HomeMy WebLinkAbout2816 ROOSEVELT ST; ; 78-6061; PermitPLUMBING PERMIT APPLICA"r'IG>N 6. iJ i:lP
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City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 729-1181 Permit No
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ARCHITECT OR 0C51GN£111 / MAIL. AOORC~S PHOM C LICENSE NO,
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8 Class of work: □ NEW )(ADDITION □ ALTERATION □ REPAIR
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No. Type of Fixture or Item Fee
SPECIAL CONDITIONS: WATER CLOSET (TOILET) $
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK & OISP.
DISHWASHER
APPLICATION ACCEPTED BY :/pCKEOBY APPROVE O FOR ISSUANCE BY LAUNDRY TRAY
J, I ,.2 -)-CLOTHES WASHER
DATE WATER HEATER
{ NOTICE URINAL
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC· DRINKING FOUNTAIN
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF FLOOR-SINK OR DRAIN CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-SLOP SINK . MENCED. I GASSYSTEMS:NO.OUTLETS ,,,:;,[ 'I) I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE ANO CORRECT. ' WATER PIPING & TREATING EQUIP. ALL PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS
TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED WASTE INTERCEPTOR HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE VACUUM BREAKERS PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. LAWN SPRINKLER SYSTEM
SEWER NUMBER CLEANOUTS
CESSPOOL
SEPTIC TANK & PIT
ROOF DRAINS
Sl~NATUltC or CONTIIIACTOl'I OR AUTHOlltlZ.CO AG(NT (DATE)
.-; j//ln/'~ /•/_ -7_? (/ ISSUANCE FEE $ ., /'/'") i/ _, ~ J ✓ ~ ., _; ..,, TOTAL FEES $ ~, I/,-... 1itr 01' OWH[ft .. 0 tlll BIiii llO'!:ft) -10AT[)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR