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CITY OP San � 76N2 0645
BUILDING PERMIT APPLICATION TIGARQ DATE 7-1ts___
fHE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS ANG SPECIFICA1IONS. 0V'1NFRPHONE—.__—.. .
UWNER -_.-� -- -- ---ADDRESS 10640 l*U♦ -.- .-- -BUILDER PHONE
E_NGINEF..R
BUILDER ARCHITgcr DESIGNER_— _
STRUCTURE ❑NEW ❑_REMODEL - —❑ADDITION - ❑REPAIR_- ❑RENEWAL ❑FIRE DAMAGE—❑DEMOLI'iiON
❑_RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE_ ❑STORAGE[:]SLAB [FENCE
❑BOND ❑MOV ING ❑CONDITIONAL USE C1 DESIGN REVIEW ❑COUNCIL APPROVED LJSIGNS
OCCUPANCY_LAND USE ZONE _BLDG.TYPE --FIFIE ZONE— PLAN CHECK BY- HEAT_
1114 Li
OCC. LOAD _-FLOOR LOAD HEIGHT....---_ NO.STORIES AREA VALUE
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE HIGHT SIDE
Permit
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
--- WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Recording ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF: THIS PERMIT DOES NOT WAIVE
- - RESTRICTIVE COVENANTS. CONTRACTOR AND SLOB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
1%State LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total
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Approved Receipt No