* *. j
Bldg. Valuation/,^*)
Main Bldg.
Garage
Other
Approved by
Contractor City Bus. Lie. No.
Water Meter Sewage Disposal System
Inspection Record
Utility Company Notified —: Date-
Final
By-
If a check is lendered 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-