16520 SW KING CHARLES AVE I di' CITY OF
I DIN PERMIT P DATE V - ` f ,,s
B N2
BUILDING G E A �L CA I!
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED
6,39- 972 • • ,
• OR AS SHOWN AND APPROVE IN THE CCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
OWNER , AD DRESS r ILDER PHONE
•
, ENGINEER
RUILDER le 1 ARCHITECT DESIGNER
STRUCTURE ❑NEW Ii REMODEL ❑ADDITION A REPAIR ❑RENEWAL ❑FIRE DAMAGE ODEMOLITION
9 1RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑ RELIGIOUS ❑PATIO ['CAR PORT• ❑GARAGE ❑ STORAGE ❑SLAB ❑FENCE
DBOND ❑MOVING ❑ CONDITIONAL USE ❑DESIGN REVIEW ❑ COUNCIL APPROVED ❑SIGNS
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OCCUPANCY LAND USE ZONE BLDG. TYPE FIRE ZONE_ PLAN CHECK BY HEAT
isi
62 � i - •
OCC. LOAD FLOOR LOAD HEIGHT • NO. STORIES AREA VALUE /!n W
•
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit ( 7,66 •
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 •
Recording ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
1% State /- LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING. •
Total l J / • • . l/V vY /Qs• ( Z.—p— �►� / -
By ��7 /f 7 0,5
APPLICANT OR AGENT
Approved I • Receipt No. j CO$ ,-Q ^5.-1A)* •I ` �s� l � `- * .
ADDR PHONE
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