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15680 SW AL.OERBROOK CIRCLE
ADDRESS � �fr��) ` PERNI T NO. 3l— v--
PCR "ll T CHARGE none
OWNER -- �' � L CO ;NECTI0N FEE 650 .
PAID BY
TYPE OF BUILDING DATE CONNECTED y
SERVICE RATE Ir,SPECTION FEE �,� _y
CONTRACTOR PAID BY DATE _�—
SIZE OF CONNECTION _ ASSESSMENT _—^ PAID ^�
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BUILDING PERMIT APPLICATION ITIGAR.D DATE _. `.,.� ___. . 19 _ TT��
THE UNDERSIGNED HEREBY APPL iE3 FOR APE RMIT FOR THti WORK HEREIN INDICATED BUILDER PHONE
OR AS SHCWN AND APPROVED IN -IHE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHO'IE_.
L.OT NO..—..-'
OWNER r'ltalpt:'" i-k"Ji OPi'Ienk)B ADDRESS !':'680 80 .W Aldk-rhr lok 0 "hOhiE ADDRESS
ARCHITECT
ENGINEER
BUILDER _- - ADDRESS rr�� DESIGNERrr,- -
STRUCTURE ,LJNEW ❑RI MODEL _LUADDIITI_ON OREPAIR ❑RENEWAL [3 E
FIFIE r:AMAGE ❑DMOLITION
[3RESIDENCE []COMM ❑EDUCATIONAL ❑GOVT DRELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑STOR,\GE OSLAB ❑FENCE
OBOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW OCOUNCIL APPROVED ❑SIGNS
OCCUPANCY= LAND USE ZONE_ • -BLDG. TYPE— - FIRE ZONE PLAN CHECK BY_ HEAT__
_ P,4e•iobut! &aw s6s 15 1 .,twMifLeld Lout 2 bell, -
stt40lec ji;ersge -- --
saver 600.(A
CUM
E �t�rb
NC-5ME-1E$_—.-_ NEA _--N_" 99C1�� ---)L-LVE A _
BUILDING DEPARTMENT SETBACKS FRONT 1'.1'-6 REAR k"' LEFT SIDE '�!1 RIGHT SIDE
Permit l�•�•t7ll -- _ _.__ _—_— _ _ -_—_—
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check )•r11! REGULATIONS AND ALL APPLICABI.E CODES AND ORDINANCES AND IT IS HEREBY AGREED THAT IHE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS ANO i't COMPLIANCE WITH
SI h-total ALL APPLICABLE CODES AND ORDINANCES, THE ISSUANCE OF THIS PENMIT OCES NOT WAIVE
- - - RESTRWrIVF COVENANTS. CONTRACTOR AND SUR CONTRACTORS TO HAVE CURRF!,T CITY BUSINESS
State Tax ti.�/�" LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATIN-•.
Total -- 16 64 _
By — Y.'fWs ldm�i _- - -- - ---- -
APPI.ICANI (M AG(IJ I
Approved Receipt No
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•Ir v
`A a
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DATE INSP. TYPE INSPECTION IIT ' REMARKS PLUMBING DATII! III I
1�' r7� — •, .. ;�. , u v --- tontrectbr'I' k i t . 1
lid ', �` Permit No. G'�u t, IviWU
r_ FI, urr u.l
7 yam' ;y- ala _
Final
pull F�NM�I v� dl(' _'' I. ---- HEATING,
Ell A\- . - -- --- Contractor �r
)FJ
Permlt No. - ='
Gas or r.)il 1,.)-130
.- ._ ---- -- -- Irouph•In --
Final
- ------ -- � J SEWER
Final— Q�1�_7�
-- - -- — DRIVEWAY
_ ,.�---- ---- Flral N ,
Storm Drainage
(Rein Dreln)Final
- Sidewalk
— R Curb&Street Final
lop,
Approach J
- eL.DG. DEPT FINAL TEMPONARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY 7
n Landscaping y
Zoning Final-
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