HomeMy WebLinkAbout1385 BASSWOOD AVE; ; 70-81; Permit1y-q ' lo Application 3r BUllDlNGJegil -
Building Permit Fee
CITY OF CARLSBAD BUILDING DEPARTMEE
729-1 181 - Ext. 36
For Applicant to Fill In
Owner's Name
Mail Address
:o Const. To Add 60 Alter 0 Convert 0
To Move From -
Frame, Masonrv, etc.
-0 Be Used Fo
(ind of Foundati -
:loor Space (Sq. Ft.) 3
Attached %rage Floor Space (Sq. Ft.)
Detached
.egal Description
Lot Block
ju bdivi sion or
Section Township Range
qo. of Existing Building /
Will this construction incl any plumbing installation or alter-
ition? Yes 0 Nofl
jignature of Applicant
I ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL CITY AND STATE LAWS REGULATING BUILDING.
I CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
SIGNATURE OF PERMITTEE ~ I, -w
Buildina Ded. Use Onlv
Building Address/r?g 5-17 esswdn rte
St. Nea UP-
Garage
Set Back
Front P.L.
Side P.L.
Rear P.L. I ' Other n-
Appr
I
Water Meter-
Inspection Record
_____
Utility Company Notified - Date.- BY Final ____ .~ . .-
I; a check is ieridered for pdyment for the above fee and the
check is not honsred when presented for payment, your
C;ty of Carlsbad Building Dept.
J buildkg permit will be immediately revoked.
, - ~.
Permit void if work is not commenced within 60 days of issuance.