16675 SW QUEEN MARY AVENUE •a;
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16675 SSV Queen Mary _
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King City
BUILDING PERMIT APPLICAT;UN KING CITY DATE_ 1�
_ 19
THE UNDERSIGNED HEREBY APPLIES FOR At ERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE__
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONF
OWNER 1418 JOB ADDRESS 1fj t~I!Y SI I• mar LOT'NO. --�—
y HOME ADDRESS _
BUILDER u, -' f?Pt3 f,(, ARCHITECT
-- ADDRESS ENGINEER
STRUCTURE__ ❑NEW El RI RI MOQADDITION 11 DESIGNER
❑REPAIR L.��JRENF.WAL ❑FIRE DAMAGE_- ❑_DEMOLITION
EIRESIDENCE ❑
COMM EDUCATIONAL C]GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
_❑BOND MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW tJCOUNCIL APPROVED — —
_ __ ❑SIGNS
QCCUPANCY._ LAND USE ZONE_ BLDG.TYPEv ---_-�
_FIRE ZONE_ PLAN CHECK BY
_>aklaut dwellini UjLtl1 '' S .; xl�tai �a; ha►lt ���iii► le - - --;�r_ r c t:.
—NQ,SLQgIER---
BUILDINGDEPAI TMENT `AREA-----_NQ @EL 9M�`�y�LUE
SET BACKS FRONT REAR LEFT SIDE
Permit } W — -___ -_. RIGHT SILiE
Plan Check TRIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES. AND IT IS HF.F'EBY AGREED THAT THE
SUV-total WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND iN COMPLIANCE WITH
ALL APPLICABLE CODES AND ORDINANCES. THE ISSIIANCE OF TIIIS PERMIT DOES NOT WAIVE
State Tax RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CUCRENT CITY BUSINESS
LICENSE. SEPARATE PERMITS REOUIRED FOR SEWER, PLUMBING AND HEATING.
Total
By t'
Approved g I�� APPLICANT UR WENT --- —
Receipt No
DATE INSP. TYPE INSPECTION REMARKS PLUMaING DATE
Convactol
Rvirnit No.
Rv, gh-in
Fixture
Final
HEATING
------' Contractor-
----
c ontri
on rector
Permit No.
Gas or Oil
R ough
-in
Final
SEWER
LFIn.1
DRIVEWAY
F
Storm Drainage
(Rein Drain)Final
Sidewalk
Curb&Street Final
Approach
BLDG DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY
---
Landscaping
Zoning Final