16955 SW MATADOR LANE a
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BUILDING PERMIT APPLICATION ICING CITY DATE_ `_`-'':_ �e�"- 1303
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING I'1_ANS AND SPECIFICATIONS. OWNER PHONE
OWNER obert ';, I*rir;l:t JOBADDRESS 16955Ii a^. LOTNO.._. _
r± 21tc3�0Y' �.O'_lt. _
ARCHITECT
ENGINEER
BUILDER -�'."tl Aw.n ,nq NW,I).X,.ADDRESS '11415 ;y Irlorld ?`,,ty0,Ptis..j DESIGNER %1^tltonV.3 A::'^t;tr
STRUCTURE----- ❑ NEW ❑ REMODEL El ADDITION_ [AREPAIR ❑ RENEWAL ❑ FIRE DAMAGE _ ❑ DEMOLITION
C7 RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO 0 CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB FENCE
OCCUPANCY LANDUSEZONE __Ll BLDG TYPE `2 FIREZt PLAN CHECK BY HEAT 1
t':Oriurrit(:t shun rr.on ad(2iti,oil to r3inrrica fz►r31y di,,01 i.ng,
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SEWER PERMIT M
OCC.LOAD FLOOR LOAD At) HEIGHT 11 NO.STORIES] ARKS%I '' NO.BEDROOMS " ' VALUE
------ BUILDING DEPARTMENT _J SETBACKS FRONT _ REAR LEFT SIDE RIGHT SIDE
Permi%_— _ _ ,i� THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE ?nNING
— REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check _ 1 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
— WITH ALL APPLICABLE CODES AND JRDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub-total _ _- RESTRICTIVE COVENANTS CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
Slate Tax LICENSF SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
Total — -- -- SDC—
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Receipt No. /
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