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HomeMy WebLinkAbout1531 BASSWOOD AVE; ; 67-21; PermitCITY OF CARLSMD BUILDING DEPARI. LNT 729-1 181 -Ex,. 36 For Applicant to Fill In &a/ Owner's Name Mail Address /5-3/ /7a 5s- LrtPOb I 9 F'a7e-I cy Contr. Address k/z FUL? 95av To Const. 0 To Add 6 To Alter c] Convert 0 To Move From / Type of Const. Frame, Masonry, etc. Kind of Foundation Floor Space (Sq. Ft.) No. of Stories Attached Sarage Floor Spoce (Sq. Ft.) Detached Legal Description ___ Lot Block Subdivision or Section Town sh i p Range No. of Existing Building 'Wiil this construction incl d any plumbing installation or alter- Biion? Yes NO fl Signature of Applicant _. __ 1 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 LICENSED AS REQUIRED BY CITY OF CARLSBAD AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESeplBH RESIDENTIAL PROPERTY. SIGNATURE ApplicaI:-, n for BUILDING Permit -- Building Permit Fee fz e Building Address a BQ 85 td @n - 3 St. Near -aE. c- Set Back I ' 1 Bldg. Valuation e Front P.L. I 1 Main Bldg. I Garage I Side P.L. Rear P.L. Other Contractor City Bus. Lic. No. _i__ Water Meter Sewage Disposal System Inspecfion Record Uiility Company N'ztified -- Date.__-- By- ~ Final ____ ~. - -~ ~ ~_.__ -- ~--___I______~- ti a ckeck is ~enclered for pdymznt for the above fee and the check is not hsrcr.ld when presented for payment, your buildl,-g permit wii! I;.c imrccdiately revoked. Ciiy of Carlsbad Building Dept. fl Permlt void if work is not commenced within 60 days of issuance. _I