10830 SW FAIRHAVEN WAY-1 i s
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U830 SSW FAIRHAVEN WAY
BUILDING PERMIT APPLICATION OF
'AGAR DATE 'JG1:OfJilT 19_` j 1779
THE t NDERSIGNED HEREBY APPLIES FOR APERVIT FOR THE WORK HEREIN INDICATED BUILDERPHONE ",-1y- i 7
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PI_A'.o ,; •�D SPECIFICATIONS. OWNERPHONE��_
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Roa inn Cue ARCIAITECT
"NGINEER
BUILDER AhLers i_unstrUCtiL.n ADDRESS DESIGNER
STRUCTURE LJNEW ❑REMODEL ❑ADDITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAUE ❑DEMOLITION
0 RESIDENCE ❑CONIM ❑EDUCATIONAL ❑GOV'1 ❑RELiGIOUSQPATIO ❑CAR PORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
❑BOND C1 MOVING ❑CONDITIONAL USE. QDESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY._._____LAND USE ZONE--BLDG.TYPE________.FIRE ZONE__ PLAN CHECK BY.____�.__�__ HEAT_
Install black rnks cristal to InatL:h bzr�ju boai:J
Reroof With 205# 3- sib tiol f seal f'ibarcjla+ss ehinl,1*L
AREA —._NO.BEDROOMS VALUE
BUILDING DEPARTMENT—� SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit
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THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING; CODE, ZONING
Plan Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
—� WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub total ALL APPLICABLE CODES AND ORDINANCES THE ISSUAKCE OF THIS PERMIT DOES NOT WAIVE
— — RESTRICTIVE COVENANTS. CONTRACI'7R AND SUB CONTRACTORS TO HAVE CURRENTCITY BUSINESS
'tate Tax r bl! LICENSE. SEPAPATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total S17.68
By
nor (CANT OR AGENT _
Approved Receipt No. ( �'
ADDRESS N
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