HomeMy WebLinkAbout2655 CARLSBAD BLVD; ; 77-1332; PermitApplicant to complete numbered spaces only.
PLUMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA
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ADDRESS , PHONE LICENSE NO. STATE CTY
ADDRESS BMONt LICENSE NO. *
ADDRESS PHONE LICENSE NO.
ADDRESS BRANCH
USE OF BUI wPI NS
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8 Class of work: D NEW D ADDITION D ALTERATION D REPAIR
9 Describework: /i^/)/ >i f /^ s //// £ S
SPECIAL CONDITIONS:
APPLICATION ACCEPTEEJJV
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PLANSCHECKED BY APPROVED POR ISSUANCE BY
DATE
NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK
TtON 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 WHETHEREIN OR NOT, THE GRANTING OF A PERh
PRESUME TO GIVE AUTHORITY TO VIOLATE OPROVISIONS OF ANY OTHER STATE OR LOCAL LA\
CONSTRUCTION OR THE PERFORMANCE OF C
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*• SIGNATURE OF CONTRACTOR OR TuTHORIZED AGENT
S11HATU ,c or ow HER ti r QWNE.R BUILDER!
WHEN PROPERLY
OR CONSTRUC-
30 DAYS, OR IF
MOONED FOR A
WORK IS COM-
XAMINED THIS
AND CORRECT,
VERNING THIS
HER SPECIFIED1IT DOES NOT
1 CANCEL THE
ONSTRUCTION.
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(DATE)
;aATC!
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
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.M.O.CASH
INSPECTOR