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11395 SW CCYI"PONWOOD CANE
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SEWER PEY'AIT'1 31k K
N • 1.3948
U'nHled Sewerage Agency T a a n d 3-7-78
o. Washington County CITY OF DATE
OWNER : _ ArtLutz PHONE :
OWNER 'S ADDRESS:
TYPE OF INSTALLATION:
Xis 3UILDING SEWER ❑BUILDING SEWER AND SIDE SE ' FR
TYPE OF OCCUPANCY:
X W 'L= tINGLE FAMILY ❑ COPIMERCIAL_
❑EXIST . (PRIOR TO 7-1-70 ) ❑ MUL_T . RES. ❑ INDUSTRIAL
FIXTURE UNITS DWELLING UNITS _
PERMIT CONDITIONS: THE APPLICANT AGREES TO COMPLY WITH ALL RULES
AND REGULATIONS OF THE UNIFIED SEWERAGE AGENCY . WH�_N CALLING FOR
INSPECTION, PLEASE REFER TO THE PERMIT NUMBER. THIS APPLICATION
EXPIRES IN ONE-H ,NDRED AND TWENTY ( 120 ) DAYS. THE AMOUNT PAID WILL
BE FORFEITED SHOULD EXPIRATION OCCUR.
FEES:
PERMIT FEE
CONNECTION CHARGE
SIDE SEWER INSTALLATION
OTHER
ISSUED BY
/TOTAL 625.
7 _
APPLICANTO DATE
f#i3 CI!.E: -/-�-) _DAY8 OF fN�
C90+IEF DATE, SEwF� SSR.,, .,_ SEWER PER'�IIT M 3998
� ' a
ADDRESS OF STRUCTURE —.. 11395 SLi Co tt,jnwood Lane
TAX MAP_ TAX LOT SYSTEM_ Panna croek
LOT t;i9 —_ BLOCK OF
APPROVED BY DATE %' ISSUED BY DATE
REMARKS.. bldg. 1119'34
s�r�l�r
BUILDING PERMIT APPLICATION `oF TIG ARIDDATE `-7-76 I9 ��"•
64L-b174 4
THE UNDE ;SIGNED HEREBY APPLIES F09 APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE_--
�'R AC
SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONE�—_;�,,_._
.i L Lutz .. .i d Cotriwood L i,, LOT NO. —..,_
OWNER _ _JOB ADDRESS _ _H_Z,MI=_ADDRESS
_
ARCHITECT "'� --
ENG7NEER
BUILGEF: ADDRESF- TT�� _DCSIGNER _
��SyyTRUCTURE Nf W ❑REMODEL ❑ADDITION JREPAIR_ IJRENEWAL [:]FIRE DAMAGE ❑DEMOLITION
ffRESIDENCE ❑COMM ❑EDUCATIONAL nGOV'T ❑REL.IGIOUSL_)PATIO GCAR
_ PORT ❑G.IRAGE ❑STORAGE❑.,c
-------------
LAB ❑FENCE
QBOND ❑MOVING ❑CONDITIONAL USE El DESIGN REVIEW CICO'-NCIL AFPROVED �— [ SIGNS
,f----_ �tai t r9 9
OCCUPANCY��I_AND USE ZONE BLOC FIRE ZONE---- PLAN CHECK BY. HEAT
coil I '• A ngiU I sM y wa xT3_: L1 0 rd r.: lkj ;;:aYa�^; U� rdrOl:!±+ .S I� 114fd ` -
Irl---
UCC.LOAD._, 60 FLOOR LOAD �d HEIGHT NO, IN-HIES _1 AREA 1� - NO.BEDRUQMS `� a pia°
BUILDING DEPARTMENT SFT HACKS FRC AT REAR LEFT SIDE RIGHT SIDE
Permit -. ---- _- —_� ---- ---.—
'— -" 92�- THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE NUILDING CODE, ZONING
Plan Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
—- b• WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIAN( r WITH
Subtotal ALL APPLICABLE COnES AND ORtANANCES. THE ISSUANCE Or THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND :+18 CONTRACTORS ro HAVE CURRENT CITY BUSINI_SS
State Tax7,36 - LICENSE„SFPARA'rk.PERMITS RFOUIRFO FOR SF'dER, PLUMBING ANG HFATING.
Total 263. 3 C, P*L)*L .
B y --
- - —
AP :.ANt OR ACFN1�- --- _----
ApProvcd --� Receipt No - --�- ---
ADI RESPE—
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor_
5-/1-.20 _ , 7/-9e
Permit No. � (_' yr
Fixture
Final
HEATING — ----- .
la-� Contractor- -
W% Permit No. Ill 1123
Gas or Oil - --
Lf _
Final
SEWERS
�– � ------ DRIVEWAY
Final
Storm Drainage
(Rain Drain) Final
Sidewalk
Curb f Stip=t Final
Approacii
BLDG DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Landscap,ng
�. Zoning Final
i
_5.+�.. _..... ___.........r-..A.aT+syn• 777777-7.
Kf'7777-KW t'!G�}s%•i��..'Ye"S'!!'i'Y•`�,�.r.`�. .::s.w+"....r."r+sr�w.-�a�vvw
City of T!Jaf.d Mt_,C11171]iC(71 Pt,r,'NiL NO S3 00-.-- - .
F e et)
Nev: Instil at on � Re.,:acc ;,;tion I.j i:i inn ) A!ri•rat aw _
State__.._,_4,-.L'-
. r.., II �. 0 T A L O, -
+v1iw�.. �Lk � ^f �
CON'TRACIOR + ���y���l� .t.!',.. .i C):,t;F.R � '-
ApnRESS_— --__•84�rR-�AA(i WOFtY UbFtE�.. - 39
� :_ ,c` K`w�/�
l�r
PHONE _ ��`� - - APPLICANT LA-- `
- -- - -- _ -
(ie2t Input Rating (B(, r Hour►_��_UG')GG� Vent Sipe Flue Size__ -
FUEL Olt GAS l EI.ECT U 0TF,' R -
` ITEM NO. FE E II Fm NO. FI
Fur Isco ,ce o` ? rmr ✓ ( u -:.rr Condition Cor I,r�ssn' 15 to 30 HP_ - 1�r
New_Urnrr,• 100 030 ETU -- i � 4 OU ` Air Handlu,g 1(1,(ILl 1 CFIIi - - -,`- - - 3
NNuw 1(1G,UUO f sb over Y i ."
(�.UO Air 'lanr{linq C)ver 10,()!O CFM ( 5(
Floor Furnace -
.:; ldall - Floor - ,!
SucF ,nded it( - - -- - -- -
.• ._ _ _ _ -.. __ .. rar4c Vt�rrt Fan
In:,tall Fent" Only
Repair hr,,t R Cooling I 4 Ctr, - -- -
I
Air Condit Undvr 3 HP I ` 4 (1 CI Cunun rcr,rl E.uc; "V}il'In I a
- ---- ---- I - - -----
Njr Condiii,m Compressor 3 to i!) (1
HP �, - - -
1(I
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INSPECTOR'S COMMENTS
CITY BUSINF SS LACENSE RE.UUIHI.D I Oft !\I I (:()(J t ltn(;i01C, Oft ',IIP ON IkAC1 `i -
APPROVED By. DATE ISSULI) BY
_. -- DATE
RECEIPT N0. - --- _---
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