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ISTRUCTION, WHETHER SPECIFIED HEflEIN OR NOT. t ALSKEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LEXPENSES WHICH MAY SN ANY WAY ACCRUE AGAINST SGRANTING OF THIS PERMIT.0 ASREE TO SAVE tNOEMfABILITIES, JUDGMENTS, COAID CITY IN CONSEQUENC!35 o o ^~""> REcC O M 3>E CAREFULLY EXAMINED THE COMPLETED "IFY UNDER PENALTY OF PERJURY THAT AARATIONS ARE TRUE AND CORRECT AND t F:D: TO COMPLY WITH ALL CITY, COUNTY AJ*APPUCATION AND PERMIT"LL INFORMATION HEREONURTHER CiBTIFY AND AGRD STATE LAWS GOVERNJNCD ? Ze-nposjgg
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CD ExpiraticCode shalauthorizedpflrinjt, orabandonedHI. Every permit issued by the Bulkexpire by limitation and becomeby SMcn permit ia not commencec)( the building or work authoriat any lime after the work is conting Official under thenull and void. M thaIwitnin 180 days fromfed by such permitnrnenced for a oartodwovisionsofthislyiJding or workthe date of suchs suspended orof 180 days.* AN OSHA PERMIT5'0" DEEP AND MSTRUCTURES OVEIS REQUIRED FOR EXCAVATIONS OVEMOLITION OR CONSTRUCTION Ofn 3 STORIES IN HEIGHT10
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b/iD/8 12039 |finqonjaiies" g/au/Hi ID.Not Valid Unless Machine CertifiedDESIGNER'S ADDRESS1 DESIGNER'S PHONE| DESCHIPTiON OF WORKrOH
BLOCK >"SUBDIVISIONASSESSOR PARCEL NO. 1DESIGNERSTATE LICENSE #STANDARD PLAN #BUILDING SO. FOOTAGE[OWNER'S MAILING ADDRESS2605 Chestnut Ave»f CarlsbaiCONTRACTOR'S ADDRESS2501 State St., CarlsbadLICENSE NO.2^570?Dr
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BLDG USE CODE[OWNER'S NAME ' OWNER'S PHONEFREDERICK W, SGHRGEDM ?29-?568PRIME CONTRACTORPLUMBING SERVICECONTRACTORS PHONE # ]-4729-2055S
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00m CARLSBAD BUILDING DEPARTMENT APPLICATION & PEF1200 Elm, Carlsbad, California 92008 (714) 438-5525H
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