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CITY 0' 'a
BUILDING PERMIT APPLICATION TIGARQ DATE N1° 0842
THE UNCERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED G i � "�itCY
OR .1S SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND EPUIFICATIONS. OWNER PHONE�,��
OWNER 11W�'i i ADDRESS • F will -- _BUILDER PHONE ?
0`1B T}I ENGINEER
9LILDER _ HsalTECT
_ D FSIGNER _
STRUCTURE ONEW ❑REMODEL ADDITION ❑REPAIR ❑RENEWAL _ ❑FIRE DAMAGE DOEMOLITION
0 RESIDENCE DCOMM ❑EDUCATIONAL DGOV T DRE LIGIOUS OPATIO ❑CAR PORT OGARAGE [:]STORAGE DSLAB ❑FENCE
12BOND DMOVING DC('NDITIONAL USE - ❑DESIGN REVIEW ❑COUNCIL APPROVED [SIGNS r _a
CUPANC LAND USE ZONE BLDG.TYPE FIRE ZONE,._ PLAN CHECK BY__ _ HEAT
Construct 101 x21!30 alddil. .
to App Ovsd plane. +
Qf&LOAD___ FLOOR LOA L, HEIGHTNO,STORIES_ AREA VALUE r_
_ BUILDING IJEPA�tTMENT SET BACKS FRONT HEAR
—LEFT SIDE RIGHT SIDE ---
Permit r' -- —
Plan Check —
THIS PEPMIT IS ISSUED SUBJECT TO THF. REGULAT,ONS CONTAINED IN THE BUILDING CODE, 2'ONING
_ REGULATIONS .AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEP.EBY AGREED THAT THE
WORK WILL. ;e DONE IN ACCORDANCE WI TH THc PLANS AND SPECIFICATIONS AND IN COMPLIANCF. WITH
RGwrdlr^ — ALL APPLICABLt CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
r1F.STRICTIV' COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State __ LICENSE, SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
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131,
APPLICANT O I7 AGENT --
LAp-proved —_ _ Receipt No.
"" —
Da'E INSP. -YPE INSPECTION REMARKS PLUMBING DATE
N a—,840-mo Contractor c9w•.�
-- '`''�__� 1~ -L31>�_ •S j nJ A D,7 Permit No, 0 �f 3
C�7JttJ" gjS' Rou h.in
Fixture _ --—-
/ �6 2r� �'` Final —
HEATING —
IlU
Contractor
---- _ Permit No.
Gas or Oil
Rough-in
------------- --__ _
Final —�
— -- -------- —— — SEWER -
- _.—._�_.- _.__—•----_-- Final _
DRIVEWAY -------
- --- -- -------__ --..._------ Final
—_ --- �—__ __—_---- Storm Draina a -----
- (Rain Drain) Final
---- ---- — — Sidewalk A--
- _ Curb Street Final
—� —
_ A roach
8Lvu.DEPT. FINAL. TEMPORAR\ - CERTIFICATE OCCUPANCY -
CERTIFICATE OCCUPANCY Final
Landscaping
Zoning Final