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BIIILQINU Pr.RMiT APPLICATION DATE
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE 625-6167
OR AS SHOWN AND ^PPROVED IN THE ACCOMPANYING PLANS'AND SPECIFICATIONS. OWNER PLIPNE
/� LOT N0. 04 " V, Ct�t
OWNER Lfh.l 1;ilEt JOB ADDRESS isYi ,FJ ;t,4JJCE:1 U. 151-.1'403
SLiorwmf 97140 ARCHITECT
sF�tX. ENGINEER
BUILDER ADDRESS 14723 N. Sherwood t31vd. DESIGNER
STRUCTURE CNEW CI IEMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL _❑ FIRE DAMAGE U DEMOLITION
F—YRESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB FENCE
OCCUPANCY —23__LAND USE ZONE lt4.5 BLDG.TYPE 5;V FIRE ZONE PLAN CHECK BY 1301' HEAT
Cutzatr-r-t single family dwellia?, w/attact^iel garage, all per aj4xuved p1mis. —�— --
Sub jer,t to 85 cote. S,.Ib ject to Mart .$Y4.) sewer surcharge.
SEWERPERMIT# 34,Y13 3 baths, 15 t►.'aps gara►,e area 756 _
OCC.LOAD FLOOR LOAD 40 HEIGHT 17 NO.STORIES 1 AREA 2111 NO.BEDROOMS VALUE 98p9-50
BUILDING DEPARTMENT SETBACKS FRONT 6' REAR LEFT SIDE 9'6" RIUHT SIDE J
Permit 4.30.W THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGRFED THAT THE
Plan Check 279.50 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES THE ISSUANCE OF THIS PERMIT DOES N , WAIVE
Subtotal RESTRICTIVE COVENANTS. CONTRACTon AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
4ICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMPING AND HEATING.
State Tax 21.50 r.. .a.!
131�(jp SDC— 6W.00
Total
PDC# A I 1517.tX) PLR ENT` I
BY 1pQ.00 ,�►pr . ,
�^ Receipt No. �.:�
Approved 631.N � ADDRESS -- PHONE — ---
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11
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DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE �
-� v� �, �� Contractor i C���_ — - `� `,
_`'y �GJaC�r1t Ga ermit No.. JT��`�.Z �.��
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�) i Rough-in
a .� i Fixture
7' ! 0 / Final
HEATING
Contractor
Permit No.
Gas or 011 .�
&447 Rough-in _ _r
Final
[�t3 '__�'►—se�
1 •""
/-23 nS,^.�--Qlr� _ SEWER
- _oast A�P,ptwF/i Final
-- - --^- DRIVEWAY
Final
Storm Drainage
(Rain Drain)Final
/- •.�1 Vv Sidevmfk
Curb 6 Street Final
_ Approach
BLDG.DEPT.FINAL- TEMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY
Landscaping
Zoning Final
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