HomeMy WebLinkAbout1675 BASSWOOD AVE; ; 67-9792; PermitCITY OF CARLSBV BUILDING DEPARTLAT
729-1 181 - Ext. 36
For Applican.) to Fill In
I' ' / ,,' *
Owner's Name A. -&LE--%
Contractor /I . 5' 7A%--fl L f ,7&,--' L'
Contr. Address
To Const. 0 To Addb To Alter 0 Convert
To Move From
rype of Const. -
Frame, Masonry, etc.
To Be Used For
<ind of Foundation No. of Stories
-loor Space (Sq. Ft.)
%rage Floor Space (Sq. Ft.) Attached
Detached
.egal Description Lot Block
jubdivision or
Section Township Range
'40. of Existing Building
Will this construction include any plumbing installation or alter- Ifion? Yes 0 No 0
jignature of Applicant
I ACKNOWLEDGE THAT I HAVE READ THIS APPLlCATlON AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL CITY AND STATE LAWS REGULATING BUILDING.
I CERTIN 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 DESCRSED RESIDENTIAL PROPERTY.
SIGNATURE OF PERMITTEE &-/
dpplicalih for IulltDfMG Permif
Front P.L.
Side P.L. Garage
1
Rear P.L. Other
Group
Contractor City Bus. Lic. No. __
Water Meter Sewage Disposal System I
~~
Inspection Record
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 Buildina Deot. -.