HomeMy WebLinkAboutPD 43; BREIHAN APARTMENTS; Engineering Application• Application for Grading Permi. ~ __
CITY Of ·CARLSBAD '
ENGINEERING & BUILDING DEPARTMENT
1200 ELM AVENUE
729-1181 , I'.'"
FOR APPLICANT TO FILL IN
N/P~Y
• CA-.Jo/.J
Party~,responsible for overall supervision
Proposed use of grade site
. ~ ·t J..J't{f
Numi;!er ,of cubic yarc;ts1 On Site.,, --
Cl.!t ,. if,:,po'rt Total
'._J,~.-
Proposed Schedule o
Operations (Dates)
Deposit for structure insp.
Estimated cost of work
Map No.
Phone " H0/...1710
Waste
,~-,,,.,,...;~~----Date '-,/;2(/-?j'
HIS FORM WHEN PROPERLY VALIDATED BY SIGN . ,
Surety Address
Date filed Rec'd by
Cash depos· Rec'd by
$
SPECIAL CONDITIONS WHICH ARE MADE A PART OF THIS PERMIT
, . a o s
/ itnd isJi:e penn:i:s &ind other cmtitlaments. However und r
mal certification Receive
Work completed
Surety Bond Released
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