HomeMy WebLinkAbout1702 EVERGREEN CIR; ; 75-316; Permit-0
PLUMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA
Applicant to complete numbered spaces only Permit No 15-31~
JOB AOOA £5S
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OWNEJI MAIL ADDl'IESS 21P PHONE
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CONTfllACTOA /),_AA MAIL AOOll'ESS PHONE LICENSE NO. STATE CITY
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ARCHITECT OA DESIGNER ""AIL AOr~-c • 'f';}O;tS' PHONE L IC£N5l NO.
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[NGO.;ttl'I MAIL ADDACSS PHONE LICE.NS£ NO,
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COMPENSATION (NS. CARRIER MAIL AOO"IESS
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USE Of' BUILDING
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8 Class of work: ~NEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work:
I PERMIT FEES
No. Type of Fixture or Item Fee
SPECIAL CONDITIONS. .J. WATER CLOSET (TOILET) $
;. BATHTUB
J_ LAVATORY (WASH BASIN) fl "I :>
SHOWER
I KITCHEN SINK & DISP.
I DISHWASHER
APPLICATION ACCEPTED ~y PLANS CHECKED BY APPROVED FO~/SSUANCE BY I LAUNDRY TRAY utK , / I CLOTHES WASHER / ...
OATE_j /I'! I}~ ,·
/ WATER HEATER ·.) ..
NOTICE URINAL
THIS PERMIT BECOMES NULL AND VOID 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 AN Y TIME AFTER WORK IS COM· SLOP SINK ~ MENCED. I GAS SYSTEMS: NO.OUTLETS ~ .;;,L o-D I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.
ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS WATER PIPING&. TREATING EQUIP.
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
/ SEWER
CESSPOOL
C'S~ .. ~ -0.. l~ SEPTIC TANK & PIT 3-, >-">.!)-ROOF DRAINS ' .SIGNATURE o, CONTRA~O" OJI AUTHOAIZE.D Al.ENT (OATl)
PERMIT $
SfGN.&TUIII[ OP' OWN~ .. II~ 0WH[lll &UILOt•tl OAT[J TOTAL FEE $ '9' ....
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION CK. M.O. CASH
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INSPECTOR
INSPECTION REPORTS
DATE ITEM REMARKS INSPECTOR
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.
4-24-75 Gas and Topout : O.K. E. Plude