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HomeMy WebLinkAbout1048 CARLSBAD VILLAGE DR; ; 73-16; PermitPermit No Applicant to complete numbered spaces only PLUMBING PERMIT APPLICATION City of CARLSBAD, CALIFORNIA •:-•_• JOB ADDR ESS , LEGAL 1 DESCR LOT NO OWNER li2 J/^fv r v JT CONTRACTOR f j'"'^yyV'~? f / £iJ\ / ?~y 4 J>*rA/ O ^',T BLK TRACT (LTHSEE ATTACHED SHEET) ^^ MAIL ADDRESS ," ^ZIP j. ,PHONE>' f ENGINEER 5 LENDER 6 MAIL ^•^n. MAIL MAIL MAIL ADDRESS " PHONE LICENSE NO ADDRESS PHONE LICENSE NO ADDRESS PHONE LICENSE NO ADDRESS BRANCH USE OF BUILDING 7 -X'8 Class of work HKNEW D ADDITION D ALTERATION D REPAIR 9 Describe work y/^fc? //// / ^/ /-^* \r SPECIAL CONDITIONS - ,. APPLICATION ACCEPTED 8Y PLANS CHECKED BY >-"•• APPROVEQifOR'ISSuANCE 6V <^ r^ * NOTICE ^X" THIS PERMIT BECOMES NULL AND VOID IF WORK TION AUTHORIZED IS NOT COMMENCED WITHIN CONSTRUCTION OR WORK IS SUSPENDED OR ABA PERIOD OF 120 DAYS AT ANY TIME AFTER MENCED 1 HEREBY CERTIFY THAT 1 HAVE READ AND E APPLICATION AND KNOW THE SAME TO BE TRUE ALL PROVISIONS OF LAWS AND ORDINANCES GC TYPE OF WORK WILL BE COMPLIED WITH WHET HEREIN OR NOT, THE GRANTING OF A PERPRESUME TO GIVE AUTHORITY TO VIOLATE OPROVISIONS OF ANY OTHER STATE OR LOCAL LACONSTRUCTION OR THE PERFORMANCE OF C /( A/ %tdt2z&? /- < f SIGNATURE OF CONTRACTOR OR AUTHORIZED ASSMT 1 51 GNATUFtE OF OWNER (IF OWNER BU ILDER) ^7 OR CONSTRUC 60 DAYS, OR IF NDONEDFOR A WORK IS COM XAMINED THIS AND CORRECT 3VERNING THIS HER SPECIFIED tfIT DOES NOTR CANCEL THEW REGULATINGONSTRUCTION -*" -* XJ> (DATE) (DATE) c 5 Zr * >^ \ <-om sa mOl(nV^\ Si ** St V PERMIT FEES No fr-"*" Type of Fixture or Item WATER CLOSET (TOILET) BATHTUB LAVATORY (WASH BASIN) SHOWER KITCHEN SINK & DISP DISHWASHER LAUNDRY TRAY CLOTHES WASHER WATER HEATER URINAL DRINKING FOUNTAIN FLOOR—SINK OR DRAIN SLOP SINK GAS SYSTEMS NO OUTLETS WATER PIPING & TREATING EQUIP WASTE INTERCEPTOR VACUUM BREAKERS LAWN SPRINKLER SYSTEM ^** SEWER CESSPOOL SEPTIC TANK & PIT PERMIT $ TOTAL FEE $ Fee $ /3 5 f% • &t? 5"O ^•<o WHEN PROPERLY VALIDATED (IN THIS SPACE} THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK MO CASH PERMIT VALIDATION CK M O CASH INSPECTOR