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HomeMy WebLinkAbout1145 Larkspur Ln; ; 78-2568; PermitPLUMBING PERMIT APPLICATION City of CARLSBAD, CALIFORNIA 92008 ,. ,, ... Applicant to complete numbered spaces only Phone 729-1181 Permit No JOB AOOfll: ESS ,1,.c;; tr~n-,n LOT NO. I OLK I TUCT oms I 1 DES CO, OWNCJII MAIL AOOJll[SS ll P PHONI: 2 -Yil"I\ T.M'i1 IJ101"1'4'1Dtt 99 CON TJIIAC TO,ii ""'4AIL AOOflES5 PHOM[ STATE LIC, NO, CITY LIC, NO, 3 -~· _:trt;n at. ,s II . ,. II I~ Rl 3' ,, ·• AJIICHITCCT Olll OC.51GNCR MAIL AOOfll:£55 PMON C I.. IC CNS[ NO. 4 [N(;INC(A .._.Al L ADD" CS S PMONC LICENSE NO. 5 ---COMPENSATION (NS. CARRIER 't MAIL AOOfll:CSS I\ ,t. IIIIIANCM t .. 'll . --6 -••-• P .... o. 1-I { Jan Die.'10. , ea. ga,,a .l,n) --. ., ' ,.,. ·---.. VSL 0,. IIVILOINC -, - 1 i11..-~ "'" -- . 1. ""TI~.6'-,"1[1119' I ' ·- 8 Class of work: 0 NEW 0 ADDITION 0 ALTERATION 0 REPAIR 9 Describe work: \ . ' ~ PERMIT FEES No. Type of Fixture or Item Fee SPECIAL CONDITIONS: WATER CLOSET (TOILET) $ BATHTUB LAVATORY (WASH BASIN ) SHOWER KITCHEN SINK & OISP DISHWASHER APPLICATION ACCEPTE O 8Y PLANS CHECKED BY APPROVED FOR •SSUANCE BY LAUNDRY TRAY f CLOTHES WASHER J/d,, It -, o~ DATE WATER HEATER , NOTICE URINAL THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC· DRINKING FOUNTAIN TION AUTHORIZED IS NOT COMMENCEi WITHIN 120 DAYS10R IF CONSTRUCTION OR WORK IS SUSPEND!c: OR ABANDONED FOR A ' Fl,.OOR-SINK OR QRAIN ' -.-'e,, ..• "·: . PERIOD OF 120 DAYS AT ANY TIMI: 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 TAUE 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 1/ 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 REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONS TR UCTI ON. LAWN SPRINKLER SYSTEM r.oi~ SEWER NUMBER CLEANOUTS ~-4JO CESSPOOL L -SEPTIC TANK & PIT l j 2 ( ROOF DRAINS SIGNATURE 0,-CONT"ACTOJI 0111 ,lt.UTHOftllED AGtNT (DATEI . ISSUANCE FEE $ SIC.NAT ,tr o, OWNEIII 1, OWN (IIII 8UIL0Ellt) (DATE) TOTAL FEES $ . WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M .O. CASH INSPECTOR