14840 SW 109TH AVENUE s wFA
14840 SW 109TH AVCNUE --
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ADORESS_ ���c�T�0 /-D2 — PERMIT NO. S03
7 _ PERMIT CHARGE: none _
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OWNER � ��� �,,_�r CONNECTION FEE
PAID BY
TYPE uC BuILOING - �a.�. g DATE CONNECTED
? SERVICE RATE �_a� TT. - INSPECTION FEE `�v -
CONTRACTOR � PAID BY — DATE
SIZE OF CONNECTION _ ASSESSMENT PAIN
3171 -
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CITYTlGARQ is "l t3 •�
BUILDING PERMIT APPLICATION OF GATE_
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED SUILDERPHONF -
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHQN', ,
ins-. Cant>� T! '
OFfmar, ,,, HoffmsD
neJOBADRESSlA a� lU�t HOME ADDRESS
UWNERjjARCHITECT
ENGINEER
BUILDER SEAMS ADDRESS DESIGNER
STRUCTUCAE ONEW REMODEL ❑ADDITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DENIOLIT-ON
❑ RESIDENCE [:1 COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATlO ❑CAR PORT ❑GARAGE ❑STORAGE❑SLAP, []FENCE
❑BOND ❑MOVING 01-ONUITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED
o1GNS
Tiel HEAT 1Ni( •
OCCUPANCY. LAND USE ZONE� i� _BLDG.TYPE FIRE ZONE—5. PLAN CHECK 8'r_ —
onstruct one 8 plan "P61tmant w/rat.ta�chuu t,,lar*ytra, 811 P01plLin Uy glen Lula,
Kree�ber;�ar� Architbcts 16 bedroom* - 3 both*. — --
No occupiency until all auildinys end edits work complwtu,
— Sswer permit #17503 - *483j-00 � -.
81191? 40 �i�1GN_L 2t).�� rJO_S I -
�a0 REAR('01na LEFT SIDE RIGHT SIDE
_ BUILDING DEPARTMENT SET BACKS FRO _
Permit x'430. jC
THIS PERMIT IS ISSUED SUo;+c CT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 10.()o REGULATIONS AND ALL AfxPLILABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE OONE !N ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Slib•total a. an ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT ')OE, NOT WAIVE
A4
r RESTRICTIVE COVENANTS. CON RACTOR AND SUB CONTRACTORS TO HAVE cunR'cNT CITY BUSINESS
State Tax4'' 17.'A gp"SE. SF,PARA%Rfp l:Tf5EOUIRED FOR SEWER, PLUMBING AND HEATING.
Total $f;4'6,0Q IJ(-i� 4,.o.nn
_ f
13Y pl APPLICANt OR A(iEN1 !�
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DATE INSP. TYPE INSPECT.ION REMARKS PLUMBING DATE
Permit No.
Rough-in
ezz �72
Fixture
incl
HEATING
Contractor___
Gas or Oil
Rough-in
Final
sEWER
Final
ORIVEWAlk'
Final
S
Stom Drainage
(Rain Drain)Final
S S
idevialk
Curb&Street Final
CY Approach
BLDG. D NAL— TtMP0#?,' J–rERTiriCATE 0c up
C
Final
CERTIFICATI-01 Landscaping
ZoningFinal
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��3!Jll DING PERMIT APPLICATION CDFY TIC.:.-` -',RD DATE_
'C''vED HEREBY APPLIES FOR APE RMIT FOR THE WORK HEREIN INDICATED BUILDERPA0t-Jr
.','N AND OVED IN E ACCOMPANYING FLANS AND SPECIt-ICA1 !ONS. OWNER PHONE
LOT
-----
HOME ADOkE55� K/
`` ARCHITECT
R n ENGINEER
__ ADDRESS __ _ DESIGNER
�t ( NEW -REMODEL ❑ADUItION 4 0REPAIR 0;�FNEWAL ❑FIREDAI!AGE ❑DEMOLITION
NCF 111,1010 ❑EDUCATIONAL ❑GOV'T DREZ ICIOUSOPATIO ❑CAR PORT 0GARAGE ❑STORAGEQSLAB r FENCE
ING ❑CONDITIONAL USE ❑DESIGN REVIEW OCOUNCIL APPROVED ❑SIGNS — —
ND U5 ZON - _._BLnG TvnE FIRS .'CINr PLAN CHECK BVD
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t 7np F(QQR._6. A-ID- AR.EXr j LOND_t .:�-HO-OMS VALUJ2vdfGf
htMENT — SET BACKS I N(�NT REA LEFT SIDE RIGHT SIDE
— -- _
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan (:heck RFC'JLATIONb AND A1.L APPLICABLE CODES AND ORDINANCES, AND IT IS HEREON' AGREED THAT THE
`-"-- WORK WILL HE DONE IN ACCORDANCE WITH THE PLANS ANDSPE CIFICA TIDNS AND IN COMPLIANCE WITH
SUh ictal ALL APPLICABLE CODES AND ORDINANCES THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
S101F 7a> LICENSE SEPARATE PERMITS REOUIRED FOR SEWER, PLUMBING AND HEATING.
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pnPi iCANi OA-AGENT
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