12265 SW MAIN STREET 12265 SW MAIN STREET
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CITY OF
PERMIT APPLICATION TIC ARD DATE--- _, is
BUILDING512 0 9. 'a 5
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED OWNER PHONE 639--3005
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS.
1.2265 .').Lo Main 5trset 639-4591
OWNER FifJW.Ard Law `^ `_ ADDRESS _ BUILUEF PHONE
R uminitsul Slyll ENGINEER ARCHITECT DESIGNER _
911..Lf El H ^—T1 rr -
STRUCTURE�❑NEW IU REMODEL IJADDITION ❑REPAIR ❑_REI+_::'WAl _— ❑FIRE DAMAGE EI ❑QEMOLITION
❑_RESIDENCE ❑COMM ❑EDUCA"NONAl_ []GOV'T ❑RELIGIOUS❑PATIO ❑ [:1
CAN PORT _❑GARAGE STORAGESLAB ❑FENCE:
t_1BOND _ QMOVING ❑CONDITIONAL USE
`v ❑DESIGN REVIEW ❑COUNCIL APPROVED L_JSIGNS
CO CUPANCY____LAND USE ZONE _._BLDG.TYPE__ FIRE ZONE— PLAN CHECK BY— HEAT
1 instal], Qfjv oiligio R:*MR taco 21 x Lai' 11:11.11ttir,dtwd plastic sign
to xsxplace existing "Kuhn Ku" cut-out letters --
2. lnla fsom ors roof Rill tlign to i hangs '_!0 f)Y —
QCC, LOAD FLOOR LOAD HEIGHT N(O oTORIES AREA VALUE
BUDING DEPARTMEN'r SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
IL '—
Permit
THIS PERMIT 18 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
WORT(WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Recording ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
1%State LICENSE. SEPARATE PERMITS REQUiREO FOR SEWER, PLUMBINr AND HEATING.
Total
By APPLICANT ON AGENT- --�.._-�_.-.----------------...-�
Approved Receipt No.
ADDRESS
R.
DATE INSP, TYPE INSPECTION REMARKS PLUMBIN4' DATE
Contractor
Permit No.
Rough-in
Fixture
Final
HEATING
Contractor
Permit No.
Gas or Oil
— ------- Rough—in --
Final
SEWER
Final
DRIVEWAY
Final
Storm DtainaE _ _
--- (Rain Drain) Final
Sidewalk_
Curb&Street Final
Approach _�.-----
SLOG.DEPT,FINAL TEMPORARY CERTIFICATF pCCUPANCY Final
CERTIFICATE OCCUPANCY
Landscaping
Zoning Fina
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Address (o `J_`�: 1-4�, ��J�Ar y t Permit No
Name of Occupant u ,-e Permit char,e,_„
Connection fee--_—
Paid
Date connected
Type of BuildingInspection fee--,
Service Rate--------- Paid by __. -__ ---_-- Dat6�_—`-,
Contractor -- Assessment—---
Size of connection