HomeMy WebLinkAbout1716 BONITA LN; ; 67-09680; Permit- CITY OF CARLSBi' BUILDING DEPARTMklrlT
729- I I8 I - fxt. 36
For ADDiicant to Fill In
Owner's Name C? iersd. 31
Mail Address 1 7 ih
Contractor 0 we r'
Contr. Address
To Const. 0 To Add d To Alter 0 Convert 0
To Move From
rype of Const.
Frame, Masdnry, etc.
LX I mnq d
(ind of Foundation No. of Stories
-loor Space (Sq. Ft.) /m 11%. FfO 4
Attached %rage Floor Space (Sq. Ft.) Detached
-egal Description Lot Block
Subdivision or
Township Range
Uo. of Existing Building
Will this construction include any plumbing installation or alter-
>tion? Yes 0 NOH
Signature of Applicant
I ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL CITY AND STATE LAWS REGULATING BU l LDl NG.
I CERTIFY THAT I AM PROP LICENSED AS REQUIRED BY STATE OF CALI OF THE ABOVE
SIGNATURE OF PERMITTEE
Building Dept. Use Only
Building Address /7/ b BL~ 37 ii,
St. Near !/V 5T f,
Set Back Bldg. Valuation
Front P.L. Main Bldg. i Side P.L. Garage
Other
-.-
Contractor City Bus. Lic. No, ___
Water Meter Sewage Disposal Sysbrn I
Inspection Record
Utility Company Notified - Date BY Final
If a check is tendered for payment for the above fee and the check is not honored when presented for payment, your building permit vill be immediately revoked. City of Carlsbad Building Dept. Y -.
Permit void if work is not commenced within 60 days of issuance.