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Permit
R 1DNGRAILATION �VIJ I P TA DATE - • . /4_7______. 19� coF IGRD I N. le63 , TIIIF UI )ERS!GNED HER EBY APPLI. .-OR APERMIT FOR THE WORK HEREIN hI uICATED BUILDER PHON W14. t OR AS SHOWN ANO APPROVED IN THE ACCOMPANYING PLANS AND SPFCIT !CATIONS � J!` Ov:NERPHONE__.__, I�f/20 • 03�� ILK LOT NO 2 S1 =, — OWNER ,4" c Ilomi JOB ADDRESS S \∎/, hh 3N zJ (CPR . -_ St. _ Al CHITECT T'1 1 71r� � � A. � n l ENGINEER ( 4 / ( — 7 1 BUILDER l.9 e __ - ADDRESS o - - - !` .... - -_ ^ ._ -. _RESIGNER `t w l 21, STRUCTURE - NEW ❑ D RE MODEL ADQITION DREPAIR D lE'.EWAL ❑FIRE DAMAGE DDEMOLITI.)i ❑ RESIDENCE MCOMM DEDUCATIONAL DGOV•T DRELIGIOUSDPATIO OCAR PORT OGARAGE ❑STORAGE ❑SLAB DFENC.' OCC::PANCv _. - _LAND USE ZONE - e- e_ . ©1 DG TYPE_ "— -FIRE 7ONF_;_ PL AN CHECK BY ./3 __R!�`l HEAT -- _ .�7- j r likreitato REIM= -/ - pus A P..Es' ,, -_ 2.e4 iic.a /PI r _Cr �_ sT ¢ ,a,:,a; os- --- f SEWER PERMIT p PCC.LQAD . - FLOO ;: _- HEIGHT - -- NO - - -F- AREA _-- N4 BEQRODMS _- VALUE�� s 000 _ _ BUILDING DEPARTMENT ;cT BACKS FRONT REAR LEI- t SIDE RIGHT SIDE Permit , _ — THIS P IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE. ZONIN Plan Check 9 3 `� EGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT Ti- T - CRKK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIAN WIT Suh total I ` Q 5 `� ! CE APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WA1' - - - I - STRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINE State Taxy T _ 7 ' 1 LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING. To ta! L 21 9 7i � SDC - F By \v i — APPLICANT OR AGENT L PPrOvPC — a, No — — — — — AnnctE SG PHONE SDC - $__.4 x v6cpAeas = .. 2300 �� . PDC # - SEWE ' ONNE CTION s €8O x 4r Ochs c 2 7 0 SEWER INSPECTION $ S 0 .. SEWER SURCHARGE $ • Comments: