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16565 SW Queen Mary
King City
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BUILDING PERMIT APPLICATION KING CITY DATE kbµ
THE UNDERSIGNED HEREBY APPLIES FOR APEHMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONF
LOT NO.__._.— __. .w_
NNER x.11111 N1 Jas3sn JOBADDRES5��0 SU 1�V� n Mary HOME_ADDRESS _ _ _
ARCHITECT _.—
�!n F:NGfNEER
BUILDER John �.,al l ADDRESS�.�620 Sl.. � _ "F�� buSIGNER !_
STRUCTURE ❑NEW ❑RI_M_ODEL ^ CIADDITIGN ❑--77REPAIR _ _ORENEWAL []FIRE DAMAGE !!-- ❑DFMOL TION
O RESIDENCE ❑COMM [-]EDUCATIONAL ❑GO1/'T ❑RELIGIOUS L--1PAT10 ❑CAR PORT ❑GARAGE ❑STORAGL OSLAB [:IF[-NCE
❑BOND ❑MOVING 000NDITIONAL USE ❑DESIGN REVIEW CCOUNC L APPROVED ❑SIGNS
OCCf IPANCY ! ` LAND USE ZONE_— BLDG.TYPE FIRE ZONE __ PLAN CHECK BY_ —___-__ HEAT_
-,nbtLUCt_ rnat' Uri P401t10 cUnGrbtC oijur ioxlating, ----- -----
----- to meet UK r000 Requirements,
AREA _�Q� .�?S?M.$.__�LALUE '2 C' s
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT 710E RIGHT SIDE
Permit 24.f10
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 WIL L BE DONE IN ACCORDANCE WITH THE PIANS AND SPECIFICATIONS AND IN COMPI,IANCE WITH
Sub-total ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax 196 I ICENSE. SEPARATE PERMITS REQUIRED FOF SEWER, PLUMBING ND HSATING.
Total � �• ` ��
By P
APPI IC.ANT nP AGFNT
LApproved �' Receipt No
DATE I NSP YPE INSPECYION RKMARKIIII PLUMBING DATE
Cori;rsctor
Permit No.
v Rough-In
Fixture
Final
HEATING
Contractor
Permit No.
Gas or Oil
Rough-In
Final
SEWER
Final
2—"I V_E W AY
Final
Sto,,Pr.arainage
(Rain Drain)Final
Side,valk
Curb&Street Final
Approach
BLDG. 1)1 EPT.I FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Landscaping
Zonlog Final