15735 SW 76TH AVENUE-1 wo-
-- 15735 SW 76TH AVENUE
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BUILDING PERMIT APPLIGAT!ON � 4373
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE 1N(�RK HEREIN INDICATED BUILDER PHONE iL3
OR AS SHOWN AND APPROVED IN THE AGCOMPANYINr, PLANS AND SPECIFICATIONS, OWNER PHOYE —
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LOT NO. �(
OWNER IJK�t _`.�C: �I�'#t JOBADDRESS I '; ilk' 7(;tea AwV .
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BUILDER ADDRESS "')>JV�' DESIGNER wT�lil1@"i Jacobs
STRUCTURE _ U NEW ( REMODEL L' ADDITION ❑ REPA!ri El RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
F-1 RESIDENCE COMM (❑ EDUCATIONAL ❑ GOV'T ❑ REL!GIOUS ❑ PATIO n CARPORT ❑ GAHAGE ❑ STORAGE C SLAB❑ FENCE
OCCUPANCY :_.,--LAND USE ZONE .BLDG.TYPE FIRE ZONE. PLAN CWeC_K BY HEAT.
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"canstruct 3erlrawtY :loft :i-+ei it icyl, rn:!!O (,)l f,)17
t:'oo-.,1 iml rovi' f' roof '.' tritct.urrv. Sies corroC'._1Jt1 ahEar• t
SEWER PERMIT M 1 st fi;i
OCG LOAD FLOOR LOAD tl HEIGHT fi NO.STORIES _AREA_ _j_ZC, N0.BEDROOMS Z VALUE-15),00n
BUILDING DEPARTMENT_ SETBACKS FRONT PEAR LEFT SIDE RIGHT SIDE
Permit _ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT 1S HEREBY AGREED-K'.AT THE
Plan Check _i WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDIi<ANCES. 111E ISSUANCE OF THIS PEI1MfT DOES NOT WAIVE
Subtotal RESTRICTIVE COVFNANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT C "Y BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER.PLUMBING AND HEATIMG.
State Tax '
Total
SGC
- pDCM APPLICANt OR'A(it WT
By ,i rl j _
Recelpt No.
Approved _^��A1 PNONE v
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DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
s 33
Permit No.
Rough-in
HEATING
Contractor
dr-!_ex- P.,.,;t No.
or Oil
R:,jgh-in
Final
MAI SEWER
Final
DRIVEWAY
Final
Storm nrainap
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Gas0�
r Oil
(Rain Drain)Final
Sidewalk
Curb&Street Final
Approach
9LDG. DEPT. C
FINAL TEMPOM APY LERTIFICATE OCCUPANCY
CERTIFICATE OCC:, 17ANCY Final
Landscaping
Zormr-Final
BUILDING PERMIT APPLICATION TlGAH� DATI: I19�%� ��
THE UNDERSIGNED HEREBY APPLIES FOR A PER AIT FOR THE WORK HEREIN INDICATED �y BUILDER PHONE`
OR AS SHOWN AND APPROVED 1N THF,:CCOtf PANYING PLANS AND SPECIFICATIONS. O .OWNER PHONE
1 vw� 1�w rOa LOT NO.r.� _
OWNER `�� �7 �',�1JOBADDRESS 167*36JW
GUILDER 1 kjhLr ADDRESS �e• OESlGwNFR, J�►"Ny Jo`+Gr►�J v
STRUCTURE ❑ NEW REMODEL ADDITION _❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE C1DEMOLITION
__-..
RESIDENCE 0 COMM ❑ EDUCATIONAL L1 GOV'T ❑ RELIGIOUS ❑ PATIO 0 CARPORT ❑ GARA_GE_❑ STORAGE 0 SLAB❑ FENCE
OCCUPANCY R�� LAND USE ZONE �LBLDG.TYPE � FIRE ZONE FLAN CHECK BY �HEAT-jO-fl _
SEWER PERMIT N
CTCC.LO,:O FLOOR LOAD D HEIGHT NO.STORIES '.Z 'AVA L2 8 NO.GZZDROOMS ` VALUE /3,"a00
BUILDING DEPARTMENT SETBACKS FRONT REAR LEFT SIDE RIGHT SIDE
Pt'mdt 5-0 THIS HERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,ZOWNG
REGULATIONS AND AL'_ APPLICABLE CODES AND, ORDINANCES, I.NC IT IS HEREBY AGREED THAT THE
Plan Check ' 83WeWORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sus total �J/� 33 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
III LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
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PDCA APPUCANT OR AGENT
By _ _
Recelpt No.
Approved ADDRESS PHONE
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SDC -
PUC - S 7L
SEWER CONNECTION 5
SEWER INSPECTION
SEWER `:URCHARGE 5 e
IMM
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15-2U- 5W 70 A-A e.
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