HomeMy WebLinkAbout2190 CHESTNUT AVE; ; 69-54; PermitCITY OF CARUBAD
BUILDING DEPARTMENT
OWNER
ADDRESS <?£>
TEL. NO.
PLUMBER
ADDRESS
STATE
LICENSE NO.
CARLSBAD BUSINESS
LICENSE NO.
NO.ITEM
TOILET
BATH TUB
SHOWER
WASH BASIN
KITCHEN SINK
DISHWASHER
LAUNDRY TUB OR
@ $1.25
@ 1.25
@ 1.25
@ 1.25
@ 1.25
@ 1.25
TRAY @ 1.25
AUTOMATIC WASHER @ 1.25
WATER HEATER ft
GAS SYSTEM 1 TO
.30 EA. ADD.
VENT @ 1.5O
15
@ 1.5O
FLOOR DRAIN OR SINK @ 1.25
LAWN SPRINKLER @ 2.OO
MISC. WATER PIPING @ 1.5O
GARBAGE DISPOSAL ® 1.OO
VACUUM BREAKER OR BACK
FLOW DEVICES 1 TO 5 @ 2.OO
GRADING PLAN
YES O NO Q
PERMIT $
TOTAL FEE $
FEE
/
2
£.
sv
00
£~&
I ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO
COMPLY WITH ALL CITY ORDINANCES AND STATE LAWS
REGULATING PLUMBING.
I CERTIFY THAT I AM PROPERLY REGISTERED AND LI-
CENSED AS REQUIRED BY THE CITY OF CARLSBAD AND
STATE OF CALIFORNIA OR THAT I AM !6HE LEGAL OWNER
OF THE ABOVE DESCR>SqD RESIDEN-pf^S. PROPERTY.
SIGNATURE
OF PERMITTEE
PERMIT - APPLICATION^rK
JW13-69 .bO
ssass?3-/<?o
NEAREST
CROSS ST.
GROUP ZONE
Inspection Record
APPROVALS
UNDER FLOOR WORK
ROUGH PLUMBING
GAS PIPING
GAS VENTS
PLUMBING FIXTURES
MISC.
GAS TEST
UTILITY CO. NOTIFIED
FINAL
DATE INSPECTOR'S SIGNATURE
VALIDATION
This is a Plumbing Permit When Properly Filled Out, Signed and Validated.
Permit void if work is not commenced within 60 days of date of issuance.