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HomeMy WebLinkAbout1065 CARLSBAD VILLAGE DR; D; 78-5730; PermitPLUMBING PERMIT APPLICATION City of CARLSBAD, CALIFORNIA 92008 Applicant to complete numbered spaces only PhOflG 729-1181 Permit No sw~ \ JOB AO[JB ESS , LEGAL 1 DESCR OWNER j 2 f^i CONTRAI 3 / LOT NO — ' ' X\ ZOfl, f j f C -^ n^ ( fttf (jcr/C BUK ^•"'^ £&/£ tX/ <: ARCHITECT OR DESIGNER ™ 4 ENGIN EEF> 5 COMPENSATION fNS CARRIER z/s WAI 1, 1 MA 1 L MAIL MAIL MAI L TRACT ' *P QRf ^s - - > /^ ,» 1 j* f t^ . z LI? _ PHONE/ fmf ^f /¥// \ 7" v \ i&^ ^ ADDRESS ' "^PHONE STATE LIC NO CITY LIC NO AOORES5 PHONE LICENSE NO ADDRESS PHONE LICENSE NO ADDRESS BRANCH USE OF BUIL DING ft 1 8 Class of work Q NEW D 9 Describe work £s ADDITION r t <T >f, \ ALTERATION D REPAIR J.\T#L.<~ -TWc-7. U&t*,#t . O«i/ 1 .rvT^ ~ ,'}£>a^j5 SPECIAL ' CONDITIONS ^ APPLICATION ACCEPTED BY PLANS CHECKED BY APPHOVED fOR ISSUANCE BY DATE NOTICE THIS PERMIT BECOMES NULL AND VOID IF WORK TION AUTHORIZED IS NOT COMMENCED WITHINCONSTRUCTION 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 G( TYPE OF WORK WILL BE COMPLIED WITH WHET HEREIN OR NOT THE GRANTING OF A PERPRESUME TO GIVE AUTHORITY TO VIOLATE O PROVISIONS OF ANY OTHER STATE OR LOCAL LA CONSTRUCTION OR THE PERFORMANCE OF C s^ _]2u*"*-*— - £— ^-^Zfe** SIGNATURE Of CONTRACTOR OH AUTHORIZED AGENT 5 1 GN ATUHE or OWNER u F OWN EH BU 1 LDE >) WHEN PROPERLY ORCONSTRUC 120 DAYS, OR IF NDONED FOR A WORK IS COM .XAMINED THIS AND CORRECT 3VERNING THIS HER SPECIFIEDV1IT DOES NOT R CANCEL THE W REGULATING ONSTRUCTION {DATE) ' (DATEI PERMIT FEES No / / / T*- - Type of Fixture or Item WATER CLOSET (TOILETJ BATHTUB LAVATORY (WASH BASIN) SHOWER KITCHEN SINK & DtSP 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 NIIMRFR rt FANDIITS CESSPOOL SEPTIC TANK & PIT ROOF DRAINS ISSUANCE FEE $ TOTAL FEES $ Fee S ^ -J £. *y£. "T iy tr-r &-T- f *- X v , x- f * VALIDATED ON THIS SPACE! THIS IS YOUR PERMIT f J PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION CK M O CASH INSPECTOR 78-5730 INSPECTION REPORTS DATE ITEM ///fbr. . REMARKS . /< INSPECTOR Y? 1%, k^J^, USE SPACE BELOW FOB NOTES, FOLLOW-UP, ETC