12357 SW KING GEORGE DRIVE rdIW�
12357 SW King George _
King City /
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BI "'-')INC PERMIT APPLICATION KING CITE'
T 1E IViDERSIGNED HEREBY APPLIES FOR APE RM IT FOR THE WORK HEREIN INDICATED RUILOER PHONE.._ _
kS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE___
LOT NO.�
OWNER ;`lrrs, Awlilin ULnIf a i JOB ADDRESS 123.37 Ali, King 'George Hf`.if_ADDRESS
y y ARCHITECT
LNGIP JEER
Bl11LDER %rfAI)t x _ ! ��1 {]�id>3T1Cj• DESIGNER
____ -P• LCy• ADDRESS _ !_ T rr
STRUCTURE ❑NEW ❑RI:MnDEL ❑ADDITION []REPAIR ❑ L,.,J
RENEWAL ❑FIRREDAMAGE DEMOLITION
❑ RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUSOPATIO ❑CAR PORT r1GARAGE 0 STORAGE CJSLAH ❑FEN(:-
GSOND OMOVING ❑CONDIT1011AL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED []SIGNS
QCCUPANCY___LAND USE ZONE___ .BLDG.TYPE_ _FIRE ZONE PLAN CHECK BY_____ - HEF•T,____„_.�
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BUILDING DEPARTMENT SET BACKS FR%,)NT REAR _ LEFT SIDE RIGHT SIDE _
Permit t'•Gni
THIS PERMIT IS ISSUiD SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE. ZONING
Plan Check REGUI \TIONS AND AL: APPLICABLE CODES AND ORDINANCES, AND IT IS HERIEBY AGREED THAT THE
WDC' . NILL BE DONE IN o�CCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANLE WITH
SUb-t0t31 1 ALL. APPtACAB(-E CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DUES NOT WAIVE
RESTRICTIVE COVENANTS LONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CIrY BUSINESS
Slate Tax " 46 LICENSE, SEPARATE PERMIT: 9EOUIRED FOR SEWER, PLUMBING AND HEATING.
Total ili'.46
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APPLICANS OR mGFNT
Approved I Receipt NO.
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