HomeMy WebLinkAbout1740 BUENA VISTA WAY; ; 68-374; PermitApplicaliC_ for
Building Per
CITY OF CARLSBP BUILDING DEPARTk - 1T 729-1 I8 I - Ext. 36
For Applicant +o Fill In
Owner's Name #A 1 T& // Lf
r 5
Mail Address l-> 4 0 E& €A/A hH 4
Contractor OCukER
Contr. Address GAh &-
To Const. &Add 0 To Alter 0 Convert 0
TO Move From
Type of Const. c1 OMC
To Be Used For AAAGE
Frame, Masonry, etc.
Kind of Foundation-
Floor Space (Sq. Ft.1
,.
Garage Floor Space (Sq. Ft.) Detached
Legal Description Lot Block
Subdivision ____ or
Section Township Range
No. of Existing Building
Will this construction incl d ny plumbing installation or alter-
aiion? Yes 0 NO @
Signature of Appllcanf
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 BUILDING.
I CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY CITY OF CARLSBAD AND STATE OF CALIFORNIA OR THAT THE LEGAL OWNER OF THE ABOVE DESCR d. B p RE,Ji&&L PROPERTY.
S l GN AT UR E OF PERMITTEE -
Building Address
St. Near PA/!!kw
I I Set Back
Front P.L.
Side P.L.
Other
2
Contractor City Bus. Lic. No. II
Water Meter Sewage Disposal System
Inspection Record
Utility Company Nctified - Date.- Final By--
__I_ ._..__I-- __ ~_
Ii a check is ieiidered for payment for the above fee and the
check is not hcnorrd when presented for payment, your
buildit-,g permit wil! bo immcdletely ,revoked.
City of Carlsbad Buiidinq Dept. 1 1 -.
Permit vdd if work is not commenced within 60 days of issuance.
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