BUP1977-2025 CITY OF
rn TI D!NG PEPUIT APPLICATION
T I HARD DATE 19.��c9J17
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOW AND APP VED IN THE ACCOMPANYING PLANS AND PECI ATIONS. O R !ZONE
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OWNER ADDRESS � D BUILDER P ONE
ENGINEER
9' IL Q FR ARCHI rFCTy n DESIGNER
STRUCTURE CNEW C C
REMODEL CADDITION REPAIR RENEWAL ❑FIRE DAMAGE []DEMOLITION
n_ RESI_DEN_CE_❑COMM nEDUCATIONAL CGOV'T ❑RELIGIOUSCPATIO ❑CARPORT ❑GARAGE ❑STORAGEOSLAB CFENCE
_'.__I_BON_D MOVING ❑CONDITIONAL USE C DESIGN REVIEW []COUNCIL APPROVED CSIGNS
OCCUP CY---)r--LAND USF. 7.ONE R BI DG.TYPE _FIRE ZONE J PLAN CHECK BY HEAT
Apr
OCC. LOAD FLOOR LOAD HEIGHT NO.STORIES AREA VALUE
BU!LDING DEPART•JENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
PermitTHIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
I 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
Repording �� ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTR ACTO11 Ar. ;13 CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State I LICENSE. SEPARATE PERMITS REQUIRED FOH :VER, PLUMBING AND HEATING.
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Py APPLICANT UH /AGFN
Ai)prov— ed pt No.
ADDnE55 PHONE