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Permit ,,or„-r. T © —12151 BUILDING PERMIT APPLICATION KING CITY. DATE ' " , 1 9_Z! _ THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONF OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONF LOT NO. OWNER "• Jeassagi JOB ADDRESS Alg UMW HOME ADDRESS ARCHITECT }f,,. -.t. "7., ENGINEER BUILDER ADDRESS DESIGNER _ STRUCTURE ❑NEW ❑ RI MODEL ❑ADDITION ['REPAIR ❑RENEWAL ['FIRE DAMAGE ['DEMOLITION ❑ RESIDENCE ❑COMM DEDUCATIONAL ❑GOV'T ❑RELIGIOUS ❑PATIO OCAR PORT ['GARAGE ❑ STORAGE ❑SLAB ❑FENCE ['BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS OCCUPANCY LAND USE ZONE BLDG. TYPE FIRE ZONE PLAN CHECK BY HEAT -------- L_.4 L. i i .- — .i..4„ i...i.tiii c.:.r_„ laintr (yIVi3il e.: jJikali iii -Li { EJL: •F t iil iii 6 i. ;A. -as OCC. LOAD FLOOR LOAD HEIGHT NO. STORIES AREA NO. BEDROOMS VALUE BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE Permit THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE ' WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH Sub - total ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS State Tax LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING. Total By - -- -- - - - - - -- — Approved Receipt No.� 7° APPLICANT OR AGENT DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE Contractor Permit No. Rough -in Fixture Final HEATING Contractor Permit No. • Gas or Oil Rough -in Final SEWER Final DRIVEWAY Final Stollen Drainage (Rain Drain) Final Sidewalk Curb & Street Final Approach BLDG. DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY Final CERTIFICATE OCCUPANCY Landscaping Zoning Final