8620 SW INEZ STREET 8620 SW INEZ STREET
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ADDRESS PERMIT NO. /_3 ,7y
PERMIT CHARGE none
OWNER CONNECTION EEE
PAID BY
TYPE OF BUILDING DATE CON'VE :TED
SERVICE RATE _ INSPECTION FEE
CONTRACTOR PAID BY DATE
SIZE OF CONNECTION ASSESSMENT PAID ��j
757/7i s 7y
SERVER PERMIT N . 13758
unified sewerage Agency CITY OF (i Bard DATE B-26-77
of Washington County
Dale Const,. PHONE :
OWNER : — '-
OWNER ' S ADDRESS=
TYPE OF INSTALLATION:
X�BUILDING SEWER ❑BUILDING SEWER AND SIDE SEWER
TYPE OF OCCUPANCY:
XQWEW X❑CXSINGLE FAMILY ❑ COMMERCIAL
❑EXIST . (PRIOR TC 7-1-70 ) ❑ MULT . RES. ❑ INDUSTRIAL
FIXTURE UNITS _
DWELLING UNITS - 1
PERMIT CONDITIONS: THE APPLICANT AGREES TU COMPLY WITH ALL RULES
AND REGULATIONS OF THE UNIFIED SEWERAGE AGENCY . WHEN CALLING FOR
INSPECTION, PLEASE REFER TO THE PERMIT NUMnER. THIS APPLICATION
EXPIRES IN ONE-HUNDRED AND TWENTY ( 120 ) DAYS. 'SHE AMOUNT PAID WILL
BE FORFEITED ShOULD EXPIRATION OCCUR.
FEES:
PERMIT FEE:
$ 25.
CONNECTION CHARGE 600.
SIDE SEWER INSTALLATION ISSUED BY
OTHER ------
TOTAL 625._. r
APPLI T DATE
SEWER PERMIT N° 13758
ADDRESS OF STf(UCTURE U6�0
TAX MAP
TAY LOT ^ "Y51LM fanno cry_
LOT BLOCK OF
APPROVED BY DATE
ISSV D BY GATE
bldg. #1668
REMARKS -
BUILDING PERMIT APPLICATION COF HARD DA'iE 8 -L-1 _, 19_
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILD PHONE.-
OR AS SHOWN AND APPROVED iN THE ACCOMPANYING PLANS AND SPECIFICATIONS =�
r NO
JN' TER .1013 ADDRESS b020 SW Inez St. HOME ADDRESS
_._.. -- — - ARCHI'rEC
ENGINEL•R
BUILDER ESi]C11[i ADDF?ESS — DESIGNER!_
STRUCTURE 134 VY _❑_REMODEL ❑ADDITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑QEMOLITION
0 RESIDENCE ❑COMM ❑FDUCATIONAL ❑GOV'T ❑RELIGIOUS C IPATIO ❑CAR PORP ❑GARAGE CJ STORAGE❑SLAB ❑FENCE
❑JOND ❑MOVIN3 000NDITIONAr_USE ❑DESIGN REVIEW ❑COUP' ROVED ❑S.GNS
Ot_CUPANCY_. LAND USE ZONE }� .a=-BLDG.TYPE FIRE ZONE_ PLAN CHECK BY E) _ HEAT.J '.
— �_
_url..t. I3inwl.n fc.ctlly duellinc.. WAtt®rhl;A9
- _ tJ+vcJ>G•c'cim �: I.1ptl, - — — -------- -
QSS.1,9912 �Ls20R LOADHEIGHT NO IQEiJ AREA 1!-i" NO.II IQFIOOMSJ VALUE.'j jp4440
BUILDING DEPARTMENT SET BACKS FRONT :c f.1 REAR —d-1) LEFT SIDE RIGHT SIDE 1316"
ell it ULI
'-- "- - THIS PERMIT 19 ISSUED SUBJI'•CT TO THE REOULATIONS CONTAINED IN THE BUILDING COC4, ZONING
Plan Check i.«.or; REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCF WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub-total - ALL APPLICABLE CODES AND ORDINANCES THE ISSUANCE OF THIS PERMIT DOES NOT WA;VG
RESTRICTIVE COVENANTS- CONTRACTOR AND SUB CONTP.ACTORS 10 HAVE CURRENT CITY BUSINESS
State Tax (1.20 I.ICEN&FL S fAFi.6T&jpRr1JS P1 OUIlffRIFOR SEWS PLUMBING AND HEATING.
Total v l�,:t. 1.0 park t_evelcoment �;'.harge $100.
By
AP'u.A`CANT UR AGENI
Approved Receipt No
Ab ES5 ••-
0000 .. ....yw�.rurra.,1MK�osAWar.as,W..s.,u,r...,.,..ru............v....a..._,......s...M,....,,.
VATE INSP. TYPE INSPECTION, REMARKS PLUMBING DATE
q-9-� (� - na 1�_•<�.x�! .c7� _<_, _v et�c,..� i;ontrartor �—
--q- � _rL r� Permit No.
,, nn l
(e _�(-?l CJ Sd�3dtt Rough-in �U -
11-3-9/\ ` �) --- Fixture_ — -- -
� 1A 4,111 Final —_
HEATING -
(I Contractor
Permit No. qSq
�► .Eg1RIG.—�"1� ^- _.r� Gas or Oil
Rough-in
Final
-- _ — Final _
DRIVEWAY
Final
Storm Drain_aae`
(Rain Drain) Final
Sidewalk
Curb&Street Final
-- - - Approach —--- —
BLDG DEPI FINAL TEMPORARY —v CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY
landscaping
Zoning Final \...
p
V
1
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Uty of T ioard Mechanical Permit M Permit_._.
Fee ___. f'-ea---
New Installation ( Replay ❑ Relocation ❑ Arrrliiion ❑ Alteration ❑ 3% State—__—!,a .L -
TOTAL—.__._7�--_- )—
CG'?:TRACTORf �_ Ti �_ •AA-_ �� OWNER _ - - o.�e '� Trnnr
AnnRE!Z_ 07O/12— WORK ADDRESS_ oe
�IQ�i!_—. �_ _••�MFz �?
PHnNE _ �� -L yf f �___ APPLICANT_&1Q7r_X 4wC&—r --�---
Vent Size `Y Flue Size
Heat Input Rating (BTU Per Hour)_ — ----
FUEL OIL ❑ GAS Z!� ELECT ❑ OTIAER`__ ---
ITEM NO. FEE ITEM NO. FEE
3.00 Air Condition Compressor 15 to 30 HP 10.00
For Issuance of Permit
New-Under 100,000 BTU — 4.00 Air Handling 10,OOD CFM —_ _ 3.
New 100,000 BTU&ovtr 1.00 Air Handling Over 10,000 CFM -� b.0000
4.00 Evaporative Cooler 3.00
Floor Furnace _ -- 2.00
Wall Floor Suspended — 4.00 Range Vent Fan
2.00 _ Vent System
nstall Vents Only 3.00
400 Hood Commercial 3.00
.
Repair . Heat & Cooling _ o -- 1U.00
Air_Condition Compressor Under 3 HP — 4.00 Commercial Duct System
Air Condition Compressor 3 to 15 HP 2.50 _ _ —__ _T__
INSPECTOR'S COMMENTS_
CITY BUSINESS LICENSE REQUIRED FOR ALL CONTRACTORS OR SUR-CONTRACTORS
APPROVED BY �,__ DATE ISSUcD BY DATE
RECEIPT NO.�__ - _ _ --_ ---
�i;nAlu�e of Applicant