HomeMy WebLinkAbout1039 CHESTNUT AVE; ; 69-1178; PermitCITY OF CARLSBAD
BUILDING DEPARTMENT
729-1181 -Ext. 36
For Applicant to Fill In
Owner's Name
Mail Address],
Contractor
p Const. D To Add D
Type of Const.
To Be Used For
Frame, Masonry, etc.
Kind of Foundation-No. of Stories-
Floor Space (Sq. Ft.)
Garage Floor Space (Sq. Ft.)Attached.
Detached
Legal Description
Subdivision
Lot Block
Township RangeSection
No. of Existing Buildin
Will this construction include any plumbing installation or alter-
ation? Yes D No D
Signature of Applicant
I 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-jtfR/HAT/I AM THE LEGAL OWNER
OF THE ABOVE DESQXlBEJ?^RE§(fDENl7fSL PROPERTY.
SIGNATURE
OF PERMITTE
Application {•BUILDING Permit
Building Permit Fee
DEC 10-69 S
Building Dept. Use Only
Building Address
St.
Set Back
Front P.L.
Side P.L
Rear P.L.
Group
Bldg. Valuation
Main Bldg.
Garage
Other
Approved
Contractor City Bus. Lie. No.
Water Meter Sewage Disposal System
Inspection Record
Utility Company Notified
Final
Date-By-
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.