HomeMy WebLinkAbout1250 Pine Ave; ; 73-2450; PermitPerm it No.
Applicant to complete numbered spaces only.
PLUMBING PERMIT APPLICATION 73 --~VSl? City of CARLSBAD, CALIFORNIA
JO& A.DOR £$5
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LOT NO. I 8LK I T~ACT Qst.£ ATTACHED SHE.ET)
LEGAL I 1 0 £5C~.
OWNER MAIL AOD .. CSS ZIP PHONC
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CONTfllAC.TO" MAIL ADDRESS PHONE LICENSE. NO.
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A,e:CHI TCCT OA D£S1GNE .. MAIL AODJIU:SS PHONE LICENSE NO.
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EtJc;1NCEfll MAIL AOO .. ESS PHONE LICl'..NSE NO.
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LENOC" MAIL ADO .. ESS 8,_ANCH
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US£. OF' BUILOINC
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8 Class of work: ONEW 0 ADDITION 0 ALTERATION [D REPAIR
9 Describe work: %/J/ Re u, o..e.-
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PERMIT FEES
No. Type of Fixture or Item
SPECIAt. CONDITIONS: WATER CLOSET (TOILET)
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK & DISP,
DISHWASHER
,APPLICATION ACCEPTED:::; PLANS CHECKE O 8 Y APPROVED FOR ISSUANCE BY LAUNDRY TRAY _/ :_;t/ CLOTHES WASHER
I WATER HEATER
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. / GASSYSTEMS: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 REGULATING
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. LAWN SPRINKLER SYSTEM
SEWER
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CESSPOOL
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SIGNATURE O F' CON°N(ACTOR OR AUTHORIZED AGENT ' (DA Tit)
PERMIT
SIC.NAT .. E 0 1' OWN£" 411" OWNE.R BUILO£R) OATE TOTAL FEE
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
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PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR