HomeMy WebLinkAbout2425 STROMBERG CIR; ; 78-6265; Permit• PLUMBING PERMIT APPLICATIC)N1 n
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 729-1181 Permit No
JOB AOOllt ESS
LEGAL 1 ouc~. I LOT NO.
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CONTflACTOfl MAIL A0OJlt[5.S
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CNGINC[Jlt MAIL. A00111[5.S
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COMPENSATION (NS. CARRIER MAIL AOOIJIE5S
6
USC OF BUil.DiNG
7
8 Class of work: 0 NEW 0 ADDITION 0 ALTERATION
9 Describe work:
1,
SPECIAL CONDITIONS:
.APPLICATION ACCEPTED 8Y PLANS CHECKEO 8Y APPROVED FOR ISSUANCE BY
). , 111 " ( DATE
NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 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 ANO KNOW THE SAME TO BE TRUE ANO CORRECT.
ALL PROVISIONS OF LAWS ANO 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.
Sl~ATURE OF CONTRACro111 Ofl AUTHOiJIIIZEO AGENT ./IDATCV
SIC.NATll,tS' nr 0WNUI I,. OWN CR BUILDER) (OAT[)
tip
PHONC STATE LIC, NO,
PHONE LICENSE NO.
PHONE LICENS[ NO.
IUIANCH
cg,(EPAIR
PERMIT FEES
No. Type of Fixture or Item
WATER CLOSET (TOILET)
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK & DISP.
DISHWASHER
LAUNDRY TRAY
CLOTHES WASHER
I WATER HEATER
URINAL
DRINKING FOUNTAIN
FLOOR-SINK OR DRAIN
SLOP SINK
GAS SYSTEMS: NO.OUTLETS
WATER PIPING & TREATING EQUIP.
WASTE INTERCEPTOR
VACUUM BREAKERS
LAWN SPRINKLER SYSTEM
SEWER NUMBER CLEAN0UTS
CESSPOOL
SEPTIC TANK & PIT
ROOF DRAINS
ISSUANCE FEE
TOTAL FEES
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O.
INSPECTOR
s.oo p
CITY LIC. NO.
///i-'L-
Fee
$
$ .:, G (.
CASH
INSPECTION REPORTS
DATE ITEM REMARKS INSPECTOR
-
I v . v S ~ .,~ S(
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.