HomeMy WebLinkAbout1720 BRUCE RD; ; RW814202; PermitCITY OF CARLSBAD
43a-5560 I ENGINEERING DEPARTMENT
PERMIT FOR WORK ON CITY RIG
FOR APPLICANT TO FILL IN
ADDRESS33yC TQbb,huLi T - u,
CITY saK”atcu.
CITY LIC. NO. Emergency TEL. NO.
DESCRIPTION OF WORK
STARTING DATE
EST. OATE OF COMPLETION
I hereby acltnowledge that I have read this application and state
that the information given is correct.
I agree to comply with all applicable City Ordinances and State
Laws and with the reqyirements of this permit.
ADDRESS
AUTHORIZED A -
ENDORSEMENT OF COMPLIANCE
I have examined this aDDllcatlon anlHnve found that it complies
N? 06202’
PERMITTEE CALL CITY ENGINEERING
DEPARTMENT FOR INSPECTIONS CHECKED BELOW: 24 Hours Notice Required.
DATE INSPECTOR
EXCAVATION
0 FORMS
BACKFILL
PAVEMENT
PRIOR TO BACKFILL
0 PRiOR TO CURB CUT
SPECIAL CONDITIONS
(A) ALL WORK MUST CONFORM TO REQUIREMENTSOF CITY OF CARLSBAD STANDARDS, PLANS AND A.P.W.A. SPEC1 FICATIONS.
(6) INTERFERENCE WITH TRAFFIC MUST BE KEPT TO A MINIMUM.
(C) PERMIT EXPIRES SIX (6) MONTHS FROM DATE OF ISSUANCE UNLESS EXTENDED BY CITY ENGINEER. (D) OTHER
PERMIT FEE s
APPROVAL FOR RELEASE
INSPECTOR’S SIGNATURE DATE __
‘ -1 UE-~FFICE YELLOW-INSPEM GREEN-FINANCE PINKPERMITTEE MANILA CARD MUST BE POSTED ON JOB ---e.