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CONNECTI'1 J FEF
PAID BY
TYPE OF BUILDiNG _ 1�1, DATE C011':EL:TED
SERVICE RATE L� IN`,PECTION FEE 4;26 .
CONT°ACTOR PAID BY DATE
SIZE OF CO :"ECTION ASSESSMENT; _ aAID
h,.)',J-,r o` a i 'iid !Um
a 'J1.'tta' COf1if2CtOr5 liCensa 15 ?;,r2hy
authorlL_'I to C.'' '�i plu-,,n'in �;.pfi: as hef�in nO.o':1 to be' {nyidll,!:1 In i''_CCOrdince with the plumbing icelj or �
I ivrd. SL.(:h i ,i31�.'tl^115 re.4-mr;t in5po`Ction by tho City lnJpoctor Who 51211 be notific' not less then fout
I hours prior to the tines; til ' mit- jzion� are riad•• 1 r
r G IIiSaL' ilOi)�tv1 )/ o, Tiv.d Business License regUif-nd S
an st n -t:tor/. v�of e13
���X�t.G''Yl
' T V� OF PPn).1)T JITE!'rni"Oc FEE Qt! EACH TOTAL I7 NO:S `
-T
PERMIT
R a - CH A.bIC JPIT (Office u,�,on'
� `5,�rr,••I�F.im•jvl-•lr`r•th�d_h�`�• �—.._.__ S M ,.
25.00
25.00
Addi:+Q tai 't r hroumt�tch__ - ��
1UA0
15.Oq f
IDIAIy!_)il, L FIXTURE FEES - +--�- -
_
l 51 to 17) Fi.—jr+j in i buil n,-.,jc't 2.50
1 101
r —191 a
20er m�r3 FiKy�ro in 1 �u lrt�`,3�3>rh
I1,50
fC _ O U S
8 c
to oo
5.00 --- _
Privacy 3vrnrr -sur` tqi) rtr
1000
�_,;arrr
_ r for
--�_..~ Plumbir0 Cun'rctor B�
toy»ar___ _� -(a ��c-r,-'r No. T-
I
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i
""'�1k`�1b+�+•"'""""'"" ,. '/'tib"w-�,,.. .. � ,.�;.,w .„....._.e,�w►.�1,--,.,.�..,*n- -�wrrn.^+++,�u?:,
BUILDING PERMIT APPLICATION �oF
TIG ARD DATE
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK "AEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS OWNE.RPHONE�
LOT -
OWNER "ADDRESS iVI;1i6lB HOME ADDRESS
HMjA4c4 aiM ARCHITECT
ENGINEBUILDER ADDRESSI& / IO YI DESIGNER_. � L!!.�__,,42�J� DESIGNER -.-_...�.
STRUCTURE ❑NEW 1ICREMOU: L ❑ADDITION ❑RFPAiR ❑RENEW^^AL [:]FIRE DAMAGE ❑hEM—OIWIfION
C3 RESIDENCE ❑COMM OEDUCATIONAL ❑GOV'T ❑RELIGIOU•1IS❑PATIO ❑CAR PORT `JGARAGE ❑STORAGE❑ [
SLAB IFENCE
❑BOND ❑MOVING 000NDITIONAL USE QDESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANC '._ _LAND USE ZONE __BLDG.TYPE_ ai' FIRE ZONE. PLAN CHECK BY_. 1 HEAT—_-_____ ___.._
�Luiintruct Ft1ngle _ralliy r'1w1;1lliii. W Qtt@c;i-i 0 4 �f.rll'CI11tMt .� R.:di4
_�_V9 lt6cj t'jr Howse '�Owu .
4tr+�z �T.rn1' i7/lt :� �» 't;�t)2f)a00
4 21
Q.",.LQA.Q__._____._ELQOR LOAD 40 HEIGIil_�+�z...___1YSJ T �-i� AE)�A_•t_, � 0 NO.BE1 QQl _-_ YL�..,� ___�..�.._.`_
BUILDING DEPARTMENT
SETBACKS FRONT 21 REAR �d LEfT SIUt RIGHT SIDE
_
Permit �20.00
THIS PEAMfT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Pian Check (] REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, ANO iT IS HEREBY AGREED THAI 1HE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Subtotal >�fl/i� �;n ALL APPLICABLF CODES AND ORDINANCES. THE ISSUANCE. OF THIS PERMIT DGES NOT WAIVE
RFSTRICTIVF COVENANTS. CONTRACTOR AND SU, ''ONTRACTORS TO HAVE CURRENT CITY BUSINESS
State. Taxi LICENSE SEPARATE PERMIT$ REQUIRED FOR SFWEN, PL',iMBING AND HFATIA'G.
----- j Li L - E,A Li, .u
Total l . , PLIC #7 ,. 610J*110
By I''°[_ -- - ---- �.__— _ ---
_.___ _ APPLIF—ANi OR AGENT
A,'r” )v,d + �,.�aui� ijHfl Receipt No. f
DATE INSP. TYPE INSPECTION — REMARI S PLUMBING — DATE
Contractor
/tJ.2 - l — -- ---- -- Permit No. ��3—�►' i:,7gr0 t f3`79 1
Rough-in �j Zf
-
- Fixturo
T'
Final
(j HEATING
Conti It,
Permit No. "71
Gins or Oil _.
--- — — Rough-In
— Final
SEWER
--- Final— >•� _ 7
DRIVEWAY
-- _ Final
—� Stor* Dralnage
— main Drain)Final _
Sidewalk
Curb&Sveet Final
---- -- -------- ---_---
Approach
BLDG. DEPT.FINAL TEMPORARY — CERTIFICATE OCCUPANCY Final
S 5 p f t) CERTIFICATE OCCUPANCY
landscaping
Zomig t'ir,nl
Cif T i
Pamit N"?
N2%v lns*,al!ai,on k<Re- !a-e I Addition Ah;.-'raziun
10TAl
CONTRACTOR 0 WN E F1
AD Wog
RXADDRESS
PHONE PPL 1C
A ANT 1 00,
Heat Input Rating (BTU Per Hour)
FOEL OIL I. GAS Ci
ELECT C_ OTHER
ITEM ---- ___
NO. FEE
ITEM NO. FL.
-.e of Permit 3.00 Air Condition Compressor 15 to 30
HP 10.
New- Under 100,000 9TU
4.00 Air Handling 10,000 CFM
New- 1 0D,U00 BT J & over
5.00 Air Handling Over 10,000 CF -----5,(
Floor Furnace
4.00 Evaporative Cooler
Wpil - Floor - Suspended
Install Vents Only0
__7_0 'Vent System 3
Repair - Heat & Cooling _ 4.00 Hood Commercial----
-;�jir Condition Compressor Un _er3WP__
4.00 Commercial Duct, System
Ait Condition Compressor 3 to 15 HP 7.50
INSPFCTOR'S COMMENTS
CITY BUSINESS LICENSE REOUIRED FOR ALL CONTRACTORS OR SUB-CONTRACTORS
APPROVED BY- DATE ISSUED BY DATE
: .A RECEIPT NO..