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BUILDING PERMIT APPLICATION of IVARD DATF �"`- " Is__-_._ Ile a
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE_— _
OR AS SHOWN AND APPROVED IN THE ACC N NG PNS AMD SPECIFI� ION.' OWNERPHOIV
',5�..r.►J LAG �.ciLr 1 / LOT No.
OWNER JOB ADDRESS �^�«+•«"' _
— �" hiOME ADDRFS.S
.._ ARCHITECT i
BUILDER "JAl m' ENGNEER
ADDRESS DESIGNER
STRUCTURE []NEW_ ❑REMODEL ❑ADDITION ❑REPAIR []RENEWAL ❑FIRC DAMAGE ❑DEMOLITION
❑ REhIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CIRPORT ❑GARAGE ❑STORAGE❑SLAB []FENCE
❑BOND ❑MOV ING ❑CONDITIONAL USE ❑DESIGN REVIEW DCOUNCIL APPROVED ❑SIGNS
OCCUPANCY - -LAND USE ZONE f...-, BLDG, TYPE FIRE ZONE PLAN CHECK BY etw HEAT
C,0111Ert. 811`1910 family did"llirN W/ettnchsd garage 3 Uedroom 2 beth
— ger&Ws 520 v —
,ewer permit
9CC.1Q9Q_--- FLOUR LOAp tIL �EI_GHT a--- $TORIES G-_-AREA--`*l�I2_LVa.aj-lZF1QQM�_
BUILDING DEPARTMENT �T SET BACKS FRONT REAR LEFT SIDE 1_ RIGHT SIDE
Permit 1d1.ou
THIS PERMIT IS ISSUFD SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CUDF, ZONING
Plan Check 10-00 REGULATIONS AND ALL APPLICA13LF CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONEE IN ACCORDANCE WITH THF PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub-total 191-00 ALL APPLICABLE CODES AND ORDINANCES THU ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND Sl18 CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Ta- 7*24 LICENSE. SEPARATE PERMITS REQUIRED FOR S'-WFR, PLUMBING AND IIEATING,
Total 158.21
.D.1. #2 $1'
By _
APPI ICAN1 OR AGI Ni. - -. _. .._._........
Approved I Receipt No.
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D/ATE� INSP. TYPE INSPECTION REMARKS PLUMBING DATE
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o Permit No. _j ?
7
Rough-in
Fixture- ---- —.__
Final
0 ---HEATING
Contractor ---
_ Jk4L¢ �/c��v _'1_ 7�f!'c �*y — Permit No. _—
_,tO Gas or Oil -
- /-1�•ki 4�l I�c4te( a-L-e- Rough i n --------- —
s Z z- vin�(�lA.'6 `�— f inal
_.-SEWER --
/� �� /�-�- --- ------ Final
_ DRIVEWAY
7-.2 Final ------ —- '
f,
Storm D•ainage _
(Rain Drain) Final
_ '� �� ✓- .�• �._ � Sidewalk — —_
Curb a Street Final
4 roach _
BLDG DEPT. FINAL— TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
lLandscaping
�.. Zoning Final �._