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HomeMy WebLinkAbout1104 KNOWLES AVE; ; 77-127; Permit) PLUMBING PERMIT APPLICATION City of CARLSBAD, CALIFORNIA Applicant to complete numbered spaces only Permit No . - Joa AOOft E5S A"G LOT NO. I ac< I TUCT L <GAL I 1 D£5tft. OWN£A MAIL ADDRtSS ZI p PHONE: 6957 2 • ~it ... ~~..: CAPTJm.,.. • • 9 (, CONTAACTOR MAIi.. A00Rt5S PHONE LICtNSE NO. STATE CITY 3 &j ,1.,••---· n 2501 Jt, tc, I • f!,_, Cl,_,,. 729-✓5 S7 '( 1, AlltCMITECT OR OCSIGNtft MAIL A00R[5S PHONE I..ICCN.S[ NO. 4 ENGINE.tfll ~AIL AODR [55 PHONE L ICENSE NO. 5 COMPENSATION (NS. CARRIER MAIL A.D011:ESS BflANCH ..,_._nf'> ~--'-,- 6 ..,1 l m JI ll.AIIA•wt . , • • -__ ,.., US£ OF BUILDING 7 8 Class of work: □NEW 0 ADDITION 0 ALTERATION 0 REPAIR q Describe work : . --_, •t ----~-.. - * PERMIT FEES J No. Type of Fixture or Item Fee SPECIAL CONDITIONS: WATER CLOSET (TOILET) $ • BATHTUB LAVATORY (WASH BASIN) SHOWER KITCHEN SINK & OISP. DISHWASHER APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY LAUNDRY T RAY CLOTHES WASHER ... WATER HEATER J. /J DATE NOTICE URINAL THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC· DRINKING FOUNTAIN TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF FLOOR SINK OR DRAIN CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM· SLOP SINK MENCED. GAS SYSTEMS, NO.OUTLETS I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS APPLICATION ANO KNOW THE SAME TO BE TRUE AND CORRECT. WATER PIPING & TREATING EQUIP. ALL PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED WASTE INTERCEPTOR HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME. TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE VACUUM BREAKERS PROVISIONS OF ANY OTHER STATE OR LOCAL LAW RE.GULATI NG CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. LAWN SPRINKLER SYSTEM SEWER CESSPOOL ~A~/./,~ -,_l'J?u1/#m::r1 1/l I'll SEPTIC TANK & PIT ROOF DRAINS SIG'""'°litl O" CONTfU,CTOJII o.-AUTHOFt~D AGtNT (0AT£1 PERMIT $ --- TOTAL FEE $ . ; ...... SIGNATUIIIII'. OP' OWH!llt i, OWN[" 8UILOtfll (DATt) WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH INSPECTOR