HomeMy WebLinkAbout1394 Magnolia Ave; ; 75-1550; Permit-0* .....
PLUMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA
Applicant to complete n bered spaces only Perm it No nu 1 a .
Joe ADDA 1:55
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MAIL AOOIIU'.55 \. "'"
ZIP PHONE.
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CONTAACTOIIII MAIL ,&.00R"6S PHONC LICENSE NO. STATE CITY
3
AflCHll'ECT OA OESIGNEll': MAt L ADDRESS PHONE. LICENSE NO.
4
ENGINEER MAIL A.DOR ESS PHONE LICENSE NO,
5
COMPENSATION INS. CARRIER MAIL AODIIE55 fUIANCH
6
USE OF BUI LOIN G
7
8 Class of work: □NEW S-ADDITION 0 ALTERATION 0 REPAIR
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'l Describe work : f' ~ ~ \~, ~
PERMIT FEES
No. Type of Fixture or Item Fee
SPECIAL CONDITIONS: WATER CLOSET (TOILET) $
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK & OISP.
A D ISHWASHER
APPLICATION ACCEPTED BY PLANS CHECl<ED BY APPP,,z, FOA ISSUANCE SY LAUNDRY TRAY /i ·-?, CLOTHES WASHER
_../' ,
WATER HEATER DATE
NOTICE URINAL
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC· DRINKING FOUNTAIN
TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF FLOOR -SINK OR DRAIN CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-~ SLOP SINK
MENCED. / GASSYSTEMS,NO.OUTLETS / • .J
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE ANO CORRECT. WATER PIPING & TREATING EQUIP, ALL PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED WASTE INTERCEPTOR HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT
PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE VACUUM BREAKERS PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. LAWN SPRINKLER SYSTEM
SEWER
CESSPOOL
SEPTIC TANK & PIT
ROOF DRAINS .
51GNATUllll:E Of' CONT,.ACT9" OFI A.UTHO"\'t.£0 AO[NT (DATll ~ w :hM~,,
-
PERMIT $ , .
TOTAL FEE $ ~ l 51C.NATU"£ OP' OWN£" IP' OWN£" 8-JILOtR tOAT£) ,
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
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