HomeMy WebLinkAbout2619 DAVIS AVE; ; 69-964; Permit729-1181 -Ext. 36
For Applicant to Fill In
r's Name
Mail Address _
/fc/gjTfrA,
vi
Contr Address
To Const
To Move From
Type of
6-— toAdd D To Alter D Convert D
&1L
Masonry, etc.
To Be Used For
Floor Space (Sq Ft)/<?<£ ff>
Garage Floor Space (Sq Ft )Attached-
legal Description
Lot Block
Subdi-or
Section
No of Existing Building
Will this construction mi
ation? Yes D No
Township Range
installation or alter-
G&aHI ACKNOWLEDGfTHAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO
COMPLY WITH ALL CITY AND STATE LAWS REGULATING
BUILDING
I CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY CITY OF CARLSBAD AND
STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER
OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY
SIGNATUREOP PERMITTEE ,
AppHcatloi% BUIUMNG Permjl
Building Permit Fee
Building Dept. Use Only
£Z. Of
Front P L
Side P L
Rear P L
Group f
Main Bldg
Garage
Other
Contractor City Bus Lie No
Water Meter Sewage Disposal System
Inspection Record
Utility Company Notified — Date-
Final By-
If a check is Tendered for paymant for the above fee and the
check is not honored when presented for payment, your
building permit will be immediately revoked. „
City of Carlsbad -Building Dept.
Permit void if work is not commenced within 60 days of issuance