HomeMy WebLinkAbout110 SYCAMORE AVE; ; 78-256; PermitPLUMBING PERMIT APPLICATION
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City of CARLSBAD, CALIFORNIA 92008 -;rJ -JI <(.p
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CNGINCEllt MAIL AOOIIICSS PMON[ LICtNSt NO.
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COMPENSATIO~NS. CA__h qJ MAIL ADOIIIICSS a•ANCM
US( 0,. BUIL DING {/ 0 7
8 Class of work: □NEW 0 ADDITION !Zi-A'LT ER A Tl ON 0 REPAIR
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PERMIT FEES
No. Type of Fixture or Item Fee
SPECIAL CONDITIONS: WATER CLOSET (TOILET) $
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
K ITCHEN SINK & DISP.
DISHWASHER
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED •OR ISSUANCE BY LAUNDRY T RAY
\)~~ 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 'S I ~(,) I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPL ICATION ANO KNOW THE SAME TO BE TRUE AND CORRECT. WATER PIPING & TREATING EQUIP. r
ALL PROVISIONS OF LAWS AND 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
--? l CESSPOOL
1/2.t?h.P SEPTIC T ANK&. PIT -L1,r //d i&-n---, ROOF DRAINS
SIGNATU!ltt o,,NTf//fACTft Oflt rM0"11E.0 AGtNT / {OAJl't r' ._
ISSUANCE FEE $ I 5-(-,
SIGNATU"[ 0,-OWNCJl (11' OWNE" 1Ull.0Ctl:J OAT[) TOTAL FEES $ 7" (b
WHEN PROPERLY VALIOATED (IN THIS SPACEI THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M .O. CASH PERMIT VALIDATION CK. M .O. CASH
INSPECTOR
INSPECTION REPORTS
DATE ITEM REMARKS INSPECTOR
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