HomeMy WebLinkAbout2409 BUENA VISTA CIR; ; 75-767; Permit-.-
LICENSE NO. ENGINEER MAIL ADDRESS PHONE
i
BRANCH MAIL ADDRESS COMPENSATION fNS. CARRIER
Skrt+ Gorp. fxu. Fmd, Po' 0. Ba m88, ;iska n%8mB' a. 921349 -
USE OF BUILDING
1
PLUMBING PERMIT APPLICATION
irc J ,: \
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI
City of CARLSBAD, CALIFORNIA
App.. cant to comp. Jte numbered spaces only.
SEWER
CESSPOOL
SEPTIC TANK 6. PIT
ROOF DRAINS
e--+ -
Perm it No.
JOB ADDRESS 1
LOT NO. BLK TllACT
,LEGAL DESCR.
OWNER MAIL ADDRESS ZIP PHONE 043 729-f)7343
LICENSE NO. STATE CITY CON TRAC TOR MAIL ADDRESS PHONE
I Class of work: 0 NEW 0 ADDITION 0 ALTERATION 0 REPAIR
I Describe work: FBeglrar m-r $#*E.
'c
DISHWASHER
LAUNDRY TRAY
CLOTHES WASHER
APPROVED FOR ISSUANCE BY
,-_e- DATE 1 WATER HEATER 9.90 fs
CJ URINAL NOTICE 1 'I
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- I DRINKING FOUNTAJN
TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF
CONSTRUCTION OR WORK ISSUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-
MENCED.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT THE GRANTING OF A PERMIT DOES NOT
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PRESUME TO GIV'E AUTHORITY TO VIOLATE OR CANCEL THE
SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE1
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT ' 1 %*
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR