HomeMy WebLinkAbout210 ACACIA AVE; ; 69-536; PermitCITY OF CARLSBP" BUILDING DEPARTM.. .
729-1 181 - Ext. 36
Owner's Name
Contractor
Contt. Address
0 Conrt. do Add 0 To Alter 0 Convart 0
D Move From
ype of Conrt.
D Be Used For
ind of Foundation No. of Stories
om Spaca (Sq. Ft.1 29-d '
tarage Floor Space (Sq. Ft.) Attached
Detached-
sgal Description Lot Block
ubdivirion "_ 01
Section Township Range
lo. of Existing Building
till this construction i plumbing installation or alter
tion? Yes 0 No
ignature of Applicant
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL CITY AND STATE LAWS REGULATING
I ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
BUILDING. .. .. ~~
STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER
I CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY CITY OF CARLSBAD AND
OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY.
SIGNATURE OF PERMITTE
Permit void if work is not corn
Applicatic -- 3r BUILDING Perm#
Building Permit Fee
- UI -4-69 !F 207*****'*2.00 pm
Building Dept. Use Only
Building Address
St. Near
Main Bldg.
Other
Contractor City Bur. Lic. No. __
Water Meter Sewage Disposal System
Inspection Record
Utility Company Ndified - date^.-
Final
BY"
"" _" __ ~- ~~
ii a check ;I icndered for payment for the above fee and the check is noi honsrcd when prorented for payment, your building permit wil! bo immediately revoked. City of Carlrbad Building Dspt.
sed within 60 days of issuance.