HomeMy WebLinkAbout234 DATE AVE; ; 65-8495; PermitCITY OF CARLSBAD
BUILDING DEPARTMENT u
729-1181 -Ext. 36
For Applicant to Fill In
Application for BU1LD1MG Permit
{J , Building Permit Fee
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To Const Q^'fo Add D To Alter Q Convert D
A f~\
., — ^ Frame, Masonry, etc
To Be ' 's-d For ~f*-J2^t-^L,*? -S*— ,
Kmd/bf Foundation -- MO n-f Stonfts L~~*'
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Att,^^
Garage Floor Space (Sq Ft )
Lot Block
b
p Section Township Range
Will this construction mclude^any" plumbing installation or alter-
at on' Yes Q No H***^
Signature of Applicant
1 ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ASOVE IS CORRECT AND AGREE TO
COMPLY WITH ALL CITY AND STATE LAWS REGULATING
BUILDING
1 CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY CITY OF CARLSBAD AND
STATE OF CALIFORNIA OR THA,T, 1 AM THE LEGAL OWNER
OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY
SIGNATURE ? /\ /lAjJvJi, s& > l*&^
OF PERMITTEE ' ,, 'f'< Vvy~-'^S Xvv. J^_ A J*-'^'
»•> i ' i AUG 1
% L( fcj* Building Dep
BuilrJinrj A^^r^S!i ./r^»c ''^ f £•
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Set Back
Front P L
Side PL
Rear P L
Group £orre-j
Cnntrrtrtor City Bus I ir N^
Water Meter
9-fiS 5— — 99QR*******,
>t. Use Only
S5J3/C ytJ£~6'r*-i
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Bldg Valuation y1^/* —
Mam Bldg /
Garage /
Other '
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Sewage Disposal System
Inspection Record
Utility Company Notified — Date
Final
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If a check is enderod for payment for the above fee and the
check is not honored when presented for payment, your
building perm t will be immediately revoked
City of Carlsbad Building Dept
:.oo
Permit void if Work is not commenced within 60 days of issuance