16440 SW KING CHARLES AVENUE 16440 King Charles
King City
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BUILDING PERMIT APPLICATION KING CITY DATE r 19_ --
THE UNDERSIGNED HERcor APPLIES FOR APE RMIT FOR THE WORK HEREIN INDICATED BUILDER PHONL....__._..... _
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PIANS AND SPECIFICATIONS, OWNERPHONE _.
LOT NO.,
OWNER JOB ADDRESS 11.4 40 "i��j i `e 1C'. HOME ADDRESS _
ARCHITECT
1;,3 s :NGINEER
BUILDER ADDRESS ~'' �'�rr�^^ 4 i4p t-"1 DESIGNER _
STRUCTURE ❑NEW ❑RI MODEL ❑ADDITION CREPAIR L_,IRENE iWAIL ❑FIRE DAMAGE ❑DEMOLITION
❑ RESIDENCE ❑COMM ❑EDUCATION<tL ❑GO'."T ❑RELIGIOUS❑PATIO ❑CARPORT 0G-ARAGF OSTORACFOSL.AB ❑FENCE
GBOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCCUPANCY____-._..LAND USE ZONE+,_.__BLDG.TYPE— _FIRE ZONEPLAN CHECK BY
AREA
BUILDING
..:_ ..
BUILDING DEPARTMENT _T BACKS FRONT REAR LEFT SIDE RIGHT S OE
Permit
THIS PEr.M1T IS ISSUED SUBJFCT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Cherk REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREaY AGREED THAT THE
--` - —�-' WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub-total ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT ,VAIVO__
-- RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINES:
State Tax "I/i LICENSE. SEPARATE PERMIT!: REQUIRED FOR SEWER, PLUMBING AND HEATING,
Total
BY -- ------ -_� _
..-- __---_.---. ' APPLICANT OR AGENT
I Amovert Receipt No. �