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16735 SW Queen Mary _
King City
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BUILDING PERMIT APPLICATION K1140 CITY DPTE 19
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HL FEIN INDICATED BUILDER PHONE _
OR AS SHOWN AND APPROVED IN THE ACCOMPANYIN!i FLANS AND SPECIFICATIIiNS. OWNERPHONE� —•
LOT IJO.
OWNER JOB ADDRESS — — HOIIC ADDPESS _
ARCHITECT
ENGINEER
BUILDER — __ ADDRESS V DESIGNER
STRUCTURE ❑NEW ElRFMnDEL []ADDITION [:]REPAIR LIPIENEWAL [-]FIRE DAMAGE ❑DEMt)L171UN
❑ RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS[:]PATIO ❑CAR PORT ❑GARAGE ❑STORAGE❑SLAB EIFENCE
❑BOND ❑MOV ING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED [:]SIGNS
OCCUPANCY—,_ LAND USE ZONE_ _- BLDG TYPE.—__.___FIRE ZONE.--_ PLAN CHECK BY----- HEAT__
A.B_EA__-__Mj_UDHQQM$____Y1A_LM _
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit --- � ^� -—•------- - - - .�.-- --
--- THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONIN'�
Plan Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT TI-E
— WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Subtotal ALI. APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
-- -- --"" -- RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax LICENSE. SEPARATE PERMITS RCOUIRED FOR SEWER, PLUMBING AND HEATING.
Total
BY -- ---- ��-.-
-- — ---- �.3 APPLICANT OR AGENT
Approved Receipt No.
I
DATE 1145P. TYPE INBPECTION REMARKS PLUMBING
Contractor — —
Permit No,
Fixture
_e. �.------------ Final ---
HEATING
r for
Gay or Oil —
Rough-In
— — Final -
SEWER
--- � Flnol ----�— — i
---- -- DRIVEWAY - — -----
- I
Final
Storm Drainage
(Rein Drain) Final
Sidewalk
Curb&Street Final
Approach
BLDG DEPT. FINAL TtMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY
Landscaping
— — �— -- Zoning Final