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HomeMy WebLinkAbout1630 BASSWOOD AVE; ; 65-8565; PermitCITY OF CARLSBAD BUILDING DEPARTMENT Applicafion for WLMNG Permii ,t 729-1 I8 I - fxt. 36 q . i’! ii For Applicani toAcill In ./ > Move From .- Type of Const. Frame, Masonry, etc. To Be Used For S-lL Lk Q ,3-- Kind of Foundation (%.w Floor Space (Sq. Ft.) 4z--- 2. of Storie./. . e Attached Detached . Garage Floor Space (Sq. Ft.) Legal Description Lot Block Subdivision ___ or Section Township Range No. of Existing Building / Will this construction includ-ny plumbing installation or alter- ation? Yes 17 No Signature of Applicant 1 ,, , Building Permit Fee &-- --- PAID SEP 10-65 ?~1186*******6.OO Contractor City Bus. Lic. No, - Water Meter Sewage Disposal System = L.- - Inspection Record 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 LICENSED AS REQUIRED STATE OF CALIFORNIA OR OF THE ABOVE DESCRIE@ d’ /- Y SIGNATURE Lf OF PERMITTEE %-’ - d’ /- Y SIGNATURE Lf OF PERMITTEE %-’ - Utility Company Notified - Date BY Final If a check is tendered for payment for the above fee and the check is not honored when presented for payment, your building permit will be immediately revoked. City of Carlsbad Building Dept.