HomeMy WebLinkAbout1014 TULIP WAY; ; 78-5991; PermitPLUMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 920081 " "~"*"7 £"
Applicant to complete numbered spaces only Phone 729-1181 - Permit Nn /O
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JOB ADDRESS tf *; , • >.., •; ,. 'llj*V"'J.-..' •y-'^j-i5-1'-- ~ '; - -• '*."'" i' '" _• * -1 fW-'* ' . , r' --^ •
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, LOT NO ' , BLK > TRACT ).^
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OWNER ^ .' MAIL ADDRESS £ ZIP PHONE
2 RICHARD A, GBONZB 1014 TULIP tflff 92C&8 438-2326
CONTRACTOR MAIL ADDRESS PHONE STATE L1C NO CITY LIC NO
3 BOBS HUMBUG SERVICE 2501 STATE St. 729-2055 2^570? 1378?
4
CT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO
ENGINEER MAIL ADDRESS PHONE LICENSE NO
5
COMPENSATION fNS ('CARRIER MAIL ADDRESS. _ ^ ,,.. 1 BRANCH i (
6 (Hrtfl CMiMltv O».. fi. 0. BOK 81211 T San £taco. 521 j® * /.-^ <— ^
USE OF BUILDING * ~ s / /
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8 Class of work H NEW D ADDITION D ALTERATION D REPAIR
9 Describe work r |•a
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SPECIAl^CONDITIONS - ;• X'---' v" = '• : , - -," ' ~ "(" ' -
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APPLICATION ACCEPTED BY PLANS CHECK.E 0 BY - '"- '"" APPROVED fOR ISSUANCE BY, . ~4:
! t .' 1 ' DATE
\ "' NOTICE
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APPLIC
ALL PF
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HEREIT
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PROVISCONST
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;RMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS OR IF
RUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
) OF 120 DAYS AT'iANY TIME AFTER WORK IS'COM
D
BY CERTIFY THAT 1 HAVE REAO AND EXAMINED THIS
ATION AND KNOW THE SAME TO BE TRUE AND CORRECTiOVISIONS OF LAWS AND ORDINANCES GOVERNING THIS
3F WORK WILL BE COMPLIED WITH WHETHER SPECIFIED
vl OR NOT, THE GRANTING OF A PERMIT DOES NOT
VIE TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
>IONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
RUCTION OR THE PERFORMANCE OF CONSTRUCTION
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SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT .' (D'ATE)
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SIGNATURE OF OWNER (IF OWNER BUILDER) ---*,-" •' (DATE)
,5.. ' ' ,.. -PERMIT FEES , '•
No
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- ; ' .J/ype of Fixture or Item . ,,
TWATER CLOSET (TOILET) />/'•'' -,.- '^ •. .V>/ . .
""BATHTUB • . ' '?'
LAVATORY (WASH-BASIN), , .;
SHOWER
KITCHEN SINK & DISP
DISHWASHER
' LAUNDRY* T-RAY.y;vr---^... ^f^-^^^'.
CLOTHE/WASHER ;= ' * ^' ' " " ' ''"**•"•'
WATE R J^'EATE R \ |. ^ -v.
URINAL^ $^
DRINKING FOUNTAIN *'*••--
FLOOR— SINK OR DRAIN
SLOP SINK f. |S
GAS SYSTEMS NO OUTLETS
WATER PIPING & TREATING EQUIP .,
WASTE INTERCEPTOR
VACUUM BREAKERS
LAWN SPRINKLER SYSTEM v , •^^
SEWER NIIMRFR ri FAwniiT?;
CESSPOOL
SEPTIC TANK & PIT
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* •' ."^jg'" -• " ' , - ,. ,- ISSUANCE .FEE _ ^
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