HomeMy WebLinkAbout1294 CYNTHIA LN; ; 71-977; PermitPLUMBING PERMIT APPLICATION 2
;PA1D.City of CARLSBAD, CALIFORNIA Nnv-9-71 5^563**}**
Applicant to complete numbered spaces only
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JOB ADDR ESS
1294 Cynthia
,LEGAL
[DE3CR
CZ3SEE ATTACHED SHEET)
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Smith, G. W.
MAIL ADDRESS
1294 Cynthia
CONTRACTOR MAIL ADDRESS LICENSE NO
3 Bob's Plumbing 2501 State St. Carlsbad 729-2055 245707
ARCHITECT OR DESIGNER MAIL ADDRESS LICENSE NO
ENGINEER LICENSE NO
USE 0 F BU I LDING
8 Class of work D NEW D ADDITION D ALTERATION D REPAIR
9 Describe work Water heater changeout J
PERMIT FEES
No Type of Fixture or Item Fee
SPECIAL CONDITIONS WATER CLOSET (TOILET)
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK & DISP
DISHWASHER
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY LAUNDRY TRAY
CLOTHES WASHER
WATER HEATER
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 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 GOVERNING THISTYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIEDHEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOTPRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THEPROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATINGCONSTRUCTION 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
10-25-71
SEPTIC TANK & PIT
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT
PERMIT
SIGNATURE OF OWNER (IF OWNER BUILDER)TOTAL FEE $ 5 oo
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION CK M O CASH
APPLICANT
Form 100 2 9-69 REORDER FROM INTERNATIONAL. CONFERENCE OF BUILDING OFFICIALS • so so LOS ROBLES (PASADENA CALIFORNIA 91101