HomeMy WebLinkAbout264 CARLSBAD VILLAGE DR; ; 77-798; PermitPLUMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA
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Applicant to complete numbered spaces only Permit No
JOB ADDRESS
264 ELM AVEHUE
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CONTRACTOR
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MAIL ADDRESS PHONE . _, -,IJAWSE NO SJ A T£,_ CITYSEHVKS 2501 State St. Carlsbai 729-2055 2W707 21^73
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USE OF BUILDING
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ADDITION
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SPtCIAL CONDITIONS
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APPLICATION ACCEPTED BY
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PLANS CHECKED BY
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APPROVED FOR ISSUANCE BY
DATE
NOTICE r
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 TRUE
ALL PROVISIONS OF LAWS AND ORDINANCES GC
TYPE OF WORK WILL BE COMPLIED WITH WHET
HEREIN OR NOT, THE GRANTING OF A PER*
PRESUME TO GIVE AUTHORITY TO VIOLATE O
PROVISK7T<3!9 Of ANYXJTHER STATE OR LOCAL LA
CONSTRU^JION Ort/T^fE— PERFORMANCE OF C
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SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT
SI GNATU RE OF OWNER 11 FOWN E R BU 1 LDE ')
WHEN PROPERLY
ORCONSTRUC
60'DAYS, OR IF
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WORK IS COM
XAMINED THIS
AND CORRECT
5VERNING THIS
HER SPECIFIED
/IIT DOES NOT
R CANCEL THE
•V REGULATING
ONSTRUCTION
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(DATE)
PERMIT FEES
No Type of Fixture or Item
WATER CLOSET (TOILET)
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK & DISP
DISHWASHER
LAUNDRY TRAY
CLOTHES WASHER
WATER HEATER
URINAL ,
DRINKING FOUNTAIN » a
FLOOR—SINK OR DRAIN
SLOP SINK
GAS SYSTEMS NO OUTLETS
WATER PIPING & TREATING EQUIP
WASTE INTERCEPTOR
VACUUM BREAKERS
LAWN SPRINKLER SYSTEM
SEWER
CESSPOOL
SEPTIC TANK & PIT
ROOF DRAINS
PERMIT $
TOTAL FEE $
Fee
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VALIDATED {IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION " CK M O CASH PERMIT VALIDATION CK o ,CASH
INSPECTOR