16105 SW QUEEN VICTORIA PLACE 7
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1.61.05 SW Queen victoria
King City
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BUILDING PERMIT APPLICATION KING CITY DATr____
TH_E_gbQEHSIGNED HEREBY APPLIES FOR A PERMI f FOR THE WJRK HEREIN INDICATED BUILDER PHONE.—_—
OFt AS SHOWO A' D APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONr
LOT NO.
OWNER v L l i., I'V' JOB ADDRESS .1 U 1 G W + HOME ADDRESS
ARCHITECT —
P'�ILDER • -�L)h AsVII ADDRESS ENGINEER
DESIGIVZF2 _
STRUCTURE ONEW rr-tt❑RFMODEL ❑ADDITION OREPAIR ❑RENEWAL ❑FIRE DAMAGE_❑_DEMOLITION
0 RESIDENCE ❑COMM OEDUCATIONAL CIGOV'T ❑RELIGIOUSCIPATIO ❑CAR PORT ❑GARAGE �C]STORAGE CISLAB ❑FENCE
❑BOND ❑MO%IING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED _ ❑SIGNS
OCCUPANCY---LAND USE ZONE__ BLDG,TYPE FIRE ZONE PLAN CHECK BY_ _ HEAT _
Ro-rour dwelling - fibre gle s - gray t<. ---
OCC.LOAD FLOOR LbAD HEIGHT NQ�IOR1�5 AREA NO.BEf)ROQM,s__y0U,1p1
BUILDIN,3 DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
IRIS PERMIT 19 ISSUFD SUBJECT TO THC IIEGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND 17 IS HEREBY 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 DUES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax' •44 LICENSE. SFPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total
9V P!
[ -- E TI_ — Dh. 78Q APPLICANT OR ADENt— — - ---
Approved Receipt No.