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BUILDING PERMIT APPLICATION T1133ARD DATE )t. ' Ag a
THE UNDERSIGNED HEREBY APDL ES FOR A PERMIT FOR THE WORK HERE=IN INDICATED BUILDER OHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANcl ANO SPECIFiCAI IONS. OWNER PHONELOT NO. 5
OWNER L11t'C Ifit'. JOBADDRESS 1.f 3Vi •:�•—•)e;�cltawtyQs,l �� t',U�7� r*x' C' �4 LL
_ ARCHITECT
t Aller ENGINEER
BUILDER Auuhcoo _ DESIGNER---
STRUCTURE
ESIGNER —STRUCTURE _ 133 NEW ❑ REMODEL ❑ ADDITION ' REPAIR ❑ RENEWAL_ ❑ FIRE DAMAGE ❑ DEMOLITION
O':RESIDENCE ❑ COMM Cj EDUCATIONAL ❑ GOV'T Ll RELIGIOUS ❑ PATIO CARPORT 1:1 GARAGE ❑ STORAGE ❑ SLABD FENCE
OCCUPANCY '�LAND USE-ZONE ____BLDG.TYPE FIRE ZONE _PLAN CHECK BY r.�.l MEAT
�— C%.,nrt,x.ct k _ile Fanily i?wnlI.In(t, ,a ntt-3chel � I�•.x �r�
SEWER PERMIT M —
OCC.LOAD FLOOR LOAD 'I HEIGHT �_ NO.STORIES 1 AREA ) NO.BEDROOMS VALUE
—_ BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit_ _ _ _ ^ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BU11_DING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check I a I ) WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLIr _,r_ -")DES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal .' > _ RESTRICTIVE Chi'/F':HtCTS. 1 ')NTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
—� LICENSE.SEPA'i,1'E PERA'ITS°EGUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax 1 ;'. 6 4
-"_ SDG—
Tota!------- S•s,d PDCM $10'1- 10
-- - '
APPLICANT OR AGENT - —�
BY
Receipt No. ---- - -
Approved cit-r ADDRESS PHONE - -- -- __----
EL
DATE INSP. TYPE INSPECTION REMARKS PLUMBING I DATT.
Contractor
Permit No.
/v-tS Z Rough-in
Fixture -
/� Final
/^ t =, ' �C� _' c� {c •.�_ v HEATING
Contractor--- {{/�7
-- -- --- -- - -- Permit No. ��a,by 1U--1-ti2 /V
Gas or Oil
Roulhdn �- -- --
---- final -- -- --
SEY .R --- --__—_
Final
DRIVEWAY
Sturm Drainagr --
(Rear Drain)Final
Sidewalk
Curb&Street Final
—
RTIFICATE OCCUPANCY G _ __ AnProach
BLDDEPT,FINAL TEMPORARY �7I�CE
10ERTIFICATE OCCUPANCY I Final — - -a--
Landscaping
toning Final
rSU!L.U11'�v rCnlvll l mrruum I r,jri
THE UNf)ERSIGNEU NEREGY APPLIES FOR APERMI T FOR THE 'VORK HEREIN INDICATED BUILDER PHON _
OF, AS SHLOT OWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. NO Nary
LOT rlo._.�_�_� �—_—
_J`_VIJEF' 1..!l..yCl.Lh CYl Ng'JOB ADDRESS
ARCITFCT T�
ENGI EER
/•>l /Al' �/`..�._z/Y' ADDRESS Q�f�'L�� � DESIGIJER
TRUCT_LIRE _ jjjd I _ ❑Rt%inCEL DAOOITION _ ❑R_EPAIF1----_❑F" 14EVIAL LIFIREDA.MAGE DOE..MOLITI.
Fy1-,/� �- r�--11 ]PATIO ❑CAR PORT GARAGE ❑STORAGE❑SLAB ❑FEN
7 'IESIOE^ICE IJCOM.,14 ❑EDUCATIONAL 0GOl/'T ❑RELIGIOUS
0ccQPAr__YLAND SE ZONE L L—BLOG.TYPE_tLh .FIRE ZONE---7LAN CHECK BY.,={-T._!w HEA
SEWER PERM11 —
aL'��L04p �Q9�'1,491 r' G/ - HEI('HT NO, 12AMNV
S-)ILOIN G OF.PARfhIENT SET BACKS FRONT REAR - `_EFT SIDE RIGHT SIDE.
- -
THIS PERMIT IS ISSUED SUPJE-CT TO THE REGULATIONS CUNTAINED IN THE BUILDING CO^E, ZOfJI
CheckI O t'Cl REGULAI IONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT l
I WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIA.14CF W•
S:7 total -` ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WA
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CO 17RACTORS TO HAVE CURRENT CITY BUSIP±
I'at? Tax Ll - � � LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
SDc
PDC#r--—
_ APPLICANTOFl AGENT
�ApprovPr3 v �� / Receipt No.
�G
SDCr-
PUC - Z D d
SEWER CONNECTION ^—
SEWER INSPECTION �S^ eo -
SEWER SURCHARGE
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