HomeMy WebLinkAbout2790 MADISON ST; ; 69-428; Permit•
CITY OF CARLS.....,.
BUILDING DEPARTfi.HT
729-1181 -Ext. 36
For A licant to Fill In
Owner's NLON
Contractor ------------------
Contr. Address ________________ _
To Const. □ To Add □ To Alter D Convert D
To Movo F,om 2 7QQ /V1 ff f) I ~1}(6 A. V [: rt:J~ ,I 2 «o P /NF E.
Typo of Coost. Fff/t/t4 If
Frame, Mosonry, etc.
To Be Used For .[}.E'"vJ J...,.
Kind of Foundation Cd A} C, No. of Stories--.~1~•---
Floor Space ( ><q:f..7'1T===========-=-=---,--
Garage Floor Space (Sq. Ft.)
Attachea_ _______ _
Detachea_ _______ ~
Legal Description
Lot Blad
Subdivision _______ _
Section Towns-hip Range
No. of Existing Building _______ (")..._.~---~---
Signature of Applicant
1 ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO
COMPLY WITH ALL CITY AND STATE LAWS REGULATING
BUILDING.
SIGNATURE
OF F'ERMITTEE
c~~~ fafs~9'.0 M ti DI tc N A V€
11.0N~,~ TO, I :2«:<'> 'P,Nc-,4vE.
Set Back Bldg. Valuation
Front P.l. Main Bid
Side P.L. Garage
Rear P.l. Other
Group 7Rt Approved by
Contractor City Bus. Lie, No. ____________ _
IY•~ . . I Sewa~s~osol System
· · · Inspection Record~
Utility Company Notified --Date ___ _ BY----Final
If a check is lender,:d for payment for the above fee and the
check "1s not honcr·•:d when presented for payment, your
build!,~g permit will bo imrr,odiately revoked.
City of Carlsbad Building Dept,
Permit void if work is not comrnenced within 60 days of issuance.
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CONSTRUCTION LEND~ lDENTIPJ·(}A'.f'I-<llt
CALIFORNIA STATE CODE OF CIVIL PROCEDURE
SECTION 1193 I J}
-··-· -·----·----nume.-or lender branch
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city ..
---'-----:c-'--'"C"C-----:-1:,9'"---signature of applicant date
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