HomeMy WebLinkAbout1335 BASSWOOD AVE; ; 75-1543; PermitPLUMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA
ADDlicant to comolete numbered spaces only.
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LOT NO. BLK TRACT
LEGAL DESCR. I I I DWNER MAIL ADDRESS ZIP PHONE
..
LICENSE NO.
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ARCHITECT OR DESIGNER MAIL ADDRESS PnoNE
I
ENGINEER MAIL ADDRESS PHONE LICENSE NO.
I
COMPENSATION fNS. CARRIER MAIL ADDRESS BRANCH
i
USE OF BUILDING
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I Class of work: i?! NEW 0 ADDITION 0 ALTERATION 0 REPAIR
Type of Fixture or Item FW ' No.
PECIAL CONDITIONS: WATER CLOSET (TOILET) $1
BATHTUB I
F WORK OR CONSTRUC-
WITHIN 60 DAYS, OR IF OR ABANDONED FOR A AFTER WORK IS COM-
I I SEWER II
~ ~ ~~~ ~ ' CESSPOOL
SEPTIC TANK L PIT
ROOF DRAINS
SICHTURE OF CONTRACTOR^ AUT-ED AGENT (DATE1
PERMIT
(DATE1 e WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR