16685 SW ROYALTY PKWY 4
C ! TY OF
BUILDING PERMIT APPLICATIONIGA DATE , ,, (> 3 N2 r
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN IN CAT
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING
PLANS AN/DSPECIFICATIO . OWNER PHONE
OWNER / W�al, //Mfv
ADDRESS ✓ � )
,56(j - / !`BUILDER PHONE
�h ��y,,} ^ ENGINEER i
.1L'ILDER 472//(/ /� ( v ARCHITECT DESIGNER
STRUCTURE DNEW C REMODEL ❑ADDITION reREPAIR (RENEWAL OFIRE DAMAGE ❑DEMOLITION
XRESIDENCE D COMM EEDUCATIONAL 0GOV'T ❑RELIGIOUS CPATIO EDI CAR PORT• OGARAGE ❑ STORAGE OSLAB ❑FENCE
BOND 0MOVING C CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ESIGNS
OCCUPANCY LAND USE ZONE BLDG.TYPE FIRE ZONE_ PLVI CI-4E KBY HEAT ,
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OCC. LOAD FLOOR LOAD HEIGHT NO.STORIES AREA VALUE J
I BUILDING DEPARTMENT {� SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit 1f / 0 b I �_
1 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 SPECIFICATIONS AND IN COMPLIANCE WITH
I
Recording 1 ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR A,. JR CONTRACTORS TO HAVE CURRENT CITY BUSINESS
if o State 3 9, LICENSE. SEPARATE PERMITS REQUIRED FOR .vER, PLUMBING AND HEATING.
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l Total II ,lf//',3 . 5;-
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11 AP,. I CANT uk AGFc.
I Approved �'j Receipt No. /
ADDRESS PHONE