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CITY OP ^!
BUILDING PERMIT APPLICATION TIG/AD DATE 3-6 - 19 t'7 NQ u �;
THE I NDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED
OYI AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE _
OWNER ' :``; Lta.'1MYT • fsrUl('-'�DDRESS wJ %S�ett y�,�. �,: i It In •BUILDER PHONE _
ENGINEER
BUILDER r31,D iwr ARCHITECT DESIGNER
STRUCTURE ❑NEW ®REMODEL. ❑ADDIITTION ❑REPAIR CRENE4AL ❑FIRE DAMAGE _❑DEMOLITION
❑ RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T DAELICIOUS❑PATIO ❑CARPORT ❑GARAGE ❑SIORAGED`,AB [FENCE
❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW [:]COUNCIL APPROVED ❑SIGNS
OCCUPANCY i"IAND USE ZONE BLDG.TYPE FIRE ZONE— PLAN CHECK BY rfe HEAT
install appp,nx 100 lin. ft, non bear . ;;p4rtitton in basompnt; fur
--- r)'I"N f"a m - 7 Barer drop c•+:inq
PCC.LOAD r FLOOR LOAD HEIGHT NO.STORIES :AREA VALUE
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
PermitTHIS PERMIT 1S ISSUEe. 31JEJECT TO THE REGULATIONS CONTAINeD IN THE BU.LDING CODE, ZONING
Plan Check REGULATIONS AND ALL AF:LICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WOPK WILL BE DONE IN ACi OnDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPI-IANCE WITH
Recording ALi- APPLICABLE CODES AND ORDINANCES. "rHE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
1%State LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING,
Total
By
-- — APPLICANT OR AGENT
Approved Receipt Na.
DATE INSP. TYPE INSPECTION REMARKS PLUMBING^ DATE
-- _ —_ — Contractor
Permit No.
— riou h in
Fixture
Final
HEATING
-/LIZ iontracto( _T__-- —
Permit Na.
Gas or Oil
Rou h-in
Final
I ---—_T ---- - S E W E I I---
Final
DRIVEWAY
Final
Storm Drainage
Rain Drain) Final —
Sidewalk
Curb&Street Final
ApproaL
BLDG.DEPT.FIN 1L TEMPORARY CERTIFICA. OC( JPANCY Final
CERTIFICATE OCCUPANCY -- —
Landscaping
Zoning Final
Irk