HomeMy WebLinkAbout2350 CAMINO VIDA ROBLE; ; 79-3025; Permit"' " 'vfV.'T 'rm'-"F*
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PLUMBING PERMIT APPLICATOR oYtl/w »
City of CARLSBAD, CALIFORNIA 92008 79-2 7 <~~
Applicant to complete numbered spaces only. PnOnG 729-1181 Permit Nn. ~" -^
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COMPENSATION ffCS. CARRIER
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MAIL ADDRESS "*HOMEr * LICENSE NO.
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MAIL ADDRESS PHONE LICENSE NO.
MAIL ADDRESS BHANCH
USE OF BUILOIjfG f
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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 .
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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
*$
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-*
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