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BUILDING PERMIT APPLICATION 11TY T�GARD DA I F_ 10-4`76 ! 1 4 Q
19�_
THE UNDERSIGNED HEREBY APPLIES FOH APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE .___.__
OR AS SHOWN AND APPROVED IN THE ACCOMPANYIN; PLANS AND SPECIFICATIONS. OWNERPHUNI__ --
.1. r :�1J.i,L.U A. G LOT NO.
OWP-'tiR 7 1 r (? nF'9 r, JOB ADLIRESS _ HOME ADDRESS
ARCHITECT
ENGINEER
BUILDER ADDRESS DESIGNERS y _
STRLIC:TURE ❑NEW ❑REMOL:' ❑ADDITION ❑REPAIRI-�� ❑RENEWAL LIFIREDAMAGE ❑DtMOUTION
❑ HESIDENCEpOCOMM ❑EDUCATIONAL ❑GOV'1 ❑RELIGIOUS❑PATIO OCAR PORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCF
OBOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
QgGUPANCY LAND USE ZONE_ BLDG.TYPE FIRE ZONE_ PLAN CHECK BY_ NEAT
cusyda. fill - FULurE use as a p1 ikLrlt; 1;:i., ClaitataAr►
az ;_ drawing per plane dated 12-14-7.1 laroeineki Not in flood Main.
OCC.LOAD _.—__—.F_W.QR_LOAD HEIGHT NO.$TORIES____ �8f1()
-.ABPA._ NC1.B 7.ELQS�M;z__
BUILDING DEPARTMENT SET BACKS FRONT PEAR LEFT SIDE RIC►;l SIDE
Permit
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 SPEC IFICATIONS AND IN COMPLIANCE WITH
Sub-total ALL APPL.ICAdLF CODES AND ORDINANCES. INC ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CC°!TRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax LICENSE, SEPARATE PERMIIS REOUIRED FOR SEWER, PLUMBIOG AND HEATING
Total .Ull
BY
APPI 'CANT OR A6EN7 -'–. -��—`-------_
Approved —� !i _— Receipt No
ADDRESS i ----�FiON — ----.
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DATE INSP..I TYPE INSPECTION REMARKS PLUMBING DATE
-2
Contractor
TPermit No.
Rough in
Fixture
Final
HEATING
Contractor
Permit No.
Gas or Oil
I Rough-in
Final
SEWER
Final
DRIVEWAY
Final
Storm Drainage
(Rain Drain) Final
Sidewalk
Curb&Street Final
tAipproach
BLDG DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY V
CERTIFICATE OCCUPANCY Final
Landscaping
Zoning Final
r �] n �� CITY ��QjF�� u p fJ _
�..'.��';`� ^r�,J'fT APr_'` ATivN T'GA D DATE �//
UNOERS'GNE') ;^?=9Y APPLIES FOR APERM7 FOR THE WORK HEREIN INDICATED
OR AS Swcv. A ^V -HE ACCOMPANYING PLANS AND SP CIFICATIONS. OWNER PHONE
co , ADDRESSgw
Ow 8U!LDER PHONE
ChY�t .
ENGINEER J
acI?A ARCH!rECT DESIGNER
STq�Jr+,.pc �!1IEW ADDITION OREPAIR RENEWAL CPRE DAM LE: nOEMGLtT!ON
RESIDENCE _COMM _EOVCAT -%AL _GUV'r LRELIGIOUS2PATIO ❑CARPORT -!GARAGE CLTORAGEC�SLAB FENCE
r`MOVING EIGN REVIEW
r_" vD _1lIQYtNG �CGNDrT ..NAL USE nDSCCOUNCIL Ar RO''ED nSIGNS
OCCUPANCY '_AND VSE 70114E Rr OG.rTYPE FIRE ZONE— P!-ANCHECK':r HEAT
i ct - 73
OCC. 'LOAD FLOOR 'LOAD HEIGHT NO.STO ES AREA VAGUE
ItV'LC ' DEPARTV c_%' SFT BACKS FRONT FEAR LEFT SIDE RIGHT SIDE
°ermit 3 9
T41S PERMIT t5 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 SP!:CtFiCATtONS AND IN '-JNIPLIANCE WITH
Recording ALL APPLICABLE CODES AND ORDINANCES THE ISSUANCE OF THIS PERBAIT DOES NOT WAIVE
r--- RESTRICTIVE COVENANTS. CONT?ACTOR A Il CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State L LICENSE. SEPARATE PERMITS REQUIRED FOH ..ER,PLUMBING AND HEATING.
Tota! 9f a a
APPLiCAN i AG` -
i ApprovPc! Recefp: No,
OL ADOnESS PHONE
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