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HomeMy WebLinkAbout1150 PINE AVE; ; 71-245; Permit%% PERMIT # ^ .PLUMBING PERMIT APPLICATION City of CARLSBAD, CALIFORNIA HAR 31-7 2 1 Applicant to complete numbered JOB ADDR CSS only. ,LCOAL I DBBCR. ATTACHED SHEET) CONTRACTOR MAIL ADDRESS MAIL ADDRESS LICENSE NO. ARCHITECT OR DESISNCR MAIL ADDRESS LICENSE NO. ENOINECR MAIL ADDRESS LICENSE NO. MAIL ADDRESS USE or BU1LD1N0 8 Claaofwork: □ NEW □ ADDITION □ ALTERATION □ REPAIR 9 Describe work: PERMIT FEES No.Typa of Fixture or Item Fes SPECIAL CONDITIONS:WATER CLOSET (TOILET) BATHTUB LAVATORY (WASH BASIN) SHOWER KITCHEN SINK ft DISP. DISHWASHER riON ACCEPTED BY:PLANS CHECKED BY:APPROVED FOR ISSUANCE BY;LAUNDRY TRAY CLOTHES WASHER WATER HEATER NOTICE THIS PEF/mIT becomes NULL AND VOID IF WORK OR CONSTRUC TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM MENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THISAPPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNINQ THISTYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIEDHEREIN OR NOTTHE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THEPROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATINGCONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. IISNATURE OP CONTHACTOR OR AUTHORIZED AOllKT URINAL DRINKING FOUNTAIN FLOOR-SINK OR DRAIN SLOP SINK GAS SYSTEMS: NO. OUTLETS WATER PIPING ft TREATING EQUIP. WASTE INTERCEPTOR VACUUM BREAKERS LAWN SPRINKLER SYSTEM SEWER CESSPOOL SEPTIC TANK ft PIT PERMIT SIBNATURt OF OWNER (IP OWRKR BVILQIR)(PATCl TOTAL FEE cn ^1^ WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK.M.O.CASH PERMIT VALIDATION CK.M.O.CASH Form 1(X>.2 9-69 INSPECTOR REORDER FROMI INTERNATIONAL CONFERENCE OF BUILDINO OFFICIALS • EG 80. LOl RO BL ES S PABADEHA, CALIFORNIA SIIOI