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BUILOINOPERMIT APPLICF,TION TIGACtU _i�,rE _:; y� ts .- 409b
THE UNDERI)IGNEC HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN ANC' APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOT N0.-�-_;�� �„e Ldnca'
OWNER, ;i&u (,otter i„oiiyP.j JOB ADDRESS 162LI SW r,� tYt
r ARCHITECT
ENGINEER
BUILDER Sit*_ _ ADDRESS1 3s- __ DESIGN_ER_SaW ('90tter
STRUCTURE *"EWF1_ REMODEL ❑ ADDITION Cl REPAIR F1 RENEWAL_-❑ FIRE_DAMAGE 10 DEMOLITION
IWcHESIDENI.E EI COMM C' EDUCATIONAL C1 GOVT ❑ RELIGIOUS f-1 PATIO 1-1 CARPORT D GARAGE :J STORAGE_❑_SLAB❑ FENCE
OCCUPANCY _I_ANU-JSE ZONE R—DPD BLDG,TYPE 50 FIRE ZONIij—=_PLAN CHECK BY _ � HEAT---- -r*"
Construct 'tingle 17mily DwIlingj with attached xn-aw., -- - ----- 4 Redroonr
":,i;Tsue of Pernit 03960 (1815 Mi Gentle goods Drive) -- --- - 3 RsthR
SEWER PERIAIT M 23
OCC.LOAD FLOOR LOAD 40 KEIGHT 13 NO.STnRIES 2 AREA 1 j95 NO.BEDROOMS 4 VALUE_
BI I;LDING DEPARTMENT SET BACKS FRONT REAR P13 LEFT SIDE- 3'' RIGHT SIDE
Permit _ 3/040 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 AGREED THAT THE
Plan Che:k _ _^ 1,5000 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABI.E CODt6 AND ORDINANCES. THE ISSUAtICE -F THIS PERMIT DOES NOT WAIVE
Subtotal 85*oU RESTRICTIVE COVENANT3 CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax4X 14.8k) LICENSE.SEPARATE PERRY(S REQUIRED FOR SEWER,PLUMBING AND HEATING.
SDC— 4t>s0O ;
Total — 3�9.�
By PDC# 11 1000ou APPLICANT )R AGFNIRecelp.No.
--
Appfoved _, r ADDRE88 HOS
DATE INSP. TYPE INSPECTIOi REMARKS PLUMBING DATE
IContractorAll 42 ✓r
Permit No. 313' �p.1'0to �Z_
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Rough-in
�7 Fixture —
��� Final
HEA'i1NG
'—
7- 2 f ----�—/ Contractor
M L �^L270
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Permit No.
24?i)
/c:-�� r— --- ---- —
�— _ Gee or Oil
G Rough-in
final _
--- -- -------- _._._ SEWER
final +7, �'/- r4—
DRIVEWAY —DRIVEWAY
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Final
Storm Drainage
(Rein Drain)Final
— S idewal k
�— Ci.rb A Street Final
— --------- Approach
BLDG. DEPT.FINAL _ TEMPORARY ITCERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY 1 �i Final
—
Landscaping
Znning final
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