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CITY Of
APPLICATION TIC AIR® DATE '� 'LAX 7"'12,t9 '�� N° 0023
BUILDING PERMIT APPLI G
THE UNDERSIGNED HEREBY APPLIES FOR APE RMIT FOR THE WORK HEP�AN INDICATED
OR AS SHOWN AND APPROVE.) IN TF;t ACCOMPANYING PLANS AND SPrCIFICATIONS. ppt,'WNERPHONE
OWNER 'srI ilAk '__qG?KESS _! - •IJP 81rtbCilCaldA `BDFLDER PHONE
BMVO� E;6�0 �� ENGINEER
BUILDER � ARCHITECT r1 DESIGNER —
STRUCTURE ❑NEW ❑REMODFL. CI
-, DADDITION OREPAIR RENEWAL` []FIRE DAMAGE CIDEMOJTION
C3 RESIDENCE ❑COMM ❑EDUCATIONA'. ❑GOV'T ❑RELIGIOUSOPATIO ❑CAF:PU9T ❑GARAGE ❑STORAGE CISLAB ❑FENCE
LIBONO ❑MOVING ❑CONDITIONAL UUSE LIDESIGN REVIEW _ OCOUNCIL APPROVED_ ❑SIGNS -_
OCCUPANC_Y___LAND USE ZOI'L_ 91 0G.TYPE FIRE ZONE_ PLAN CHECK BY HEAT_
-
675
OCC. LOAD FLOOR LOAD� HEIGHT _ NO.STORIES AREA VALUE
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit �y 7.00 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Pla-i Check REGULATIONS AND ALL AVPL.ICABLE 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
-----��r-- RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
1%State LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
TotalIBY � ! y'�--
_ APPLICANT OR AGENT _ .--------1----._^'
Approved Receipt No.
Ano _ Frlr)NF-
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
�5 Permit No.
Rough-in
Fixture
--- -- — --- Final---- ----- —
HEATING
Contractor
Permit No,
— _ �_�.�--- — — ---- Gas or Oil —_-- —
_ Rough-in
_ — Final
SEWER
Final
DRIVEWAY
Final
Storm Drainage
(Rain Drain) Final
Sidewalk
Curb&Street Final
BLDG DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Land.caping
Zoning Final