HomeMy WebLinkAbout2770 MADISON ST; ; 76-678; Permit. -,.
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PLUMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA
Applicant to complete numbered spaces only Permit No
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CONTIIIACTO,-MAIL Aoo,-.:ss PHONE. LICChSll NO. STATE CITY
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COMPENSATION INS. CARRIER MAIL AOOltCSS alllANCl-t
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USl. 0,-IUILOING
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8 Class of work: □NEW 0 ADDITION 0 ALTERATION 0 REPA IR
q Describe work: . --_ _,..__. -----• -
PERMIT FEES
No. Type of Fixture or Item Fee
SPECIAL CONDITIONS: WATER CLOSET (TOILET) $
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK & OISP ..,., DISHWASHER mL7;;;7~ PLANS CHECK! 0 BY APPROVED FOR ISSUANCE BY LAUNDRY TRAY
CLOTHES WASHER
" CATE WATER HEATER "' I~
NOTICE URINAL
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC· DRINKING FOUNTAIN
TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF FLOOR SINK OR DRAIN CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-SLOP SINK
MENCED GASSYSTEMS:NO.OUTLETS I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT. WATER PIPING & TREATING EQUIP, ALL PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS TYPE OF WORK WI LL BE COMPLIED WITH WHETHER SPECIFIED WASTE INTERCEPTOR HEREIN OR NOT, T HE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE VACUUM BREAKERS PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. LAWN SPRINKLER SYSTEM
SEWER
CESSPOOL
f u .._,/ SEPTIC TANK & PIT
/ ..,,,_ ,_,. ROOF DRAINS
SIGNATIJIIIE o, CONTIIIACTO,t OR AUTNOtlllZ.~0 AGC:NT _,,.Pit,., ....
PERMIT s ---
TOTAL FEE $ 7 ......
SIC.kATt,Jlr o, OWN•,. tr O\"wt.1tlll 8UILDttU OATt>
WHEN PROPERLY VALIDATED llN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR