16155 SW KING CHARLES AVE BUILDING PERMIT APPLICATION
CITY TOGAR® DATE � �� .1 9�P , Na
O F �� �
HE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONF
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONF
/ / LOT NO
ER �h ■ : r /AI / / c ADDRESS „ � A _d L� l L '1 /e HOME ADDRESS
, - + ARCHITECT
ENGINEER
D _R f __ , ,� g / ADDRESS DESIGNER
• JCTURE ❑NEW ❑ REMV DEL ❑ADDITION REPAIR ❑RENEWAL ['FIRE DAMAGE ['DEMOLITION
) (4 '=IDFNCE DCOMM ❑EDUCATIONAL DGOV'T ❑RELIGIOUSDPATIO ['CAR PORT DGARAGE ❑ STORAGE ❑SLAB ['FENCE
I JPOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
_CUPANCY. - ___ LAND USE ZONE BLDG TYPE FIRE ZONE PLAN CHECK BY A HEAT
Y
CO-
':C OAD FLOOR LOAD HEIGHT NO STORIES AREA NO. BEDROOMS VALUE 4
- — BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit / 0 •
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
°Ian 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
Sub - total ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
4- RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax LICENSE. SEPARATE PERMITS REOUIRED FOR SEWER, PLUMBING AND HEATING.
Total r v -7 & �/
By /_ ♦. /1/. i .
B is l .14;4/ dill" //
A LI ANT OR AGENT of -
Iv
Approved Receipt No.
• ADDRESS PHONE
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