HomeMy WebLinkAbout2747 CARLSBAD BLVD; ; 75-43; PermitPLUMBING PERMIT APPLICATION
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City of CARLSBAD, CALIFORNIA
Applicant to complete numbered spaces only.Permit No.
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OWNER
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LOT NO.
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ARCHITECT OR DESIGNER
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ENGINEER
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ADDBESS ZIP PHONE
ADDRESS PHONE LICENSE NO. STATE C TV
ADDRESS PHONE LICENSE NO.
ADDRESS PHONE LICENSE NO.
ADDRESS BRANCH
USE Of BUILDING
7
8 Class of work: D NEW D ADDITION
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D ALTERATION D REPAIR
72? £&&;&*
SPECIAL CONDITIONS:
APPLICATION ACCEPTED BY PLANS CHECKED BV APPRO
DATE
NOTICE '
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 OPROVISIONS OF ANY OTHER STATE OR LOCAL LA\
CONSTRUCTION OR THE PERFORMANCE OF C
SIGNATURE OF CQNjHAfftQH •* .^THOHIZED AGENT ^
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SIGNA^UKE STfOVyfieR ( ft
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OWfJEB BUILDER) jf
WHEN PROP€RLY
^ED FOR iS^yj^E 8V
ORCONSTRUC-
50 DAYS, OR IF
MOONED FOR A
WORK IS COM-
XAMINED THISAND CORRECT.
VERNING THIS
HER SPECIFIED
1IT DOES NOT
* CANCEL THE
N REGULATING
ONSTRUCT1ON.
(DATE)
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PERMIT FEES
No.
y
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 UN THIS SPACE) THIS IS YOUR PERMIT
PL/\N CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR