HomeMy WebLinkAbout1255 CYNTHIA LN; ; 75-809; PermitPLUMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA ___ ^
Applicant to complete numbered spaces only Permit No •* -^ * f'^ ^7
LEGAL
DESCR
OWN ER2 W53SWI!1255
CONTRACTOR MAIL ADDRESS LICENSE NO ST AT E3563. State Carlsbal
MAI L ADDRESS LICENSE NO
ENG IN EER LICENSE NO
COMPENSATION fNS CARRIER
ST4TS
MAIL ADDRESS
ISSWtjUICS fW ?. o. ta 8@*a8, SMI Dingo, C».
USE OF BUI LDIN G
8 Class of work D NEW D ADDITION D ALTERATION D REPAIR
Describe work 1&&Q* 3KH&8T
PERMIT R£ES
No Type of Fixture or Item Fee
SPECIAL CONDITIONS WATER CLOSET (TOILET)
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK & DISP
DISHWASHER V.APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED fOR ISSUANCE BY LAUNDRY TRAY
CLOTHES WASHER
WATER HEATER
rt
NOTICE
THIS PERMIT 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 COMMENCED
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 GOVERNING THIS
TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED
HEREIN OR NOT THE GRANTING OF A PERMIT DOES NOT
PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION
URINAL
DRINKING FOUNTAIN
FLOOR—SINK OR DRAIN
SLOP SINK
GAS SYSTEMS NO OUTLETS
WATER PIPING & TREATING EQUIP
WASTE INTERCEPTOR
VACUUM BREAKERS
LAWN SPRINKLER SYSTEM
SEWER
CESSPOOL
6/23.75
SEPTIC TANK & PIT
ROOF DRAINS
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT
PERMIT
SIGNATURE OF OWNER OF OWNER BUILDER)TOTAL FEE
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION CK M O CASH
INSPECTOR