11950 SW 95TH AVENUE 11950 SW 95TH AVENUE
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BUILDING PERMIT APPLICATION DATE 76 t4Z
THE.UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK I!EREIN INDICATED BUILDER PHONE
OR AS SH(','.NN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOT NO.
OWNER JOB ADDRESS ARCHITECT —
ENGINEER ENGINEER
BUILDER ADDRESS DESIGNER
STRUCTURE L] NEW [1 REMODEL C3 ADDITION 1] REPAIR EIRENEWAL 13 FIRE DAMAGE LJ DEMOLITION
0 RESIDENCE El COMM 0 EDUCATIONAL 11 GOV*T El RELIGIOUS El PATIO Li CARPORT rE1 GAR 1XGL__f__' ;?,RaGE El SLABLI FENCE
OCCUPANCY ___LAND USE ZONE __BLDG.TYPE --FIRE ZONE—PLAN CHECK BY ___ HEAT_____
SEWERPERMITO
OCC.LOAD FLOOR LOAD HEIGHT NO.STORIES AREA NO.BEDROOMS VALUE,/
BUILDING DEPARTMENT SETBACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit _7111!�THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIf NS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE COC-:S AND 0 iDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check WORK WILL BE DONE IN ACCORDAN;;E WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal _ RESTRICTIVE COVENANT:. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax SDG
Total PDG# -wpPuc4�ifo-R-A—GENT
By
Rei7.pipf No
Approved ADDRE98 PHONE
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contracts-
Permit No
-
� ; h-in
Or Fixture
f-incl --
`--- HEATING
Contractor
A Permit No.--
Gas or Oil
tioughAn
Final -
SEWER
Final
DRIVEWAY
Final —
Storm Drainapa
(Rain Drain)Final
Sidewalk
Curb&Street Final
Approach
BLDG, DEPT. FINAL — J— TEMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY
Landscaping
Zoning Final
Y APPLIES F P R THE WORK HEREIN INDICATED � 3UILDLRP;-IOf�,F Iv
THE UINDERSIGNtD NERc9 APPS ES FOR ERMIT FOR —
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONE
"� LOT NO.
E ADDRESS f r 1�ly L
ARCHITECT
�-- lam'�Zt ENGINEER
AUll_OC-1 ADDRESS DESIGNER
TRUCTLIRE _ NEWRf%lnOEL ClAODIrION _ REPAIRQREVEVIAL FIRE DAMAGE 'DOE-MOLITI
I� RESIOENCa 000M.P.1 ❑EDUCATIONAL ❑GOV-T ❑RELIGIOUSDPATIO UCARPORT ❑GARAGE ❑STORAGE C]SLAB ❑FEr
LCCVPAM_•_Yft- ILAND USE 7OfJEJ-q--- 2.BLDG.TYPE7-7)�—.FIRE ZONE—'PLAN CHECK BY G µ4A 'may
SEWE�(_ PERMII m
r� 00 —�
Q"-LO=P _._.FLQ UQJA ��o - HE HT p � rIO.5TOR1 5 4/ Aj3E DROOh'IS V�AI.�E. !4-0
'---7
�_«_ _
d --
SIIILQI^:; DEPARTMENT F _ REAR_ C e�'L' L FT SIDE RIGk7It-""-
S_rBACKS FRONT -t�.. �-
Pr.;T 1t LU
THIS PERMIT 19 ISSUED SUBJECT TO THE REGULATiONS CONTAINED IN THE WILDING CODE, ZON
Check l I REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGfiEEn THhT
---- YtiORK WILL FE DUNE IN ACCORDANCE.WITH THE PLANS AND SPECIFICATIONS AND IN CQIdPLIkNCE W
S.:ti f�tdl j ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DUES NOT WA
RESTRICTIVE CL VENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE. CURRENT CITY sUSlrl
!7 rta I ax I (�Z_ LICENSE. SEPARATE PERMI'I'S REOUIRED FCR SEWER. PLUMBING AND HEATING.
! SDC -
Total
r 1 -S PDC#
J4'A ,
APPLICANT OR AGENT
AFDruvM � -j Receipt No.
SDC
PDC
SEWER CONNECTION $ �-
SEWER INSPECTION ffi
SEWER SURCHARGE ffi
Comments : __�� � _� y �1���'t� �c%��. AddeL
Address _ --_-1 t Permit No.
Name of Jccupant_ / Permit charge
�E�J.�2
(� Paid by _
Date connected-!,/
Type of Building _L� _. Inepection fey-
Service Rate (]_ ' Paid by �'t� ---- ---
Contractor
1lssessrnent
—._------------ - --------- ts,�.
Size of connection.- -l•7Yt. _