HomeMy WebLinkAbout2364 PIO PICO DR; ; 64-6189; PermitCmr OF CARLSBAD
BUILDING DEPARTMENT
729-1 181 - Ext. 36
Application for BULDtNG Permit
Building Permit Fee
For Applicant to Fill In
Owner s Neme S /4 y ' M
Con+T. Addr(
I To Const, nf
L /Move From
Type of Const.
Move From
^ '
r-To Alter □ Convert □
Mail Addre:
Contract
Contr. Address
Const. IB' To Add □
y-
Frame, Mas etc.
To Be Used For .
Kind of Foundation C, No. of Stories-
Floor Space (Sq. R.)
Attached-
Detached-
Garage floor Space (Sq. R.]
■ionLegal Description •
Subdivision
Lot Block
^ 7 J f
Section Townstilp Range
No. of Existing Building
Will this constr/iction include any plumbing inrtallation or alteration? Yes'^A No □
Signature of Applicant
I ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO
COMPLY WITH ALL CITY AND STATE LAWS REGULATING
BUILDING.
I CERTIFY THAT I AM PROPERLY REGISTERED AND/ORLICENSED AS REQUIRED BY CITY OF CARLSBAD AND
STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNEROF THE ABOVE DESCRIBED RES!DENTtAfcr-fROPERTY.
SIGNATURE
OF PERMITTEE
t* A i UHAR19-6M !-EF1794***^**22.50
Building Dept.JJse Only
Building Address
St. NeaIf
Set Back
Front P.L
Side P.L
Rear P.L
Group 2^ne
BIdg. Valuation
Main BIdg.
/■ 5
Garage
Other
Approved by
Contractor City Bus. Lie. No.
Water Meter Sewage Disposal System
Inspection Record
Utility Company Notified — Date-
Final By-
If a chock is tendered for payment for the above fee and thecheck is not honored when presented for payment, yourbuilding permit will be immediately revoked.City of Carlsbad Building Dept.
/L€.Permit void If work is not commenced within £0 days of {ssoanee-