HomeMy WebLinkAbout1701 EVERGREEN CIR; ; 75-315; Permit0 0 ~
-PLUMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA
Applicant to complete numbered spaces only
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Perm it No ~ -/S
JO& ADOft £55
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OWN£11l MAIL A.ODlltESS ?IP PHON£
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CONTftACTOfil ' MAI L ADDR£S5 / PHOM[ LIC[N5 £ NO, STATE CITY
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ARCHITECT OR DESIGNER ,, MAI L AOD .. ESS PHONE LICENSE NO,
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~ ~ --ENCIN[[R -=~· MAIL A OOACSS PHONE LICENSE NO,
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COMPENSATION [NS. CARRIER MAIL ADDRESS s. 811U,NCH
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IJSt OF BUILDING I
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8 Class of work: [:] NEW 0 ADDITION 0 ALTERATION 0 REPAIR
q Describe work:
PERMIT FEES
No. Type of Fixture or Item Fee
SPECIAL CONDITIONS. J WATER CLOSET (TOILET) $ i
) BATHTUB f
:,.. LAVATORY (WASH BASIN)
SHOWER
I K ITCHEN SINK & OISP.
I DI SHWASHER ,
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR,.SSUANfE. 8Y I LAUNDRY TRAY / !:> ... ::., /
I . I -· / CLOTHES WASHER / :5 V·1 DATE.;)//'!/ I~ I WATER HEATER / I~
NOTICE URINAL
THIS PERMIT BECOMES NULL AND VOI D IF WORK OR CONSTRUC· DRINKING FOUNTAIN
TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF FLOOR SINK OR DRAIN CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-SLOP SINK
MEN CED. 7 GASSYSTEMS:NO.OUTLETS 4 ' ., ifJ I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT. WATER PIPING & TREATING EQUIP. ALL PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED WASTE INTERCEPTOR HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE VACUUM BREAKERS PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. LAWN SPRINKLER SYSTEM
I SEWER ..,., I ~"
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CESSPOOL
.3-17-..,~-SEPTIC TANK & PIT
ROOF DRAINS
51GNATuRE ~e o=CtNT . (DATEI ..
PERMIT $ ....
TOTAL FEE $ !II GNATU"E 01" OWNCk (I,-OWNE,-8UIL0£A) -(DAT£)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
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.
4-24-75 Topout and gas: O.K. E. Plude