16740 SW 124TH AVENUE I
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16740 SW 124th Avenue
King City /
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BUILDING PERMIT APPLICATION KING CITY DATE______ 19____
THE UNDERSIGNED HEREBY APPLIES FOR APEPMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE-
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONE_
" I.OT NO.
OWNER JOB ADDRESS ? HOME ADDRESS
�v ARCHITECT
ENGINEER
BUILDER AD_DRESS _ DESIGNER
STRUCTURE ❑NEW C3RymnDEL ❑ ^^ADDITIJN `JREPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
❑ RESIDENC.E DCOMM ❑EDUCATIONAL. ❑GOV'T ❑RELIGIOUS❑PATIO LJCARPORT ❑GARAGE ❑STORAGE❑ C
SLAB OF
❑BOND ❑MOVING EJCONDITIONAL USE CIDESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY __LAND USE ZONE___ _BLDG.TYPE FIRE ZONE_ PLAN CHECK BY _ .__....___—HEAT_ _
�T�►,.�at; s.aa:, e:Ir.
2C�1S?L1D _�,QOA LO/�D HEI_ 1—_— -__NO.STORIES _ABF NO DRO 4MYBJ UE
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit
THIS PERMIT IS ISSUED SUBJECT Y') THE REGULATIONS •'.,1NT<,!NEr iN THC :JUILDING CODE, ZONING
Plan Check REGULATIONS AND ALL APPLICABLk CODES AND ORDINANCES, ALO IT IS HEREBY AGREED THAT THE
-- WORK WILL BE PONE IN ACCORDANCE VV,TL1 TUT PLANS ANO SI'ECIFICATIONS ;%ND IN COMPLIANCE WITH
Sub total ALL APPLICABLE CODES ANV ORDINANCES. THi "::;AKCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTFACTORS TO HAN E CURRENT CITY BUSINESS
State Tax LICENSE. SEPARATE PERMITS REOUIRLD FOR SEWER, PLUMBING AIID HEATING.
Total
By
------- ------- APPI-ICAN1 nR A4:ENT
Approved Receipt No. '� ��'
DATE INSP. TYPE INSPECTION REMARKS II PLUMBING DATE
Contractor
Permit No.
ROugh•in
Fixture
Final
HEATING _
Contractor
Permit No.
Gas or OII
Rough-In
Final --_
SEWER --
Final
DRIVEWAY
nal
—— �- —�--- ---___—��
'o-Drainage
-- (Rail Drain) Final --
_ Sidewalk
Street Final
Approach
BLDG. DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY
Landscaping
Zoning Finnl