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S s L MA-Y 7 1 Q Q 9 y''� Rr!I�Illl�tlll�itttlttttltt�tlttttitttt�tttllltil�Iltllitll�lltl�ttt��ir���siirluii�►rtl�Ittlltltl�lltllll(I�fllllllll�ll�lllltl�lllllil'I�1111111lI�Illllillt�llltlilli�it4l�llll�llli�iili11111�1ii1�111l�111l�ljjl�l�lllllllll�lllllttll�Illllllll�i.111l1fjl11�1111111�111i1ll!l1�lLl�lll�,lll►Il1,U�lll1 - 11729 SW PACIFIC HIGHWAY �1 1 e 1 4, a 3 U .•1 U f0 d Q 71 cn r V +r , 13UILDING PERWiT APPLICATION TIGA:?: OAT - HE UNDERSIGNED HEREBY APPLIES FOR A PERAAIT FOR THE WORK HEREIN INDICATED BUILD"c.R PHONE OR AS SHOWN AND APPROVED IN THE ACCOtAPANYING PLANS AND SPECIFICATIONS. OWNER PHONE LOT 110-_ / JOB ADDRESS AFICHITECT EIJGINEER 7� ! DESIGNER _ BUILDER ADDRESS STRUCTURE ❑ NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR C1 RENEWAL C1 t= DEMOLITIOt 1RE DAMAGE �� 0 RESIDENCE C3 COMt,1 C] EDUCATIONAL 7 GOVT ❑ RELIGIOUS C1PATIO 0 CAR PORT ❑ GARAGE G STORAGE C] SIAgO F�ENCI P._�LAN�C.�HE�C�K BY OCCUPANCY _—LANDUSEZONE BLDG.TYPE FIREZONE— - SEWER PERMIT N ' NO.BEDROOMS VALUE OCC.LOAD__.--- FLOOR LOAD HEIGHT NO.STORIES AREA �- _ -- -BUILDING DEPARTMENT SETBACKS FRONT Ago _ LEFT fiiCE - - - Rl6HT SID Porrntt r5t" y THIS PERMIT IS ISSUED SUBJECT TO THE RE,UtJ►T10NS CONTAINED IN THE BUILDING CODE,ZOt11N: REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT TP.' IPlan Cho ek WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMIPLIANC' I-- WITH ALL APPLICABLE CODES AW) ORDINANCES. THE ISSUANCE OF THIS PSRMIT DOES NOT WAIV I Su rtelal RESTRICTIVE COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSI>`'E5: LICENSE SEPARATE PERMITS REQUIRED i OR SEWER,PLUAI0ING AND HEATING. Mate Tax SDC — TOM .'� POCM APPLICANT OR AGENT — BY - f'NQNr. - R.c.;)t No. AOORESS — Approved S D_ C POC - SEWER CONNECTION ,EWER INSPECTIOQI'� 5 SEWER SURCHARGE S I rwBwm 11 Address f� l�i(yL + .L� Permit No., Name of Occupants - ^ Permit charge --_.__.___ a - � Connection fee_ c Paid by — ---------- -- — - --,--- _ Date connected--------:_�--_----_---__-_-- Type of Building_ LZ Inspection fee Service Rate �� .� Paid by Date.__ _ ContractorAssessment_ -Paid,_____ Size of connection