HomeMy WebLinkAbout165 CHESTNUT AVE; ; 65-8370; PermitCITY OF CARLSBAD
BUILDING DEPARTMENT
729-1181 -Ext. 36
For Applicant to Fill In
Application for BUILDING Permit
Building Permit Fee
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To Const. E[ To Add D
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'To P« !ls*H F^r j^s^iA
Floor ^parp (Sq, Ft,) /j -ft
Garage Floor Space (Sq. Ft.]
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To Alter D Convert Q .
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Frame, Masonry, etc.
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Attached
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Block
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^ Section Township Range
Will this construction include
ation? Yes tf No D ,
Signature of Applif^nty //^>fejL
any plumbing installation or alter-
\ ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE T-HAT THE ABOVE IS CORRECT AND AGREE TO
COMPLY WITH ALL CITY AND STATE LAWS REGULATING
BUILDING.
1 CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY CITY OF CARLSBAD AND
STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWNER
OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY.
SIGNATURE
Op PERMITTEE
JUN 28-65 5 Cc 5094* 6<f**^58
Building Dept. Use Only
Building ArMroce / £., c£ t&j3*£&*&-~^*~*^*J -^^
St. Nnsr -^^A-^^t^^-t^--^^?----is~ X
Set Back ' Bldg. Valuation
Front P.L. ^P ' Main Bldg. //, ? <fi/. ^
Side. P.L. £f Garage
Rear P.L. J 0 ^ Other
Group Zone Approved by
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Contractor City Bus. lie. No ...
Water Meter Sewage Disposal System
Inspection Record y
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s
Utility Company NotifipH — Date . Ry
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.
Permit void if work is not commenced within 60 days of isiuanea.