15575 SW 116TH AVENUE N
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15575 SW 116th
_ King City _
BUILDING PERMIT APPLICATION KING CITY DATE ,s_ka 1344
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE 'A
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOT NO.
OWNER ,c; 5:1.` .,x:: i1;°.`• JOBADDRESS15 ; '
ARCHITECT
ENG1 " t ; M i- •..• 1' DESIGNER
NEER
—
STRUCTURE
` t;;�_,�:�'-. :'�.. r•. ADDRESS ' >7f1 :a7 t�T-,,�
STRUCTURE ❑ NEW D REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
❑ RESIDENCE G] COMM 11 EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO C CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY _ LAND USE ZONE —__IL-3BLDG.TYPE 5 FIRE ZONE — PLAN CHECK BYI'zr__HEAT
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SEWER PERMIT M
OCC.LOAD FLOOR LOAD HEIGHT NO.STORIESI AREA AD.BEDROOMS VALUE
BUILDING DEPARTMENT SIFT BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS COWTAINED IN THE BUILDING CODE. ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINIU-4CES, 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. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESe
���-- LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER.PLUMBING AND HEATING.
State Tax 'rz� I I
SDC--
Total J
PDCM AT�PLICANT OR AGENT
By
— --— —--- Receipt No.
Approved ADDRESS PHONE --
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