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HomeMy WebLinkAbout1099 BUENA VISTA WAY; ; 64-6166; PermitCITY OF CARLSBAD BUILDING DEPARTMEmNT 729- I I8 I - fxt. 36 .. For Atmlica,n+ to Fill In Aoplicafion for MILDM Permif F 61€C Building Permit Fee 1 Owner's Name Mail Address -I-- ,fld Contractor --- d7 Contr. Address To Const. 0 To Add To Alter 0 Convert LTo Move From Type of Const. -2--2?- ' Frame, Masonry, etc. To Be Used For Kind of Foundation Floor Space (Sq. Ft.) a Garage Floor Space (Sq. Ft.) NO. of StoriesL Attached Detached Legal Description Lot Block Subdivision - or I. Section Township Range No. of Existing Building Will this construction include any plumbing installation or alter- ation? Yes'O No 0 Signature of Applicant I ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO I COMPLY WITH ALL CITY AND STATE LAWS REGULATING BUILDING. d, 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 I OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. St. Near Set Back 1 / Blda. Valuation @-Q "E 10 - Front F.L. Side F.L. Rear P.L. I / I Othrr Approved by I Group Contractor City Bus. Lic. No. ___ Water Meter Sewage Disposal Sydeq I Inspection Record Utility Company Noiified - Date BY Final SIGNATURE OF PERMITTEE If a check is tendered for payment for the above fee and the check is no: honored when presented for payment, your building permit will be immediately revoked. City of Carlsbad Building Dept.