HomeMy WebLinkAbout1166 LARKSPUR LN; ; 65-8289; PermitBU^NG^PART^ENT 8289 Applic^ |or BUILDING Permit
729-1 181 - Ext. 36 Bulling Permit Fee
For Applicant to Fill In
Mail Address //.&
<»To ConstNq To Add D To Alter Q Convert D
Move From
Frame. Masonry, etc
Floor Space (Sq Ft)
Garage Floor Space (Sq Ft Attached-
Legal Description
Lot Block
Section Township Range
No of Exisung Building
Will this construction include any plumbing installation or alter-
ation'' Yes D No'
Signature of Applicant
/I ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO
COMPLY WITH ALL CITY AND STATE LAWS REGULATING
BUILDING
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
OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY
SIGNATURE ,/
OF PERMITTEE 2^. .
5-65 5EiI°2538*******4.50
Building Dept. Use Only
Building Address
St Near .
// £ V
Set Baclt
Front P L
Side PL
Rear P L
Group
c7/\
Zone
Bldg Valuation ,£?<£/ — •
Mam Bldg
Garage
Other
Approved by
Contractor City Bus Lie No
Water Meter Sewage Disposal System
Inspection Record
Utility Company Notified
Final
Date-
If a check is tendered for payment for the above fee and the
check is not honored when presented for payment, your
building permit will be immediately revolted
City of Carlsbad Building Dept
Permit void if work is not commenced within 60 days of issuance