HomeMy WebLinkAbout1767 BUTTERS RD; ; 77-7114; PermitPLUMBING PERMIT APPLICATION
SPEC1 AL CONDITIONS:
- ,-:w. t. d City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only. Phone 729-1181 Permit No.
JOD ADD* LSS
1767 Attwrr,m* -r cam
PERMIT FEES
No. Type of Fixture or Item FOE
WATER CLOSET (TOILET) J
BATHTUB
LAVATORY (WASH BASIN)
8 Clau of work: 0 NEW 0 ADDITION 0 ALTERATIO\ 0 REPAIR
9 Describe work: .r: asr;l.#rr#rt g# 6 r
~PPLICATION ACCEPTED BY PLANS CHECKED nv APPROVED FOR ISSUANCE BY
2;
$ DISHWASHER I
I @ LAUNDRY TRAY
CLOTHES WASHER
I I KITCHEN SINK & DISP. 111
DATE WATER HEATER p QB NOTICE
THIS P@RMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- TION AUTHORIZED IS NOT COMMENCED WITHIN 120DAYS.OR IF CONSTRUCTtON OR WORK ISSUSPENDED OR AEF@DQ EDFOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WOp IS COM- MENCED.
DRINKING FOUNTAIN
FLWR-SINK OR DRAIN
SLOP SINK -
GAS SYSTEMS NO. OUTLETS
WATER PIPING & TREATING EQUIP.
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I HEREBY CERTIFY THAT I HAVE REA0 AND EXAMYNED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
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VACUUM BREAKERS
LAWN SPRINKLER SYSTEM
SEWER NUMBER CLEANOUTS
1 1 URINAL Ill
-
I I WASTE INTERCEPTOR Ill
CESSPOOL
SEPTIC TANK 6 PIT
ROOF DRAINS
SIGNATURE OF CONTRACTOl OR AUTHORIZLD AGENT IDATLI
ISSUANCE FEE
TOTAL FEES SICNArUlL OC OWNLR (IC OWNER WJILDER) (OATCI
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
M.0. CASH PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK.