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2132 PLACIDO CT; ; 79-4182; Permit
PLUMBING PERMIT APPLICATI©~ fr-/ 79 city of CARLSBAD, CALIFORNIA 92008 Phone 7 29-1181 Applicant to complete numbered spaces only Permit No Z'l-l//8'2 JO a ADO" C )5 L[WA'-I 1 D£9C~. OWNCN OT NO. I T~AC T MAIL A.ODIIIES9 ZIP PHON[ 2 B. DAVID fn/11 ~ ··"· ·· 0 ct. -", C:ON TIIIAC TOfll ""4AIL AOOl'ICSS PHONE. STATE Lit. NO. 3 :mlll ... I I • .' I st. AJIICHIT[CT OA OCSIGNtJII MAIL ADO,t[S! PHOM£ LICCNSC NO. 4 [NGIN(£" ""4AIL ADDPIC55 PHON[ Ll(:tNSt NO. 5 COMPENSATION rNS. CARRIER &IU,NCH 6 -. -. 812U, San Diego, ea. use o, BUILDING 7 8 Class of work: □NEW 0 ADDITION 0 ALTERATION 9 Describe work: SPECIAL CONDITIONS. .,. APPIIOVEO •OIi ISSUANCE BY DATE NOTICE THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS,OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM- MENCED. I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS APPLICATION AND KNOW THE SAME TO 9E TRUE AND CORRECT. ALL PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. 0 REPAIR , PERMIT FEES No. Type of Fixture or Item WATER CLOSET (TOILET) BATHTUB LAVATORY (WASH BASIN) SHOWER K ITCHEN SINK & OISP DISHWASHER LAUNDRY TRAY CLOTHES WASHER WATER HEATER \ URINAL DRINKING FOUNTAIN FLOOR-SINK OR DRAIN SLOP SINK GAS SYSTEMS: NO.OUTLETS WATER PIPING & TRE.0.TING EQUIP. WASTE INTERCEPTOR VACUUM BREAKERS LAWN SPRINKLER SYSTEM SEWER NUMBER CLEAN0UTS ·?/J CESSPOOL CITY LIC. NO. Fee $ / f'// A .) / I 7 "\ SEPTIC TANK & PIT _£ __ ,. -~~__j-°'"'~-•_..{1 t------+--RO-OF ·o-RA-1Ns-----+---+-------1 51GNATUflll 0,. to'NT,.Ac+o,-o,-.~',-MO,.ltEO AClNT " (OATt.J ISSUANCE FEE $ SICNATU"E 0,-OWNE.111 (I,-OWNEIII BUILO[(lt) !OAT[) TOTAL FEES $ WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH INSPECTOR fl • ..