11430 SW DURHAM ROAD W
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1.1430 SW DURHAM ROAD
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BUILDING PERMIT APPLICATIOA WINNOW DATE - "- -' 19--- 6941
THE UNDERSIGNED HEREBY APPLIEF FOR A P_RMIT FORT Iir-WORK HEREIN INDIC.ATEU BUILDER PHONE __
OR AS SHOWN AND APPROVED IN T1E ACCOMPANYING PLANS AND SPECIFICATIONS. UWNER PHONL
LOT NO. .-
OWNER Terry Emmert JOB ADDRESS 11430 SW Durham Rd.
ARCHITECT
ENGINEER
BUILDER
same. ADDRESS 654-9716 DESIGNER
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STRUCTURE ❑ NEW _ ❑ REMODEL _❑ ADDITION O REPAIR__ ❑ RENEWAL El FIRE DAMAGE ❑ DEMOLITION
F]AESIUENCE O COMM 0 EDUCATIONAL GOVT L] RELIGIOUS F-1PATIOO CARPORT ❑ GARAGE ❑ STORAGE ❑ SLASF] FENCE
OCCUPANCY __ LAND US£ZONE -BLDG.TYPE ----FIRE ZONE.__PLAN CHECK BY _HEAT
move dwelling dwelling rind garages On DWr.tham Rd. to Pacific Hwy. to 16165 SW PacifiYc Ilwy.
(vut4ride of city l on = ---RZ_at n --
I)emolitiOrT Pet-Mit1ZSy_Ulartain •d
SEWERPERMITN —
OCC.L,IAD FLOOR LOAD ____HEIGHT NO._STORIE_S_ AREA NO.BEDROOMS VALUE 2000
BUILDING DEPARTMENT ] SETBACKS FRONT A REAR L GFT SIDE RIGHT SIDE
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Permit _ THIS PERMIT ISISSUEDSUBJECT TO THE REGULATIONS CONTAINED IN THE SUILDIiJ0 CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan CheckWORK MILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
_ WIT" ALL APPLICABLE CODES AND ORDINANCES- THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal R0sTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
- LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
Slate tax 1.26
Total 26.29
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PDOO APPLICANT dR416 EN1
Ay roved — ReCeipt No. ADORE33 !/ J }
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