15660 SW ROYALTY PKWY «: __
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!L O G PERMIT /' PP UC ,T!O. •t e ,R DATE —. t9 N2
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THE UNDERSIGNED HERESY APPLIES FOR A PERMIT FOR THE WORK HER IN IN CATED
OR AS SH WN AND APPRO, D IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. WNER PHONE
0OWNER `a/ L � ADDRESS (6 Ke %4 ✓ '
/ LD
BUIER PHONE
ENGINEER /
q'.:"I- PR 1694 ARCHITECT DESIGNER
STRUCTURE EN.EW E REMODEL ❑ADDITION IALPIEPAIR CRENEWAL ❑FIRE DAMAGE ❑DEMOLITION
RESIDENCE COMM EDUCATIONAL ^GOV'T ERELIGIOUS C'PATIO ❑CARPORT ❑GARAGE ❑ STORAGE ESLAB ❑FENCE
BOND ^MOVING .^+:CONDITIONAL USE LIDESIGNREVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCYLA_;;;i_fND USE. ZONE BLDG.TYPE FIRE ZONE__ LAN CHECK BY HEAT 1
,:f -461--1-kert 414
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OCC. LOADFLOOR LOAD HEIGHT NO. STORIES AREA VALUE
BUILDING DEPARTMENT } SET BACKS FRONT REAR LEFT SIDE RIGHT 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
t; 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
RESTRICTIVE COVENANTS. CONTRACTOR A:. AI CONTRACTORS TO HAVE CURRENT CITY BUSINESS
o State 59— LICENSE. SEPARATE PERMITS REQUIS,ED FOR .0ER, PLUMBING AND HEATING.
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Total I ley , 8
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Approved
i Receipt No. G 3 d? — i
ADDRESS PHON
-KING-CITY-STRUCTURAI.__CHANGE_REQUEST
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Member DV (Y) i .4 (3103 R) Date r 9' '27
Address (d-6‘. S11� 'r P'iltui Phone Sc?
TYPE OF CHANGE
(Patio Cover, Room, Fence, etc.)
PLAN: DIMENSIONAL AND MATERIAL DETAILS
JQ ()1.
ima. { I
Note:
1) Adjacent property owners will be informed of the requested change.
2) If there is an objection, the objection, but not the name of the objector, will
be given to the member asking for the change.
3) The Board of Directors of the Civic Association will review the plans and property
for approval or disapproval and compliance with the stated restrictions.
L ) A building permit must be obtained from the city for all improvements costing over
3500.00
Date Notified ICC card of Directors
President
Date to be Completed Appy vice President
Final Inspection Disallowed (Reasons)