HomeMy WebLinkAbout2688 OCEAN ST; ; 77-1292; Permit0 )
PLUMBING PERMIT APPLICATION $
City of CARLSBAD, CALIFORNIA
Applicant to complete numbered spaces only Permit No7__7 '/;}7:J_
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MAIL A.DDRE.55 PHONE. LICENSE HO. STATE
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ARCHIT[CT OR 0£51GNER MAIL ADDRESS PHONE LICENSE NO,
4
tNGJN£Ut MAIL AODfU.55 PHONE LICltNSC HO.
5
COMPENSATION rNs. CARRIER MAIL ADORE5S BRANCH
6
use OF 9UILDING
7
8 Class of work : 0 NEW 0 ADDITION 0 ALTERATION 0 REPAIR
q Describe work:
SPECIAL CONDITIONS:
llPPLICATION ACCEPTED SY PLANS CHECKED SY APPROVED FOR ISSUANCE BY
DATE
NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION AUTHORIZED IS NOT COMMENCED WITHIN 60 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 BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS AND 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.
SIGNATURE o, CONTRACTOR.,._ Al,JTtfORIZlD AGtNT
No.
I
PERMIT FEES
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 -5
WATER PIPING & TREATING EQUIP.
WASTE INTERCEPTOR
VACUUM BREAKERS
LAWN SPRINKLER SYSTEM
SEWER
CESSPOOL
SEPTIC TANK & PIT
ROOF DRAINS
PERMIT
~!GNAT ftF o, ow•u: .. II,. OWNl.111 IUILOCft) !OATE.J TOTAL FEE
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O.
INSPECTOR
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CITY
Fee
$
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CASH