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Home My WebLink About1375 BASSWOOD AVE; ; 63-5390; Permith . APPLICATION FOR B u 4 D IN u PERMIT _-- - N? 5390 CITY OF CARLSBAD - BUILDING INSPECTION DIVISION PHONE PArkwav 9-1181 - Ext. 36 \ ..... ...................................... (First) (Middle J Number Owner Name a..ffh. (Please Print) - (Last9 Mailing Address .../3JJ .................................................. Mailing Address ...... ................ ....................... (Please Print) Number Street City Phone To Alter 0 To Repair 0 .To Convert 0 To Move From .............................................................. Address To Construct Kind of Foundation no. of Stories ................ Proposed Construction (sq. feet) .... 26.d .................... Cons). Valuation $ e- aitached Floor Space of Garage (rq. feet) ................................................. detached UConst. Vafuation $ ................ -\ .......................................... I. -..- ^I-_ . LEGAL DESCRIPTION ............ ...? ...................... .............................-......................-..................................................... ................................................................ ..............-.. Lot Block Subdivision .................. .......... or .......................................................................... - ........................................... .. ...-.. Section .............. & ..Qe Range ._ ......_._..- Located at . street, Near ..................................... ..................................................... Assigned House Number LAND AREA ...................................... NUMBER OF EXISTING DWELLINGS ON PROPOSED BUILDING SITE ...! ................................................ (INDICATE SIZE, USE AND LOCATION ON PLOT PLAN). WILL THIS CONSTRUCTION INCLUDE ANY PLUMBING INSTALLATION, ALTERATION, OR ADDITION? YES. ............... NO ................. 4 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION. If a check is tendered for payment of the above fee and the check is not honored when presented for payment, your Building Permit will be immediately revoked. PERMITTEE SIGNATURE OF Variance Driveway Permit Required Yes ( ) No ( Grading Permit Required Yes ( ) No ( ) Sewer Disposal Plant Capital Con). Fee ............. Sewer Pumping Station Capital Coni. Fee ........... Sewer Main Line Cost ............................................... Sewer Lateral Connection Charge . ...................- ... Water Stocked Lands Charge ................................. Water Main Pipe Line he ..............................................................___.________._.___........-.. .. Water House Service Charge ........................................................................... .........__... Water Meter Charge ........................................ ._........._ ...................................................... Plans Approveya&L ........................................................ Plan Check Fee ............................................................. .. ....................................... Approved by ................ Date .............._...-...srr.... 63. ................................................. Total Charges L.- ...................................................................... ...... ....................................................... Building Permit Fee .......................................................................