HomeMy WebLinkAbout260 TAMARACK AVE; ; 72-770; PermitI
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7?-77() z "' City of CARLSBAD, CALIFORNIA .. ► " 0 0
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PLUMBING PERMIT APPLICATION 2
Applicant to complete numbered spaces only. '" .. ..
JOB ADDRESS
260 Tamarack• Carl1bad. ea.
LOT NO. I 8LK I TIIACT
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LEGAL I QslEt ATTACHED 8HEE:T) 1 DESCII. . ..
OWNER MAIL ADDRESS ZI P PHONE
2 R. c. Johnson 260 Tam&l"aok Carlsbad, ea. 92008 729-.&.536 . I
CONTRACTOR MAIL ADDfUSS PHONE: LICENSE NO.
3 Dob'a Plu:mb1.llg Sem.ce 2501. State st . C&rlebad, 729-2055 ,m 'r,... ~ ..
ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. ,::i.. 4 ~ ~
E.NGINEER MAIL ADDRESS PHONE L ICENSE NO, 1; -~ 5 I I
A • . 1 ' ' ' . ' ' LENDER -MAIL ADDRESS BRANCH \ :t: 6 t ·~ USE OP" BUILDING ...:
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8 Class of work: □NEW 0 ADDITION 0 ALTERATION ~ REPAIR ( l
9 Describe work: Inetallation ot water heater I-.....::
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PERMIT FEES l
No. Type of Fixture or Item II Fee
SPECIAL CONDITIONS: WATER CLOSET (TOILET) $
BATHTUB -
LAVATORY (WASH BASINI
~ SHOWER
KITCHEN SINk & OISP.
DISHWASHER
APPLICATION ACCEPTEO BY: PLANS CHECKED BY: APPROVED FOR ISSUANCE BY: LAUNDRY TRAY 1
CLOTHES WASHER
WATER HEATER ;JV
NOTICE URINAL
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-DRINKING FOUNTAIN
TION AUTHORIZE,D IS NOT COMMENCED WITHJN 60 DAYS, OR IF_,
CONSTRUCTION OR WORK IS SUSPENDED OR ABANOONED FOR A -FLOOR-S1NK OR DRAIN J
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-SLOP SINK
MENCED. GASSYSTEMS:NO.OUTLETS I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS APPLICATION ANO 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 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
6/16/?2 SEWER
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CESSPOOL
SEPTIC TANK & PIT
SIGNATURE OP' CONTRACTOR 0" AUTHO,tlZED AGE.NT (DATE)
A _,,.
PERMIT $ ~ M
TOTAL FEE $ .,, -
.5IGNATUlltE OP' OWNER (II" OW-HER l!IUILDER DATE -~-
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK, M.O. CASH PERMIT VALIDATION CK. M.O. CASH
AUDIT