16250 SW KING CHARLES AVE •
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CITY OF . - ��,9 77 N2 � _
BUILDING PERMIT APPLICATION T5(�A D DATE 1(
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
OWNER 7 4` 4) ADDRESS /424.6 9a I C ER PHONE
ENGINEER 1
B_L'ILDFRaCeti. ARCHITECT DESIGNER
STRUCTURE ❑NEW 0 REMODEL �1 ❑ADDITION 56REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
RESIDENCE ❑COMM DEDUCATIONAL DGOV'T DRELIGIOUSDPATIO OCAR PORT• ❑GARAGE ❑ STORAGE ❑SLAB ❑FENCE
BOND D MOVING ❑CONDITIONAL USE D DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
•
OCCUPANCY LAND USE ZONE BLDG. TYPE FIRE ZONE_ PLAN CHECK BY HEAT
AD , _/ / , .........e• , .� • . 1 _.�
/
Mit
OCC. LOAD FLOOR LOAD HEIGHT NO. STORIES AREA VALUE ?
t BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
I Permit j • q
1 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
I { WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Recording I ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR Ar. JR CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State I r ,V-'? LICENSE. SEPARATE PERMITS REQUIRED FOH - .vER, PLUMBING AND HEATING.
Total i ( qj 9- •
1By • I l T,a� / i
APPLICHNl UH HGFN:
• I Approved 1 f� lw r, " eceipt No. .
ADDRESS • PHONE