HomeMy WebLinkAbout1703 EVERGREEN CIR; ; 75-317; Permit. . Q •
PLUMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA
Applicant to complete numbered spaces only Perm it No '/5-3 /7
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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: :z. WATER CLOSET (TOILET) $
a BATHTUB
,
ii. LAVATORY (WASH BASIN) .~
( SHOWER
I KITCHEN SINK & DISP ' ~
I DISHWASHER ,, --·~""Fif PLANS CHEC"-EO BY :~:~;J;7i? I LAUNDRY TRAY I '""!l0
I CLOTHES WASHER / ,i ~o ""
l WATER HEATER / ~
NOTICE , f URINAL
THIS PERMIT BECOMES NULL ANO 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 ANY TIME AFTER WORK IS COM SLOP SINK -MENCED I GASSYSTEMS NO.OUTLETS.S _J IU"ll' I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND 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 .J ~ .(',I
CESSPOOL
C -'~ ~.,.,_,r SEPTIC TANK & PIT
ROOF DRAINS
SIGHATUllt~ CONTRACTOR OJII AUTHOltlZED AGEWT (DAT£J -~
PERMIT $ :I l'J t,;
SIGhATUlltE OP' 0WN[III ti' OWPll[N 9UILD[llt) (OAT£} ; TOTAL FEE S!c7C'-/ :r~
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, FOLLOWUP, ETC.
4-24-75 Topout and gas: O.K. E . Plude