HomeMy WebLinkAbout2624 DAVIS AVE; ; 79-2693; Permit7/E7/7*g&7uoot eo7 oe
Applicant to complete numbered spaces only
PLUMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Phone 729-1181 Permit No
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TRACT
MAIL AODRES
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CONTRACTOR MAIL ADDRESS STATE LIC NO CITY LIC NO
ARCHITECT OH DESIGNER MAIL ADDRESS LICENSE NO
ENGINEER MAIL ADDRESS LICENSE NO
COMPENSATION INS CARRIER MAIL ADDRESS
use or SUILDINC
8 Clan of work D NEW D ADDITION OlLTERATION D REPAIR
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PERMIT FEES
No Type of Fixturt or Item FM
SPECIAL CONDITIONS WATER CLOSET (TOILET)
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK & DlSP
DISHWASHER
APPLICATION ACCEPTED IV PLANS CHECKED BY LAUNDRY TRAY
CLOTHES WASHER
DATE WATER HEATER
NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC
TION AUTHORIZED IS NOT COMMENCED WITHIN 120DAYS.OR IF
CONSTRUCTION OR WORK IS SUSPENDED 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 SPECIFIEDHEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOTPRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION
URINAL
DRINKING FOUNTAIN
FLOOR— SINK OR DRAIN
SLOP SINK
WATER PIPING fc TREATING EQUIP
WASTE INTERCEPTOR
VACUUM BREAKERS
LAWN SPRINKLER SYSTEM
SEWER NUMBER CLEAUOUTS
CESSPOOL
SEPTIC TANK * PIT
ROOF DRAINS
SIGNAURE OF COUTH AC TOU OH AUTHORIZED ACENT (DATE)
ItNATURFgr OWNER Or OWNER SUILDER)-4->TURf(
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ISSUANCE FEE
(DATE)TOTAL FEES
WHEN PROPERLY VALIDATED ON THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK.MO CASH PERMIT VALIDATION CK MO CASH
INSPECTOR