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HomeMy WebLinkAbout2350 CAMINO VIDA ROBLE; ; 79-3025; Permit"' " 'vfV.'T 'rm'-"F* 5.00 tip PLUMBING PERMIT APPLICATOR oYtl/w » City of CARLSBAD, CALIFORNIA 92008 79-2 7 <~~ Applicant to complete numbered spaces only. PnOnG 729-1181 Permit Nn. ~" -^ JOB ADft* CSS 93&o Q&**w LOT NO. . LECAL 1 DESCR. OWNEB , j ^TX-^^^tX^r-i ^*"'T**cjy 4 ARCHtTytT OR DESIGNER ENGINEER 5 •"V*— -V* ••£) f !{~^&il&b^.s^f*?~**-~-^*-~\^ • LK TBACT MAIL AOOMCSS IIP PHONE S* JMAIL ADDRESS PHONE STATE LIC. NO. CITY Lie. NO. COMPENSATION ffCS. CARRIER R rf*V~. X *^6 C^~v- v / ^r */.^+~^~S j MAIL ADDRESS "*HOMEr * LICENSE NO. tf MAIL ADDRESS PHONE LICENSE NO. MAIL ADDRESS BHANCH USE OF BUILOIjfG f ft J? 8 Class of work: K foEW Q ADDITION D ALTERATION D REPAIR 9 Describe work: SPECIAL CONDITIONS: APPLICATION ACCEPTED BY PLANS CHECKED BY "f NOTICE THIS PERMIT BECOMES NULL AND VOID IFV TION AUTHORIZED IS NOT COMMENCED WM CONSTRUCTION OR WORK IS SUSPENDED OR PERIOD OF 120 DAYS AT ANY TIME AF MENCED. 1 HEREBY CERTIFY THAT 1 HAVE READ fl APPLICATION AND KNOW THE SAME TO BE ALL PROVISIONS OF LAWS AND ORDINANCTYPE OF WORK WILL BE COMPLIED WITH \HEREIN OR NOT, THE GRANTING OF A PRESUME TO GIVE AUTHORITY TO VIOLA PROVISIONS OF ANY OTHER STATE OR LOC/J CONSTRUCTION OR THE PERFORMANCE T SIGNATURE OF OWNER (IF OWNER BUILOEB] <?APPRO* e/ rg» ISSUANCE BY . ZJ T5ATE ^**'*i— *— *V,--^ t/ORK OR CONSTRUC- rHIN 120DAYS.OR IF ABANDONED FOR A TER WORK IS COM- ND EXAMINED THIS PRUE AND CORRECT. ES GOVERNING THIS' WHETHER SPECIFIED PERMIT DOES NOTTE OR CANCEL THE L LAW REGULATINGOF CONSTRUCTION. »-«£ 2^V" 77 (OATEI (DATE) 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 CLEANniiTS CESSPOOL SEPTIC TANK fc PIT ROOF DRAINS ISSUANCE FEE $ TOTAL FEES $ Fee $ 2 3 *$ ^J -* c*O WHEN PROPERLY VALIDATED UN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK.M.O.CASH PERMIT VALIDATION CK.M.O.CASH INSPECTOR