HomeMy WebLinkAbout1145 CARLSBAD VILLAGE DR; ; 64-6247; PermitCITY OF CARLSBAD
BUILDING DEPARTMENT
729-1181 -£xt. 36
For Applicant to Fill In
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Application for BUILDING Permit
Building Permit Fee
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Owner's Nnmf>« -JfJ «Z t-"C^ _ I £r f C- C — '&
M«,l A^rft^ /? ° &* \^S . £ ~ Z . $ S ll
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^nntr A,«J.4m« /Q)f/( £ . fa fi *S /V C."^~- /// 1' /'J / ^
To Const D To Add D T0 Alter D Convert Q
IT^ Mnvp Fmm
Frarne, Masonry, etc
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<oaraga l-loor ipace [bq f-T ]
Lot Block
K Section Township Range
Will this construction include any plumbing installation or alter-
ation' Yes n No Q
Signature of Applicant
1 ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO
COMPLY WITH ALL CITY ANb STATE LAWS REGULATING
BUILDING ^— ~— —— •<*• - — " ) *~
\ CERTIFY THATVfAM iPROPERl_Y REfiisTERED AND/OR
LICENSED AS REQUIRED BVytlTy OF CARLSBAD AND
STATE OF CALLFORNiA'OR THAT 1 AWf THE LEGAL/OWNER
OF THE ABOVp DESCRI BED/RESI D CWTI AL i'ROPEBT'w'
SIGNATURE ^— — _\C Sr* f'^/% rf x7
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Buildin^rOe^^USei'iOsd!^?**^^ 5"" ^yO
Building Arlrlr«^c jL£*7 / / Ve^ /ZZ / 'S**?
'£&$? <^os^ &<2£>££
Set Back Bldg Valuat.on /^ (i^S^
Front PL Mam Bldg
Side P L Garage
Rear PL Other
Group *^°Ae Approved by
Cnntrflr-W P.ity R,i= 1 ir Nn
Water Meter Sewage Disposal System
Inspection Record
Final
If a check is tendered for payment for the above fee and the
check is not honored when presented for payment, your
bui'dmg perm t will be immed ately revoked
C ty of Carlsbad Building Dept
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'/ Permit void if work is rioj comrne'ccd within 60 days of issuance