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HomeMy WebLinkAbout1708 EVERGREEN CIR; ; 75-322; Permit--0 PLUMBING PERMIT APPLICATION ,_ ** City of CARLSBAD, CALIFORNIA A b d pp ,cant to comp ete num ere spaces on y. p erm1 t N o. C I .n Joe ADO .. l:&5 l 1G 8 t:u1:.-RG, \._ I: ,..., C1R.~<..€ .. 6rtL S /iA,) LOT MO. t I OLK I T~ACT., - LC~AL I 1 DESC~. OWNE.llt M,td L. A00111£SS ZIP PHONE. 2 5~ L • ..,_ i~ Co/2.fJJ; , -· J 4: • CA2.lSRA ,') ~ 'l..8 ,_.._ &., ' ,. CONTNACTOIII MAIL ADOIIIE.SS,.. PHOHI LICl:NS~ NO. STATE CITY 3 ~"'" eo..,.,..'i"" ,)(..,8(,. JJ)i .. ,.iJJS"fR•Al... CS(. J>l-:f 61f3 ... f ' 9(, 7 1-I ..... AIIICHIT[CT OJlt OESICNC.111 .. MAIL .a.oo,u:ss PHON(. LICE.NS[ NO, 4 [NGINE.£JII MAIL AOOIIICSS PHONI. LICCMS[ NO, 5 COMPENSATION (NS. CARRIER MAIL ADO .. [SS IIIANCH 6 S"TATlc' Co~p. /: iJ 4"t' I) _,,,A;fln,o 0,_,. R,o :s-.. S"li.-: U1vGO ';_-- USE 01" IUILOING • 7 8 Class of work: CJ NEW 0 ADDITION 0 ALTER ATION 0 REPAIR q Describe work· PERMIT FEES No. Type of Fixture or Item Fee SPECIAL CONDITIONS .7 WATER CLOSET (TOILET) $ t ,~. BATHTUB .,, ,,. LAVATORY (WASH BASIN) .. SHOWER , KITCHEN SINK & DISP, I ~ c., I DISHWASHER / ~ APPLICZN ";{~r PLANS CHECKED BY APPROVED FOR 1&SUANG£ BY I LAUNDRY TRAY ~ 5c, OATE.3/1/Js I CLOTHES WASHER / ~b 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 ANY TIME AFTER WORK IS COM· SLOP SINK .~ MENCED I GASSYSTEMS:NO.OUTLETS ~ . ...::J. 1;/J I HEREBY CERTIFY THAT I HAVE REAO ANO EXAMINED THIS APPLICATION ANO KNOW THE SAME TO 8!: TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS WATER PIPING & TREATING EQUIP. - TYPE OF WORK WILL BE COMPLIE.D WITH WHETHER SPECIFIED WASTE INTERCEPTOR HEREIN OR NOT, THE GRANTING OF A PERMIT ,fr.OES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR C NCEL THE VACUUM BREAKERS PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. LAWN SPRINKLER SYSTEM -I SEWER "",\ ;JV CESSPOOL c.~~~ SEPTIC TANK & PIT .! . IJ· ,.r ROOF DRAINS 81C.NATUl'IV' COHTIIACTOII Olll AUTHO"'llCD AG(NT IDATtl --PERMIT $ / ;JQ !IIGNATUIU. o, OWHE" ti, OWN[lll BUILDllll:) f0AT£) TOTAL FEE $ -i/.t:, IC?J.!.i . WHEN PROPERLY VALIDATED IIN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH I II ~f,5tJ INSPECTOR