HomeMy WebLinkAbout2775 ROOSEVELT ST; ; 79-5273; Permit..
PLUMBING PERMIT APPLICATI0~'1 7 • f'
City of CARLSBAD, CALIFORNIA 92008
Phone 729-1181 Permit No 7'7-~-.;J.73 Applicant to complete numbered spaces only
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LOT NO. I I LK I T~ACT
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2 •'::>UALO DlJIIURw·~ ~7' (' ,.Nm.,T !! C 92008 .,. • .,_"Y,"(')
CONT,.ACTO" MAIL ADD"[S~ PHONE. 24~1tf· NO. CITis~• 3 r ;:--,I NIW s n 21:·1 ST. 129-205'
A"CHITCC'T OR OE51GHUI MAIL AOD1'CSS PHONE LICENSE NO,
4
[N GIN[C" MAIL ADD .. C55 PHONE LICENSE NO.
5
COMPENSATION INS. CARRIER MAIL A00flll[55 -l"AHC~ ~
6 -...:. • • 2008, I • • 92108
USE. or BUILDIN G
7
8 Class of work: □NEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work: I:Mtallation or Gu tar at.er
PERMIT FEES
No. Type of Fixture or Item Fee
SPECIAL CONDITIONS: WATER CLOSET (TOILET) $
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK & DISP.
DISHWASHER t-
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR >SSUANCE eY LAUNDRY TRAY , \ CLOTHES WASHER '-J,,;, , l --
DATE .J.. 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. GAS SYSTEMS: NO.OUTLETS I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS APPLICATION ANO KNOW THE SAME TO BE TAUE AND COAAECT. WATER PIPING & TREATING EQUIP.
ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WOAK WILL BE COMPLIED WIT H WHETHER SPECIFIED WASTE INTERCEPTOR H EREIN 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 L OCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. LAWN SPRINKLER SYSTEM ,
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SEWER NUMBER CLEAN0UTS
CESSPOOL
SEPTIC TANK & PIT , --;, 9 } ROOF DRAINS
51GNATUfll~ 0,. CONTfllACTOlll O fll AUTHO"IZCD AGENT (DATE)
ISSUANCE FEE $ t n,,
I TOTAL FEES $ ~
SIGNATU"C 0,-OWNCfll (IF OWNER 8UIL0Cfll) (OAT[)
WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR