HomeMy WebLinkAbout2266 CAMEO RD; ; 77-6377; PermitPLUMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only. PhORG 729-1181 Permit No..
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OWNER
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CONTRACTOR S*y
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ENGINEER
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COMPENSATION (NS. CARRIER
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ADDRESS ZIP PHONE••*
ADDRESS PHONE STATE LIC. NO. CITY L1C. NO.
ADDRESS * PHONE LICENSE NO.
ADDRESS PHONE LICENSE NO.
ADDRESS BRANCH
USE OP BUILDING
7
8 Class of work: D NEW G ADDITION C
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SPECIAL CONDITIONS:
APPLICATION ACCEPTED BV
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Flj»NS CHECKED BY APPROVED FOR ISSUANCE 8V .
DATE
NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK
TION AUTHORIZED IS NOT COMMENCED WITHINCONSTRUCTION OR WORK IS SUSPENDED OR ABA
PERIOD OF 120 DAYS AT ANY TIME AFTER
MENCED.
1 HEREBY CERTIFY THAT 1 HAVE READ AND E
APPLICATION AND KNOW THE SAME TO BE TRUE
ALL PROVISIONS OF LAWS AND ORDINANCES GC
TYPE OF WORK WILL BE COMPLIED WITH WHET
HEREIN OR NOT, THE GRANTING OF A PERfv
PRESUME TO GIVE AUTHORITY TO VIOLATE O
PROVISIONS OF ANY OTHER STATE OR LOCAL LACONSTRUCTION OR THE PERFORMANCE OF C
SIGNATURE OF cajTRACTO
SIGNATURE OP OWNER (IF
R"D* AUTHORIZED AGENT
ORCONSTRUC-
20DAYS.OR IF
SIDONEDFOR AWORK IS COM-
XAMINED THIS
AND CORRECT.
HER SPECIFIED1IT DOES NOT
R CANCEL THE
ONSTRUCTION.
-
/ /
s) *Zr*2t*j?
/ (OA«I
OWNER BUILDER)
WHEN PROPERLY
(BATE)
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
SLOP SINK
' GAS SYSTEMS: NO. OUTLETS
WATER PIPING & TREATING EQUIP-
WASTE INTERCEPTOR
VACUUM BREAKERS
LAWN SPRINKLER SYSTEM
SEWER NUMBER CLEANOUTS
CESSPOOL
SEPTIC TANK L PtT
ROOF DRAINS
ISSUANCE FEE $
TOTAL FEES $
FM
$
-^* \/
VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT ^
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK.M.O.CASH
INSPECTOR