HomeMy WebLinkAbout2715 CARLSBAD BLVD; ; 74-157; PermitPermit No^l
Applicant to complete numbered spaces only.
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PLUMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
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. LECAL1 DESCR.
OWNER
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LOT NO. tLK TRACT , ,(LJ»EE ATTACHED SHEET)
-7 MAIL ADDRESS ZIP PHONE
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CONTRACTOR , "TJ , MAIL. ADDRESS,, RHONE LICENSE NO.
ARCHITECT OR DESIGNER f MAIL ADDRESS PHONE LICENSE NO.
4
ENGINEER MAIL ADDRESS PHONE LICENSE NO.
5
LENDER
6
use or
7
MAIL ADDRESS BRANCH
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8 Clwof work: D NEW D ADDITION D ALTERATION ^REPAIR
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SPECIAL CONDITIONS:
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APPLICATION ACCEPTED $t: PLANS CHECKED BY APPROVED FOR ISSUANCE SY:
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THIS PE
TION A
CONST
PERIOC
MENCE
1 HEREAPPLICALL PFTYPE CHEREIhPRESUrPROVISCONST
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NOTICE
= RMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
UTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF
RUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
OF 120 DAYS AT ANY TIME AFTER WORK IS COM-
D.
BY CERTIFY THAT I HAVE READ AND EXAMINED THISATION AND KNOW THE SAME TO BE TRUE AND CORRECT.
OVISIONS OF LAWS AND ORDINANCES GOVERNING THIS
)F WORK WILL BE COMPLIED WITH WHETHER SPECIFIED
4 OR NOT, THE GRANTING OF A PERMIT DOES NOT>/IE TO GIVE AUTHORITY TO VIOLATE OR CANCEL THEIONS OF ANY OTHER STATE OR LOCAL LAW REGULATINGRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
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SIGNATURE OF CONTRACTOR «R AUTHORIZED ACENT (DATE)
SIGNATURE OP OWNER lir OWKER BUILDER) (DATE)
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3 JOB ADDRESSPERMIT FEES
No.
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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
PERMIT $
TOTAL FEE $
Fee
$
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CD
3
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PLAN CHECK VALIDATION CK.M.O.CASH PERMIT VALIDATION CK.M.O.CASH
INSPECTOR