HomeMy WebLinkAbout283 ACACIA AVE; ; 84-383; PermitLENDER iT "
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DECLARATIONS WORKER'S COMPENSATION OWNEWBUILDER
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White - Inspector Green - (1) Finance (2) Data Process, Yellow - Assessor Pink - Applicant Gold temporary File
OWNER nr,==3
ADDRESS MAIL
CITY . TEL. NO. -
PLUMBER
ADDRESS
CITY TEL. NO. 72fl *//8 r’
STATE LICENSE NO. CARLSBAD BU&lNf!SS L!CENSE NO.
NO. FEE ITEM
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1.2A BATH TUB (P 1.2s / .
~& ; TOILET C 51.25
SHOWER e 1.25
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-& I WASH BASIN B 1.25
ps” , KITCHEN SINK (P 1.25
DISHWASHER 0 1.25
LAUNDRY TUB on TRAY e 1.25
AUTOMATIC WASHER e 1.25 ~ ~
/ WATER HEATER & VENT C 1.50
FLOOR DRAIN OR SINK (P 1.25
.so I*, #OD. 1.50
MISC. WATER PIPING 8 1.50
LAWN SPRINKLER C 2.00
GAS SYSTEM I TO I5 A@
GARBAGC DISPOSAL
VACUUM BREAKER OR BACK
C 1.00
FLOW DEVICES I TO 5 c a.oo I I I
GRADING PUN
TOTAL FEE
AND STATE THAT THE ABOVE IS CORRECT AN0 AGREE TO I ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
COMPLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING PLUMBING.
CENSED AS REOUIRED 8Y THE CITY OF CARLSB ND I CERTIFY THAT I AM PROPERLY REGISTERED AND LI-
STATE OF CALI OF THE ABOVE
SIGNATURE OF PERMITTE
BUILDING ADDRESS 7 9
NEAREST CROSS ST.
GROUP I ZONE
Inspection Record
APPROVALS IWSP~ET.MIS BIv%nNITuII DATE
UNDER FLOOR WORK
ROUGH PLUMBING
GAS PIPING
GAS VENTS
PLUMBING FIXTURES
MISC.
GAS TEST
UTILITY CO. NOTIFIED
FINAL
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This is a Plumbing Permit When Pmpsrly Filled Out, Signed and Validated. VALIDATION
Permit void if work is not commenced within 60 days of date of issuance.