HomeMy WebLinkAbout1015 BUENA PL; ; 67-10025; PermitCITY OF CARLSBW BUILDING DEPARTlr. AT ApplicatiF-7 for BUILDING Permif
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Owner‘s Name I1 1 $iLecL
Mail Address Is 3-
Contractor acclfl.d
Contr. Address
To Const. To Add c] To Alter 0 Convert c]
To Move From
rype of Const.
Frame, Masonry, elc.
To Be Used For Gi!.
Kind of Foundation LLLL No. of Stories
:loor Space (Sq. Ft.)
%rag; Floor Space (Sq. Ft.)
Detached
-egal Description Lot Block
ju bdivision or
Section Township Range
Yo. of Existing Building
Will this
Ition? Yes 0 e any plumbing installation or alter-
Signature of Applicant
1 ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL CITY AND STATE LAWS REGULATING BUILDING.
I CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY CITY OF CARLSBAD AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY.
SIGNATURE OF PERMITTEE
Building Permit Fee
A# 26-67 !- PA10 W$f*******~.W
Building Dept. Use Only
Building Address /d/\T .du a L)h rd d4
St. Near
1
/ Set Back Bldg. Valuationd/&,
Front P.L. Main Bldg.
Side P.L.
Approved by
Contractor City Bus. Lic. No. I_
Water Meter Sewage Disposal SysQem I
Inspection Record
Utility Company Notified - Date BY Final
_I_
If a check is tendered for payment for the above fee and the check is not honored when presented for payment, your
building permit will be immediately revoked.
City of Carlsbad Building Dept,
Permit void if work is not commenced within 60 days of issuance.
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