HomeMy WebLinkAbout1791 ANDREA AVE; ; 62-4155; PermitAPPLICATION FOR B lj D IN 6 PERMIT .... N? 4155
CITY OF CARLSBAD - BUILDING INSPECTION DlVlSlOtj L 'ld
PHONE PArhvry 9-1181 I Erf. 36 t4' ~
Owner Name Mailing Address
(Pieare Print) Street City Phone
Contractor ................ .... .... ................................... Mailing Address ............. ........................................................
(Pleare Print) Number Street City Phons
Eng. Check By ................................................................................ Water Meter Charge ......................... 9 0- ........................................................................
Sub Total ............. q.& * ..............................................................
Plan Chest Fee .......................................................................................................
.. ....................................................................... -% Approved by Building Permit Fee ...d... ~/...~
Date ......... &?-...8?..6 ..... * ....................................................... Total Charger .............. 9.1 ......................................................................
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