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HomeMy WebLinkAbout1705 EVERGREEN CIR; ; 75-319; Permit« I PLUMBING PERMIT APPLICATION City of CARLSBAD, CALIFORNIA Applicant to complete numbered spaces on y. p erm1t No. .... I JO& ADOIIII t:S9 C.-ui..~ ~,BA,') , -, I -.Jc:-rl 4 C,1<, ( -.:.....__ ' '-""' LOT NO, -I 9 Lk I T~ACT LCGAL I 1 ouc~. ~ OWN[ .. MAIL ADDIIIESS ZIP PHONE 2 . ;;:, ... 1-.ct-~ CoR..P r -, -:-, (): ., . (~'2.t.YlA~ : ~-"8 -~ { ''" CONT .. ACTOIII • MAIL A0Dl111ES5 PHOM E L.ICtN St. NO, ST AT E CITY 3 • ~ eo".,.n y ?c.e. (... 'I··:, ' . , Tl{,;f(. csc. ;~~ tollw 3 .;._·!} ·.c..'7 .s,s<, '~ A .. CHIT[CT O" Dt.SIGN[lt ~ MAIL AC0111£5S PHONE L IC[NSC NO, 4 [NGINl'.EIII MAIL A.OD" ESS PHONE. LICltNSE NO, 5 COMPENSATION (NS. CARRIER MAIL AOD111E5S .:s'. IUI.ANCH 6 S1 I Co1111::>. J:"t/,..,1) • ~-.;,.... ~ !:' CAno.vo ~,l ~ID v .;4, .L./C.60 . US( Or IIVILOINC 7 8 Class of work: lS NEW 0 ADDITION 0 AL TE RATION 0 REPAIR q Describe work: PERMIT FEES No. Type of Fixture or Item Fee SPECIAL CONDITIONS· .., WATER CLOSET (TOILET) ~ ~ ';A BATHTUB 7 -~ LAVATORY (WASH BASIN) -I• ~ SHOWER - I KITCHEN SINK & DISP. / .;;Jv I DISHWASHER / ':,?:; APPLZ IOZA/ PLANS CHECKED BY APPRDIIED FD~ ISSUAN<;L av I LAUNDRY TRAY / ;;)Q DATE ~/If PS I CLOTHES WASHER / ~o / WATER HEATER / ~ .I NOTICE f 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 MENCED I GAS SYSTEMS: NO. OUTLETS .J~ r} i07) I HEREBY CERTIFY THAT I HAVE READ Ar-.O EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. WATER PIPING & TREATING EQUIP. -ALL PROVISIONS OF LAWS AND 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;. b'O c~~~ CESSPOOL SEPTIC TANK & PIT 3-1'?-"J.! ROOF DRAINS SIGNATU"t. 6, CONT .. ACTO" O" AUTHO,.ll.ED AC',;CNT (DAHi -~ . PERMIT $ / :,v •tC.N,t.Tu"r n, OWN(Pt I,. OWM[I': IIUIL0(") OATC) TOTAL FEE $~ St'. WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH INSPECTOR