HomeMy WebLinkAbout260 Hemlock St; ; 64-6354; PermitCITY OF CARLSBAD
BUILDING DEPARTMENT
729-1 181 -Ext. 36
For A plicant to Fill In
Owner's Name .2 ~ e I ·c.. I fl , I
Mail Address ,??, Go 11"2 n /4c/4:::;:
Contractor _..1.C?..c.._,e~::><::.--=.-""'=-__..,.-~-------
Contr. Address -----------------
To Const. 0 To Add 0 To Alter ~onvert 0
To Move From -------------------
Type of Const. ~ /J.7m~c.
To Be Used For -=~=..<....:'-><-"""-....._:t__,,,d/a'-'-'="-'-'--==
0
_.._ _____ _
Kind of Foundation ("~1 No. of Storie>-<_,.<../ ___ _
Floor Space (Sq. Ft.) _______________ _
Garage Floor Space (Sq. Ft.)
Attacheu_ __ ---, _____ _ -----Detached ________ _
Legal Description
Lot Block
Subdivision ___________________ or
Section Townsliip Range
No. of Existing Building ______________ _
Will this construction include~ plumbing installation or alter-
ation? Yes O No~
Signature of Applicant
I ACl<NOWLEDGE 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 T HAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY C ITY OF CARL SBAD AND
STATE OF CALIFORNIA OR TH AT I AM THE LEGAL OWNER
OF THE ABOVE DESCRIBED RES~IDEN~Tl~OPER'rY.
SIG NATURE /7 /IA .J1__ d'\ /
OF PERMITTEE~~, r-'-._,....
Application I or BUILD1N6 Permit
Building Permit F.ee
HAY 12-64 ~p~~D 1J26******13.5(
Set Bock
Front P.L.
Side P.L.
Rear P.L.
Group
Contractor City Bus. Lie. No. ____________ _
Water Meter Sewage Disposal Sys~em
Inspection Record
Utility Company Notified -Dote ______ By ____ _
Final
If II check is tendered for payment for the above fee and the
check is not honored when presented for payment, your
building permit will be immediately revoked.
City of Carlsbad Building Dept.
Permit void if work is not commenced within 60 days of issuance,