HomeMy WebLinkAbout1709 EVERGREEN CIR; ; 75-323; PermitQ 0
PLUMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA
Applicant to complete numbered spaces only Permit No 75 · 3.) 3 ·
JOB ADDA ESS
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LOT NO. I aLK I T .. ACT
LIGAL I C/ t DESC ...
OWN 1111 MAIL AODIIIE.SS ZIP PHONE
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CON TIIIAC TO" MAIL ADOAE.S! " PHONE LICCNSC NO. STATE CITY
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AIIICHITCCT 0111 OESIGNtfll . MAIL AOOll[SS PHONC LICENSE NO,
4
[NC. IN ££11 MAIL ADDIIE.SS PHONE. LICCNSI. NO,
5
COMPENSATION (NS, CARRI ER MAIL ADOlll[SS 8 111ANCM
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U!U. o, BUILDING .
7
8 Class of work: I'S NEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work:
PERMIT FEES
No. Type of Fixture or Item Fee
SPECIAL CONDITIONS: 3 WATER CLOSET (TOILET ) $J~ ~ £)
.2 BATHTUB ., ?d
3 LAVATORY (WASH BASIN) ,--f C•1
SHOWER
I KITCHEN SINK & DISP. ,' 1~-d
I DISHWASHER / \-r.,
APPLICATION ACClPTEO BY PLANS CHECKED BY ::::,;;;;?;;-I LAUNDRY TRAY / I 'i ""%. t!J~·A/ I CLOTHES WASHER / [S-.,
I WATER HEATER / (-.,,
~ NOTIC E 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
MEN CED. / GAS SYSTEMS: NO.OUTLETS .5 ,,.J, ,:,p-I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND 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
/ SEWER ~ f),,.
CESSPOOL
C .. \~ SEPTIC TANK & PIT 3-,, .. -,s-ROOF DRAINS
51GNATUR\,.S..f CONTPIACTOpt Of': AUTHOJIIIZ.~D AG~NT (OATI)
PERMIT $ 7 Sc)
91C.N•fl1111r o, O'IWNUI ,, OW,,.['I eu, D[Jlt A Tl J TOTAL FEE S ~Y l~O
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O CASH PERMIT VALIDATION CK., M.O. CASH
INSPECTOR