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PERMIT NOAOiaRES5 1L,ctit�b-L I .rf '
PERMIT CHARGE none
0utiCs -P2e CONNECTION r EE
PAID By
TYPE- OF BLI M)I NC — J� _ DATE CONNECTED
SERVICE R,� TE _�� � iNSPECTION FEE
cot",11RACTOR PAID BY DATE
S I ZF OF CONIUEc ro ' ASSESSMENT _ PAID _
61 01
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BUILDING PERMIT APPLICATION `o Y TIGARC� DATE 1/14 _ �s�► 10
THE UNDER',-IGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BU!LDERPHONE_.
OR AS ciHOWN AND APPROVED IN rHE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHON
ryp LOT NO.
IR` 1'
)WNE • Y i. i.+ 1 JOB ADDRESA135 $I,, r,�,MbOl lY 511,- HOME ADDRESS ' srwuod
ARCHITECT
ENGINEER
BUILDFP ADDRESSS11 _ DESIGNER
SrRU! ❑NEW ❑RFMODEL L_IADDITION _ ❑REPAIR CIRENEWAAL []FIRE DAMAGE []SLAB
❑ RESIDENCE ❑COMM CEDUCATIONAL. ❑GOV'T CIRELIGIOUS❑PATIO ❑CARPOR'T OGARAGE C1 STORAGE[]SLAB ❑FENCE
DBOND ❑MOVING ❑CONDIrIONAL.USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY _LAND USE ZONE! ? _..-BLDG TYPEFIRE ZONEst_ PLAN CHECK[fY _��_I HEAT__ _ ._
t.L,G1L9�1 i1G Jtislo,=>� �Y �►1%u_ulattscheu a�!_csa im 5 "i.'dcaum
_BUILDING DEPART►.ENT SET BACKS FRGNT ZD REAR �� LEFT 51DE'� RIGHT SIDE
Permit � U.P.()0
-- THIS PEI-AIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING COr)E. 'ZONING
Plan CheckREGULATIONS AND ALL APPLICAB;.E CODES AND ORnINANCES, AND IT IS HEREBY AGREED THAT THE
�� yLa WORK Wit L BE DONE IN ACCORDANrF WITH THE PLANS AND S,'PFCIFICATIONS AND IN COMPLIANCE WITH
Sub al3LU* ;� ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCF OF THIS PERMIT DOES NOT WAIVE
REgTRi%IIJE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Taxi's, 1 )J.28 LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Jo? - 40J.UU
Total :,'s1E}. ?.6.} PUL. 02 s.ina na
By APPLICANT f`R AGENT
Approved I,% L giber'• Receipt No
�r�
tlwt 1� � Ilts ils ■Irr tet t1N �
DATE c14SA TYPE INSPECTION REMARKS PLUMBING DATE
Contractor _ 1
Parmit.No.
Rough-in
Fixture
Final
HEATING
-
Contractor
/
Permit No. -3 O
Gas or Oil
y ' —
Rough4n T
- Final
— — SEWER
Final -
DRIVEWAY -
- Final
Stonin Drainage
(Rain Drain)Final.
-----
sidewalk
— _T- --— Curb&Street Final
— ------- Approach
SDG.
DEPT.FINAL TCTAPORARY - CERTIFICATE OCCUPANCY Final�
CERTIFICATE OCCUPANCY 3 -9- 77
Landscaping
Zoning Final -_
wr wr wel w. .I. W MU .a I..
I,iTY T1 C- ,,'-,RD DATE_ __J� ~ /.. ..�,1Ss-�-- N9 4 �
31JILDINIG PERMIT APPLICA riGN OF P-011.DERPHONF
t " -4[n HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED E ADDrESS OWNCR PFIr,r,)F_ —
APPROVED IN THE ACCOMPANYING PLA SAND SPE IF ICAT IONS. 10-T
L013ADDRESS _�!! - ARCHITECt
ENGINEEP.
_ DESIGNER ___.__.�-•--
__ ADDRESS-�_�_—_, _.•- -------. - []FIRE DAMAGE QDEMOLITION
r�NEW- _._O NEM01lEl _-�O ADUf11UN_�_ REPAIR ,�nRENEWAI-
- --
-
C3PAT ❑STORAGE O5LA8 fF.NCE
ONAL ❑GOV'T []RfI lGIUUSUPATIO []CAR PORT ❑" �- _-
_' []COUNCIL APPROVED ❑SIGN- S
1G• MOVING _ []CONDITIONAI USE -cc P AN CHECK BYE HEAT.-- c_ -
`() 81. TYPE J-_.� FI YON /-
P ,NCY 1�_'..� LA USE YU - �
F_L9S?R_I�ADYILL-- -HEIyHT _ �152.��ICr.lLE[
REAR RIGHT SIDE
BUILDING DEPARTMENT SET BACKS (NC)NT _ -
'eirn t --F--vv tH15 PERMIT IS IS"'JfD SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
I
Plan Check (� SZ RFGULATIONS AND At L 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
5uh total ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
L`_ q2-
iToisl
AESTRIC71Vf COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
St„te Tax LICENSE. SEPARATE PERMITS REOUIRFD FORSEWER, PLUMBING AND HEATING.
BvAPW1.14AN1 OR AGENTReceipt No
APC` uvedo A'p'U p X55
1 -._ - -
Q (-.- - i.l o U
i
City of ticic-Ird Micchimical P;,rmit NT9 ..snit 5300
L L3
Fee -
-1 #4 Stale
New Rclocbtiun ❑ Addition 0
C, INITRAC,OR WORK A DRE S A,!
ADDRESS
1 D fv ---, V
APPt-1(:AN_T
PHONE-
Heat Input Rating (BTU Per Hour) Vent Size Flue Si
OTHER
_ FLFCT
FUEL OIt, GAS
FEE
�____p
ELECT
NO. FEE IILM
ITEM
I 0.0c
Air Condition Compressor 15 to 30 HP
Fpr ance of Permit---—, 1M
4.00 Kit Handling 10,000 CFK1
New- onje. 100,000 BTU 10,000 CFW--'--' 5.0C
5.00 Air Handling Over
100.000 B U e
ollir 3.0
New
Floor Furnace 4,00
Z.VI.
Wall - Floor - Sons ,ended ____4.00 Range Vent F-an
7.00 10
System
Ven'
Install Vents Only 30
4.00 Hood Curnmercial
Repair 81 & Cooling 10.0
—.Tljnd(!r 3 HP .067 ornryiercial Duc-, System
Condition Cam-pre,so
.:77,rdondition Compressor 7.50
INSPECTOR'S COMMENTS
CITY BUSINESS LICENSE FjEOUIRED FOR ALL CONTRACICIHS OR SUBCONTRACTORS
DATE
ISSUED BY DATE
APPROVED BY