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9
BUILDING PERMIT APPLICATION KING CITE' DATE
THE UNDE.FISIGNED HEREBY APPLI .S FOR APERM1T FOR THE WORK HEREIN INDICATED BUII_DERPHONFr
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS OWNER PHONE__
LOT NO--
OWNER l.Iiilc JOH ADDRESS + 'a�Ihs' HOME ADDRESS
— _ — ARCHITECT ~
BU1LDE I"t i i•• • t. : . ADDRESS 1 r"o r" 11"t' '' _ DESIIGNER
NEER
STRUCTURE EI
NEW ❑RI MnDEL ❑ADDITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
[:] RESIDENCE ❑COMM ❑EOUCAIIONAL ❑GOV'T ❑RE.LIGIOUSL_1PATIO ❑CARPORT ❑GARAGE ❑STORAGE❑FLAB ❑FENCE
❑BOND ❑MOVING EJCONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
�.CUPANCY t'_ LAND USE ZONE_'______-BLDG. TYPE FIRE c INE— PLAN CHECK BY u.;Ljh HEAT CaiaJ—
C urlstruct uingir. . nl . ly dwelling IJ/+attachad gsr,4Vc.a. 2 byidroome ? r3ctiLS-0
A"T A f„It F-U� -----
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BUILDINGDEPARTMEN - SETBACKS FRONT ) REAR Il• .:� LFFTSIUE Ln1fAi11-RIGHT SIDE
Permit + -'L
--' "—� TI''-, PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THc BUILDING CODE, ZONING
Plan Check RF.GULATIONS AND ALL APP!.ICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
VvC-Y WIL( BE DONE IN ACCORDANCE WITv THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Subtotal iJ ALL APPLICAPLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOTS NOT WAIVE
- _ RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Ta>,4/ , 1 X 1) - LICENSE. SEPARATE PERMITS REGUIREU -OR SEWER, PLUMBING AND HEATING.
Total 1• J
By Pl
APPLICANT OR AGENT
Approved 1uh Rr f milt NIS
DATE INSP. TYPX INSPECTION REMARKS PLUMBING DATE
Contractor c�
C lSN 4"&,M'�' ----------- — -- Permit No.
Sul �� — —_ Fixture
Final -
HEATING
/p �G-�1Q, ��(� �h l�q.� G Contractor
permit No. ,,� 9-q-D
Gas or Oil
Final
SEWER
Final . .y,O �!�"(
DRIVEWAY
Storm Drainage
(Rein Drain)Find
Sidewalk M
Curb&Street Final
Approach
BLDG. DEPT. r.NAL TEMPORARY CERTIFICATE OCGUP'% —
CERTIFICATE OCCUPANCY �Y�� ,�- Final
!\
Landscaping
Zoning Final