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Home My WebLink About1781 ANDREA AVE; ; 62-4183; Permit"" - ~- , . '< . . 3. I. r'. .-. ' APPLICATION' FOR B 1% D IN 6 PERMIT " .. N? 4183 6- CITY OF CARLSBAD - BUILDING INSPECTION DIVISION PHONE PArhay 9-1181 - Ea. 36 &f $19 Owner Name ........... .................................................... Mailing Addnrr ...... .... (Pleare Print) (Last) [First) Contractor ............. ................................................. - Mailing bddnu ............ ..................................................... .......... ..................................... [Middle) s3cr x azjf Numbsr Street City Phons (Please Print) Number Street City Phon. To Construct HTo Add 0 To Altar 0 To Rspalr 0 To Convert 0 To Move From ................. Type of Const. 7-i.d of Founddion..h~ ........ NO. of Storiea ...... / .... To Be Used for ......................... m 1. ........................... (Frame, Masonry, Etc.) (One Family Dwelling, Stove. Etc.) _.. ~ ~/ - Floor Space of Proposed Conatruetion (aq. fed) Valuation $ etiached Floor Space of 6arag. (aq. foot1 ................... ............... detached OConat. Valuation I LEGAL DESCRIPTION .................... 15 ............................................. flf .... ................ Lot Block or .............................................. ................ Soction ...................... ........................... Losated at ... 1.281 ........ ................ Street. Near ................................... Assigned House Numbsr LAND AREA ...................................... NUMBER OF EXISTING DWELLINGS ON PROPOSED BUILDING SITE ........ Me..&...% ...... (INDICATE SIZE, USE AND PLAN). WILL THIS CONSTRUCTION INCLUDE ANY PLUMBING INSTALLATION, ALTERATION, OR ADDITION? YES NO ................. WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONST I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE T If a check is tendered for pa ment of the above fee a not honored when presented lor payment. your Building immediately revoked. Rem Yard Set Back _._._.__t!a ................................................ Sewer Diaposal Plant Capital Cant. Fa. ...................................................................... Off Street Parking Space, ............................................................ Sarer Main Line Coat ....................................................................................................... Sewage Dispoad Syatern ............... .............................. Sewer Lateral Connection Charge ................................................................................. / I Zone . Residential ( / ) ............................................................ Water Stocked Lands Charg. ......................................................................................... Zone . Commercial [ ) .......................................................... Water Main Pip. Line he ............................................................................................. Variance Water House Service Charge ......................................................................................... I Eng. Chest By Water Motor Char90 ...... % .................................. rf@ .... - ...................... 08 ................................................................................ Sub Total ...................................... 9.e ..................................... 00 /7s 7 c - Plans Appvovadpsyyyyya.L ............ Plan Chock Fee ........................................................................................................ Approved by ........... .* .... .............................................................. Building Permit Fee ......... ~~~.s./ ...................................................................... 00 Date ...... 3.- Total Charger ..................................... 9~8 ............................................. a