HomeMy WebLinkAbout2216 CAMEO RD; ; 72-1201; PermitBUILDING PERMIT APPLICATION _- -7% f- Am
%" ; t City of CARLSBAD, CALIFORNIA 92008
Phone 729-1181 P e r m i t N 0. Z!!-C.~/
Ipplicant to complete numbered spaces only.
-2 JOB ADDRESS
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1 LOT UO 1 .I $I 1 TIhCT
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-- .- -- -- LEGAL (OSEE ATTACHED SHEET~
3 d2f 0 1 DESCR.
OWNE~ MAIL ADDRESS ZIP PHONE
LICENSE NO. MAIL ADDRESS PHONE
5 -
6 .- yl i
7
8 Class of work: NEW &fADDITION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE
LENDER MAIL ADDRESS BRANCH
USE OF BUILDING
IO Change of use from
Change of use to
I1 Valuation of work: $ +,,$ ,. L" T.,,-l't - PLAN CHECK FEE -0 PERMIT FEE /@
SPECIAL CONDITIONS: Type of Occupancy
1,
Const. Group Division
Size of Bldg. No. of Max.
(Total) sq. Ft.,&@ Stories Occ. Load
No. of DwellWp Units I Uncovered
HEALTH DEPT. ING, HEATING, VENTlLATlNG OR AIR CONDITIONING.
TlON AUTHORIZED IS NOT COMMENCED WITHlh' ,=n CONSTRUCTION OR WORK IS SUSPENDED OR AB
MENCED. I PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM- OTHER (Specify) ' I
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS 1 I I I
PRESUME TO GIV'E AUTHORITY TO VIOLATE OR CANCEL THE
APPLICATION AND KNOW THE SAME TO BE TRUE AND CORREC ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNIN TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPE HEREIN OR NOT THE GRANTING OF A PERMIT DOE- I I L
G THIS ClFlED 5 NOT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
..
INSPECTOR