HomeMy WebLinkAbout2271 CAMEO RD; ; 65-7645; PermitCITY OP CARLSBAD
BUILDING DEPARTMENT
729-1181 -Ext. 36
For Applicant to Fill In
7646 Application for BUILDING Permit
Building Permit Fee
„ 2599 jrfrs>te 2t.r Carlsbad
Contractor i^'jllie
Centr. Address
To Const. 0 To Add
Move From
Type of Const.
Frame, Masonry, ate. x.
Single Family Residence
COUP *No. of
?. FM
Garage Floor Space (Sq. Ft.)Attached.
Detached.
Legal Description
Ut
Chestnut
Block
Section Township Range
NonoNo. of Existing Building
Will this conduction include any plumbing installation or alter*
ation? Yes Q No Q
Signature of Applicant
I ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATIONAND STATE THAT THE ABOVE IS CORRECT AND AGREE To
COMPLY WITH ALL CITY AND STATE LAWS REGULA.f |frf<3
BUILDING. *,^t
T CERTIFY THAT I 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 -— • , , , •—
Building Dept. Use Only
Contractor City Bus. Lie. No,
Meter Sewage Disposal System
^Inspection Record
^~~
Utility Company No'rffed
Final
Date,By,
If a check is fendered for payment" for the abova foe awd *ri«
check is not honored when presented for payment, your
building permit will be immediately revolted.
City of Carlsbad Building Dept,
Permit void if work is not commenced within 60 days of issuance.
CITY OF CARLSBAD
BUILDING DEPARTMENT 7647
SEWER
PERMIT - APPLICATION
FOR APPLICANT TO FILL IN
CONNECTION DATA
OVERFLOW SEEPAGE PIT,
ggSS_POOL.PBYWEt-L.
HOU i S E~SEW EfCcONNECT I (V"G TO
FNIVATE 3jSPgSAL_SYSTEM
ADDITIONAL BLDG. Of?
ORK TQ HOUSE SEWER
i-TER, REPAIR OR ABANDON HOUSE
OR DISPOSAL SYSTEM @ S2.OO LINE COST RATA
A. D. & AssmK No. _
LINE COST: .
C. C. @__^£=-/-dwell ingOWNER'S
AUTHORIZATION P. S. @-__ / dwelling
OTHER „( HAVE AT THIS DATE A CONTRACT WITH THE HEREIN
CONTRACTOR TO CONNECT THE ABOVE DESCRIBED BUILD-
ING TO THE PUBLIC SEWER.TOTAL _
Grand Tola!, Lateral, etc.SIGNED THIS
OWNER OR
OWNER'S AGENT FOR SEWER LOCATION
ADDRESS
I HERESY ACKNOWLEDGE THAT 1 HAVE READ THISAPPLICATION AND STATE THAT THE ABOVE IS CORRECTAND AGREE TO COMPLY WITH ALL CtTY ORDINANCES ANDSTATE LAWS REGULATING PLUMBING AND SEWERS-1 HEREBY CERTIFY THAT I AM PROPERLY REGISTEREDAND/OR LICENSED AS REQUIRED BY THE CITY OF CARLS-BAD AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL.OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROP-ERTY.SIGNATUREOF PERMITTEE
This is a S«wer Permit When Properly Filled Out, Signed asvj Validated
By __ .„_ __ ~~ ~
PERMIT VALIDATION