HomeMy WebLinkAbout2775 ROOSEVELT ST; ; 70-388; Permit2
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z ~~ PERMIT City of CARLSBAD, CALIFORNIA ~·· ►00
PLUMBING PERMIT APPLICATION
Applicant to complete numbered spaces only.
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JOB ADDR £5S ~ ~ #-~ S\ 'J-.. 7 7 s---1 ¼ \. LOT NO. BLK I TIOACT (OSEE ATTACHED SHEET) ~ "d LEGAL I ~ 1 DESCIO,
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0WNEIO)• _.lo<!,e...t{ f(, f(ftW J tC,,1' MAILADDIOESS ~ :~ /-ft:l,l'ff11S A.~I ... J1-{_,,~c;z PHONE ). ~ I
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CON Tlll!ACTOJII I , MAl-&no•r••, 1 PHONlt: L ICENSE NO.
3 /:1-eR-r//~;1:?-A-R Pou~ FL-u.A-1a , Hr} n-t ~ ~-f-9/9 -J1tt ~ t\~ ARCHITECT OR DESIGNER MAIL ADDNE59 PHONE LICENSE NO, ft 4 •
ENGINEER MAIL ADDRESS PHONE LICENSE NO. ~ ' 5 ~
LENDER MAIL ADDfltESS BRANCH -~ )
6 ' USE OF" !IUILDING c:z//· ~ ~~ 7 ~---p ~ ,l;,,,,t' ._, -I --A ,_
,-Ji,. REPAIR
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8 Class of work: □NEW 0 ADDITION 0 ALTERATION ~ 9 Describe work: -,;;/) . ~ -L .
/ r~/' ~ ~ .---.P -., PERMIT FEES
No. Type of Fixture or Item Fee
SPECIAL CONDITIONS: WATER CLOSET (TOILET) $
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK & OISP.
DISHWASHER
APPLICATION ACCEPTED B V: PLANS CHECKED BV: APPROVED FOR ISSUANCE BV: LAUNDRY TRAY
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CLOTHES WASHER
WATER HEATER
NOTICE URINAL
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-D RINKING FOUNTAIN
TION AUTHORIZED IS NOT COMMENCED WITHIN 60 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. J GASSVSTEMS:NO.OUTLETS J "' -.,., I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. WATER PIPING & TREATING EQUIP.
ALL PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLI ED 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
CESSPOOL d~~-,Z~. 11--1-rJO
SEPTIC TANK & PIT
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V s 1GNATUR~ o• i!INTftAC'l"oft olf A,YTHOIOIZED AGENT (OAT<:)
PERMIT $ :? 1.5()
SIGNAT11ft£ OP' OWNER o,-OW·NER BU ILDER COATE) TOTAL FEE $ ..-5 ~
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
Form 100.2 9-69 REORDEIII f'ROM: INTERNATIONAL CONFERENCE OF BUILDING OFFI CIALS e eo so. LOS ROBLES e PASADENA, CAL.,ORNIA SH t 0 1