HomeMy WebLinkAbout260 TAMARACK AVE; ; 76-319; PermitPLUMBING PERMIT APPLICATION
City of CARLSBAD CALIFORNIA I A --.# /7 Applicant to complete numbered spaces only. Permit No .
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C:ONT .. ACTOIII MAIL ADDRESS '~ PHONE . LICENSE NO. STATE CITY -'2 3 t 11DC 2:501~ St, ----55 S?O'/ • ,,,.., ---ARCHITECT OR DESICNER MAIL ADDRESS PHONE LIC ENSE NO,
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ENC IIIIE.ER MAlL ADOAESS PHONE LICENSE N O,
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COMPENSATION (NS. CARRIER MAIL AD0"-£5S 8 ,-_A NC~
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USE OF' BUILDING
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8 Class of work: □ NEW □ ADDITION 0 ALTERATION REPAIR
q Describe work: \er bee.tor _..,,._ --~ -
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l I PERMIT F EES
' No. Type of Fixture or Item Fee
SPECIAL CONd ~TIOr,.JS: WA TER CLOSET (TO ILET ) $
BATHTUB
LAVATORY (WASH BASIN)
•\, SHOWER
, . KITCHEN SINK{& DISP. I . '1 DISHWASHER
APPUCA TION ACCEPTED, PLANS CHECKEO BY APPFlOVEO FQFl ISSUANCE BY LAUNDRY TR A Y
I . CLOTHES WASHER
DATE l WATER HEATER
NOTICE URINAL
THIS PERMIT !ECOMES NULL AND VOID IF WORK OR CONSTRUC· DRINKING FOUNTAIN
TION AUTH02 IZED IS NOT COMMENCED WITHIN 60 DAYS. OR IF
CONSTRUCTI NOR WORK IS SUSPENDED OR ABANDONED FOR A FLOOR--SINK OR DRAIN
PERIOD OF 20 DAYS AT ANY TIME AFTER WORK IS COM-SLOP SINK
MEN CED. GASSYSTEMS:NO.OUTLETS I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE ANO CORRECT. WATER PIPING & TREATING EQUIP. 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
~r.{ffi~ CESSPOOL
SEPTIC TANK & PIT
3/3/76 ROOF DRAINS
SI GNATURI!. o, CONTAACTO,. OR AUTH~IZE.O AGENT (OAT£)
PERMIT $
SIGNATURE: 0,-OWNCR IIF OWNER 9UILOER) DATE) TOTAL FEE $ .IQ
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M .O. CASH PERMIT VALIDATION CK. M.Q. CASH
INSPECTOR
INSPECTION REPORTS
DATE ITEM REMARKS INSPECTOR
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USE SPACE BELOW FOR NOTES, FOLLOW.UP, ETC.