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HomeMy WebLinkAbout156 CHERRY AVE; ; 72-1249; PermitPermit No. PLUMBING PERMIT APPLICATION ' '/'/City of CARLSBAD, CALIFORNIA Applicant to complete numbered sp'aces only. JOB ADDR ESS ^ > jtr** . .. LOT NO. BLK f TRACTLESAL (LJSEE ATTACHED SHEET) 1 DESCR. OWNER .. 1 Jf\ I MAIL ADDRESS ZIP PHONE 7 f ^1 f^f^ U IWT|I/- s -~j<!* -• ''-''C"^/- ***' jf1/^V vl^rt S/ t,^f \e? \ t * » lv(^»^«' •oc*^'^ •*'••<?/& \J&y'/$>'if:Z£.£t& CONTRACTOR , -s-*iw MAIL*ADDRESS RHONE LICENSE NO. 3 $jud&\/Son 1. Iticb^iA^JLii ^t-4i 5ik-fe • • "^(s^ ARCHITECT OH DESIGNER * . MAIL ADDRESS PHONE LICENSE NO. 4 ENGINEER MAIL ADDRESS PHONE ' LICENSE NO.5 „_.-------- LENDER . MAIL ADDRESS BRANCH 6 USE OF BUILDING 7 ,v • • - - . . . . - 8 Class of work: @NEW D ADDITION D ALTERATION D REPAIR *9 Describe work: SPECIAL CONDITIONS: APPLICATION ACCEPTED BY: PLANS CHECKED BY: APPROVED FOR ISSUANCE BY: NOTICE THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM- MENCED. 1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THISAPPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. / -• /^t' i ^^~~±^ SIGNATURE OF CONTRACTOR OR* AU THOR I Z ED AGENT (DATE) SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE) .(. p 3 % •,-s ^\ «-, Sj^* s> ft ) <-; O• a ' §D31 Flww X JA V* >l' rs ^ t >^ PERMIT FEES No. £< To ^ fe /1 m 1 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 ./JT^*, GAS SYSTEMS: NO. OUTLETS (^*£— _) WATER PIPING & TREATING EQUIP. WASTE INTERCEPTOR VACUUM BREAKERS LAWN SPRINKLER SYSTEM SEWER CESSPOOL SEPTIC TANK & PIT PERMIT $ TOTAL FEE $ Fee $ ', c? t «' $ v'" ' V/ 1 / f / / - -~~> .,-' •// * v'f*--* /)^ j* f V V ^ <f "^'} " -^-ts ^ / r'/ ;> <-• rfi ; WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT " ~ "DCD 3 ^o ''""* . v" '"^^ •'V»? v*--*, ^L, Jf •*f"* # PLAN CHECK VALIDATION CK.M.O.CASH PERMIT VALIDATION CK.M.O.CASH INSPECTOR INSPECTION REPORTS DATE ITEM REMARKS INSPECTOR USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.