HomeMy WebLinkAbout1547 CHESTNUT AVE; ; 79-4940; PermitPLUMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
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ADDITION
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ADDRESS . PHONE 'STATE LIC. NO. CITY LIC. NO.
ADDRESS - PHONE , LICENSE NO.
ADDRESS PHONE LICENSE NO.
ADDRESS • BRANCH
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SPECIAL CONDITIONS:
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APPLICAJIC ^ACCEPTED BY 'PLANS CHECKED BY .APPROVED FOR ISSUANCE BY.
DATE
NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK
TION AUTHORIZED IS NOT COMMENCED WITHIN
CONSTRUCTION OR WORK IS SUSPENDED OR ABA
PERIOD OF 120 DAYS AT ANY TIME AFTER \
MENCED. ' ' •
I HEREBY CERTIFY THAT I HAVE READ AND E
APPLICATION AND KNOW THE SAME TO BE TRUE
ALL PROVISIONS OF LAWS AND O RDI NANCES -GC
TYPE' OF WORK WILL BE COMPLIED WITH WHET
HEREIN OR NOT, THE GRANTING OF A PERNPRESUME, TO GIVE .AUTHORITY TO VIOLATE OPROVISIONS OF ANY OTHER STATE OR LOCAL LAVCONSTRUCTION OR THE PERFORMANCE OF C
'•,'•'• '. ''-.'•' ~-U»* •• '-' ' -•• '•• . .• = • *--' •'
SIGNATURE OF CONTRACTOR OR Au THORIZCD' AGEN T
SIGNATURE OF OWNER (IF OWNER BU ILOE R)
WHEN PROPERLY
PLAN CHECK VALIDATION .CK.M.O
OR CONSTRUC-
20DAYS.OR IFMDONED FOR A
/VORK IS COM-
XAMINED THIS
AND CORRECT.
VERNING THIS
HER SPECIFIED1IT DOES NOTR CANCEL THEV REGULATINGONSTRUCTION.
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(DATE! 1
(DATE!
PERMIT FEES
No.
/.
Type of Fixture or Item
WATER CLOSET (TOILET)
BATHTUB
LAVATORY (WASH BASIN)
SHOWER • •
KITCHEN SINK & DISP.
DISHWASHER
LAUNDRY TRAY
CLOTHES WASHER
WATER HEATER
URINAL
DRINKING FOUNTAIN
FLOOR— SINK OR DRAIN
SLOP SINK
GAS SYSTEMS: NO. OUTLETS
WATER PIPING & TREATING EQUIP.
WASTE INTERCEPTOR
VACUUM BREAKERS
LAWN SPRINKLER SYSTEM
SEWER' •' ' -, NUMBER CLEANOUTS '
CESSPOOL
SEPTIC TANK & PIT
ROOF DRAINS .
ISSUANCE FEE $
• .. TOTAL FEES $
Fee
$
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.-Su~
a!
,
VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
. CASH PERMIT VALIDATION CK. M.O. . CASH
INSPECTOR