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BUILDING PERMI'APPLICATION KING CITY DATA_ �_r`_�'___ 19_�_ 1306
THE UNDERSIGNED HEREBY APPLIES FOR R.PERMIT FOR THE WORK HEREIN INDICATED BJILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
OWNER ";r.R `A "tCIniMBADORESS 16795 iv•' t met,r '! LUT NO.
ARCHITECT
Concept','! ENGINEER
BUILOE:R i,f fordnbj,�, Livi.Tln/ ADDRESS DESIGNER
STFUCfURE ❑ NEW ❑ REMODEL g ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
.17 RESIDENCE ❑ COMM ❑ EDUCATIONAL 0 GOVT ❑ RELIGIOUS ❑ PATIO ❑ CARPORT" ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY LAND USE ZONE BLDG.TYPE FIRE ZONE___.-PLAN CHECK BY .—HEAT TL :_'_._
I1�7" ; LC;;ct t•alls aid partial flo(')r nn.d roc)f for ^rclome(j patio - �--
SEWER PERMIT#
OCC.LOAD FLOOR LOAD _HEIGHT _ NO.STORIES AREAL.1)'1? NO.BEDROOMS VALUE
BUILDING DEPARTMENT SET BACKS FRONT ^� HEAR _ LEFT SIDERIGHT SIDE
Permit _ 1 ' THIS PERMIT IS ISSUED SUB.IECI TO THE REGULATIONS CONTAINED IN THE BUILDIPIQ COIDE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal _—_ RESTRICTIVE COVENANTS CONI RACTOR AND SUB CONTRACTURS TO HOVE CURRENT CITY BUSINESS
LICENSE.SEPARAI F PFRMI TS,REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax A .40 r
SDC
Total
PDC# APPLICA
By N AGENT
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Recei
Appt No
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ADDRESS PHONE