HomeMy WebLinkAbout2619 HIGHLAND DR; ; 69-364; PermitCITY OF CARLSB~
BUILDING DEPARTMEi...,
729-1181 -Ext. 36
CONSTRUCTION LENDER INFORMATION (OVER)
Applicatiour BUILDING Permit
Building Permit Fee :2 7, O(!)
..-_.;.~~~~.c.+-,~3~/ N'II 11•69 ~•~~D 917**** * *i::J.00
Owner's Name
Convert✓
To Move From------------------
Type of Const. Y
Frame, Masonry, etc.
::,:•ofu;::~~~&g ...
. . /4',~
Floor Space Sq. Ft.) .4-d 0
r -~~ Attached #,::7 0 ~l;or Sp~ce ( Sq. Ft.)
Detache•O---------
legal Description Lot Block
Subdivision or
Section ., iRan9e
No. of Existing Building /
Will this cons~ion include any plumbing installation or alter-
ation? Yesp No D
Signature of Applicant
1 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 ANO/OR
LICENSED AS REQUIRl::D BY CITY OF CARLSBAD AND
STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER
OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY.
SIGNATURE
OF PERM ITTEE
Set Bock ~
,.
Bldg. Voluotion
Front P.L. Moin Bldg.
Side P.L. Garage
CJ?-/
COtrir.sdbr"'Cify ·Bus. '_Lie. "No." ____________ _
Water ·_Meter · · · " · .-. ·1· Sewage Disposal System . ~· ··.· ~£-:
Inspection Record
Utility Company Notified -Date ______ By·-----
Final ===-==-~-=-=--=--=-=--=-~======~-~-=
If a check is Tendered for payment for the above fee and the
check is not honored when prosented for payment, your
building permit will be immediately revoked.
City of Carlsbad Building Dept.
if work is not commenced within 60 days of issuance.
·'
'
-\.J
CONSTRUCTION LENDER IDENTIFICATION
CALIFORNg ST!,TE CODE OF CIVIL PROCEDURE
SECTION 1193 (J)
~~ ----name of ll!;.lder branch
addross of lender city
~~%907' signaturoi' -aicant 7 date
------·········