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BUILDING PERNIIT APPLICATION ARD DATE N 0724
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED bdr�,, 5543
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICA{PPISLo"*'IPHONE
OWNER ADDRESS %UI ER PHONE
Leon .' averia ENGINEER 44 J(—Rw ARCHITECT DESIGNER fPrGK
STRUCTURE LJNEW ❑REMODEL ❑ADDITION _i OREPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
❑ RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUSDPATIO ❑CARPORT ❑GARAGE ❑STORAGECISI_AB ❑FENCE
OBOND ❑MOVING UCONDITIONAL USE ❑DESIGN REVIEW OCOUNCIL APPROVED ❑SIGNS
OC:CUP N Y LAND USE TONE BLDG.TYPE FIRE ZONE PLAN CHECK SY HEAT
construct 1U74 eq* ft, Frame i1wolling wl.th attached garage.
accoraing to approved pians,
Bedroom
AO lb ' VI" t7telt !J
Q9,C. LOAD FLOOR LOAD HEIGHT _ __NO.STORIES AREA VALUE _
BUILDING DEPARTMENT 26 17
SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit EM• _
J THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Recording ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUR CONTRACTORS TO HAVE CURRENT CITY BUSINESS
1%State LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING,
Total
B- _._ ( �.,� �.�., � X91 '�' r,:., ► f� '•A,I t ��
Y
—'-- �� APPLICANT OR AGENT
Approved _—� Rempt No. �3 Y3$ .5 r �� e, (e C-1 3 .Y l
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DATE INSP. TYPE INSPECTION
KS7 PLUMBING DATE
(� Contractor ^-�
Permit No. v 0
76
Fixture
Final
Ing k
/ IDEATING
7 Contractor
14-WE -7Z /v �_Z — Permit No.
owl
Gas or Oil
:rt ISL�r•- /�rl�!f�_��Iti S t'�.1�'�r Nou h-in --
L��� Final --- -- —
SEWER
---- -- �.!_�,��!•�/fs X23_ ��oG�iJ i�• i�� �[�rr.� ------- ---
QI'lew— e7T`�� Final —
DRIVEWAY Sit 1 Final
Storm Storm Drama e
(Rain Drain) Final —
Sidewalk----
Curb
idewalk -
Curb&Street Final
_ A roach_
BLDG.DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY final
CERTIFICATE OCCUPANCY
/,/I —
ey. Landscaping
Zoning Final
ADDRESS 1)E R M I T N 0
PERMIT CHARGE
OWNER CONNECTION FEE
PAID BY
TYPE OF MILDING DATE CONNECTED
SERVICE RATE 1145PECTION FEE
CONTRACTOR PAID BY DATE
SIZE OF CONNECTION
PAID