BUP1978-1200 � e
BUILDING PERMIT APPLICATION KING CITY DATE _, 19 w
THE U SIIGNEDEREB16kfPA �FOR A ERMIT FOR2TTA A)IWK HEREIN INDICA 11ra BUIL
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MPANYI 133 PI-ANS AND SPEeAF'eA:F!—,.
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OWNER
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ENGINEER
BUILDER ADD DESIGNER
STRUCTURE NEW U REMODEL DITION REPAIR RENEWAL OFIAE AGE ON
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❑BOND ❑MOV
OCCUPANCY '_ LAND E ZONE Itn_811aQU TYPE —FIRE ZONE PLAN CHECK BY HE
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OCC. LOAD FLOOR LOAD HEI AFI NO. RIE AREA NO.BEDROOMS ". 0
BUILDING DEPARTMENT ° QNT_ _ REAR LEFT SIDE RIGHT SID
Permit Isnia 1piw(]niBAi
THIS Pk�R,R�,M.� IT IS ISSUED SUBJECT TO THE RYGUGCT IN TRE BUILDTftW1COOE-ZONING
Plan Check - - GULATYbkS AND ALL-APPLICABLE_CODES_AND ORDINANCES ANQ IT IS HEREBY_AGdEED_THAT THE
IBYMQK�l2l191d�@5 DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub-total LL—APPLICABLE CODE6 tNB-EJRDI-NANC-ES. THE—+SSUAN6E-9F--THIS PERMIT-00ES--N_Q7-WAIVE
_ RESTRf1MVEACOVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax • LICENSE. �EPARAT&VORM LS3WI41fYREJOPM pjAND-H ATI1�Ifq .;,3.T93a .aa.ie
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Total A0,40 gnigBozbns! v
BY P1 IsnO gnino'S
APPLICANT.OR A E.NT
Approved •Lie dory Receipt No.
ADDRESS
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
—6—� Contractor
Permit No.
Rough-in
Fixture
Final
HEATING
Contractor
Permit No.
Gas or Oil
Rough-in
Final
SEWER
Final
DRIVEWAY
Final
Stonin Drainage
(Rain Drain) Final
Sidewalk
Curb&Street Final
Approach
BLDG. DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Landscaping
Zoning Final