12535 SW PRINCE ALBERT COURT I
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12535 SW Prince Albert k_
King City
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N 00 1150
BUILDING PERMIT APPLICATION KING CITY DATE �� �`'�
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE �_—
y OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS OWNER PHONE_
1253.i CC11 y �$��I LOT NO.----
OWNER _ JOB ADDRESS_ E ADDRESS
ARCHITECT
Antun E tALi.tt3Rl CNGINEER
BUILDER ADDRESSRRi�cc_,,.__ _ DESIGNER
}}STRUCTURE Q EW ❑RFMODEL ❑ADDITION OWEPAIR ❑RLNEWAL � ❑FIRE DAMAGE ❑DEMOLITION
LDIENCE ❑CCOMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑STORAGE❑SLAE!❑FENCE
DBOND 'JMOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPF,NCY _LAND USE ZONE— _BLDG.TYPE__ FIRE ZONE— PLAN CHECK BY_ HE,\T_---,__
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C_CC_LQA_SL___—F_L00R OAD�_.__—�._1i�1Sa.►iI_�__NSA—SIS2f3lF � AREA NO.R DT!_ QLM$—_ VALUE
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit
-- `' - -- THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CON,o.INED IN ,HE BUILDING CODE, ZONING
' Plan Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
----- - �' WORK WILL BE DONE IN ACCORDANCE WITH T HE PLANS AND SPECIFICATIONS AND�N COMPLIANCE WITH
SUI.-iota) ALL AMICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVCWANTS, CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY AUSINESS
State Tax LICENSE. SEPARATI PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total • :�.
1
FEEAPPLICANT OR AGEI';i
ApprovedReceipt No
—. — ---
11► 7ES5 r„ u�t
- DACE INSP. TYPE INSPECTION REMARKS I PLUMBING OATS —
z��lg Contractcr
Permit No. -- - .—
----- - - - ------ -
Rough-in
'— Fixture
— ---_---
HEATING
Contrector
----- - --- �.
Permit No.
Gas or Oil
Rough-In
--- � Final
---SEWER--
- --- �—�- -
Final --
--._. - ---- - —
DRIVEWAY
--- -- ----- ---- - Final -
- Storni Drainage -
(Rein Drsin)Final
Si-'rrwalk
Curb&Street Final
Approeuh
BLDG. DEPT. FINAL _T TEMPORARY CERTIFIC'.iE OCCUPANCY Pinel
CERTIFICATE OCCUPANCY
Landscaping
Zoning Final
a