HomeMy WebLinkAbout2605 CARLSBAD BLVD; ; 79-1208; PermitMBING PERMIT APPLICATION 7S
City of CARLSBAD, CALIFORNIA 92008
ete numbered spaces only.Phone 729-1181 Permit No
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ADDITION
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ADDRESS PHONE STATE L1C. NO. CITY LIC. NO.
ADDRESS PH'ONE LICENSE NO. . '
AODRESS PHONE LICENSE NO.
ADDRESS BRANCH
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SPECIAL CONDITIONS;
APPLICATION ACCEPTED BY
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PLANS CHECKED Br APPROVEO FOR ISSUANCE BY.
DATE
/ NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK
TION AUTHORIZED IS NOT COMMENCED WITHIN
CONSTRUCTION OR WORK IS SUSPENDED OR ABA
PERIOD OF 120 DAYS AT ANY TIME AFTER
MENCED.
1 HEREBY CERTIFY THAT 1 HAVE READ AND E
APPLICATION AND KNOW THE SAME TO BE TRUEALL PROVISIONS OF LAWS AND ORDINANCES GC
TYPE OF WORK WILL BE COMPLIED WITH WHET
HEREIN OR NOT, THE GRANTING OF A PERIS
PRESUME TO GIVE AUTHORITY TO VIOLATE O
PROVISIONS OF ANY OTHER STATE OR LOCAL LA
CONSTRUCTION OR THE PERFORMANCE OF C
3tisWo*ft^ tONTWAC raH VR AU1HORIIEDASEKT f
SIGNATURE OF OWNCR (1 r OWNER BU ILDER]
WHEN PROPERLY
ORCONSTRUC-
20 DAYS, OR IF
NDONED FOR A
WORK IS COM-
AND CORRECT.
HER SPECIFIED
3 CANCEL THE
ONSTRUCTION.
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(DATE)
PERMIT FEES
No.
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Type of Fixture or Item
WATER CLOSET (TOILET]
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK 6. 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 KIIIMRFR n PANDITS
CESSPOOL
SEPTIC TANK t PIT
ROOF DRAINS
ISSUANCE FEE $
TOTAL FEES $
Fee
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VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK.M.O.CASH PERMIT VALIDATION CK.M.O.CASH
INSPECTOR