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r.t r}t D!NG nrr� 'T APP '�'AT;ON' �`I fs DATE , 19 NT9
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THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING -PLANS AND SPECIFICATIONS. OWNER PHONE
gf(;��i e ADDRESS Re, CJS dCeht4-€4,, _ BUILDER PHONE
/ ENGINEER
J !LD�R De.) �--71�(� ��J'� ) ARCHITECT DESIGNER
STRUCTURE ENEW r � REMODEL ❑ADDITION PAIR ❑RENEWAL FIRE DAMAGE ❑DEMOLITION
RESIDENCE C COMM EEOL'CATIONAL ❑GOV'T ❑RELIGIOUS EPATIO 0CAR PORT EGARAGEESTORAGLABEENCE
BOND ^MOV+.NG ECONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPA Y LAND USE ZONE BLDG TYPE FIRE ZONE_ PLAN CHECK BY HEAT
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OCC. LOAD FLOOR LOAD HEIGHT NO.STORIES AREA VALUE?ce/
f BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit Q
11 I THIS PERMIT tS 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
Recording I ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
/l RESTRICTIVE COVENANTS. CONTRACTOR A .'13 CONTRACTORS TO HAVE CURRENT CITY BUSINESS
AI
State I /V LICENSE. SEPARATE PERMITS REQUIRED FOR .aER, PLUMBING AND HEATING.
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Approved ; Receipt No.
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ADDRESS PHONE