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BUILDING PERMIT APPLICATION `'IGARD DATE}`lam: �s�_
31 959
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONI. i:i- rl.
OR AS SHOWN AND APPPOVED IN THE AGCOMPANI,iNca PLANS AND SPECIFICATIONS. OWNER PHONE
1935- t_ ' SOT NO. r�1S ii1TAA
OWNER �,.t;. 'Lil Gi�l� »O. JOBADDRESS
ARCHITECT len Paulsen 246-93C8
ENGINEER
BUILDER fYF1P?,' ADDRES0500 S-V llnrI•iir :"(tid. DESIGNER i)alnyniler 655-3921
STRUCTURE MI NEW `G REMODEL O ADDITION ❑ REPAIR_ ❑ RENEWAL ❑ FIRE DAMAGE_ ❑ DEMOLITION
10',RESiDENCE ❑ COMM ---I EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE L] STORAGE ❑ SLAB[] FENCE
OCCU-ANCY ;� .]„—LAND USE ZONE Zo-_ r2.—BLDG.TYPE i—FIRE ZONE_"" PLAN CHECK BY —`��-_I! HEAT--- C 1 O'C•
Ca,,,•.trucC 6 unit prartrrenf: all -,mr plans and rorie, sIdn. 613
1. ".I.a th r.`
SEWER PERMIT M
OCC.LOAD FLOOR LOAD_+O HEIGHT ?R0.STORIES—? _ AREA—' ". NO.BEDROOMS ) 4 VA�' T�T1i�
_BUILDING DEPARTMENT _ SETBACKS FRONT;eO plC, PEAR LEFT SIDE RIGHT SIDE
Permit ?4?F R�iCt THIS PERMIT IS ISSUED S'_'3JECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 2• 3y:t-' _ WORK WILL HE XJNE IN ACCORDANCt W TH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLII;ABLF CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub-total 3 • -x RESTRICTIVE COVENANT'S. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State rax
LICENSE.SEPARA E PEnMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
17,n 6
Total
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PDCN APPLIdA'•rl 11` nGF'NIT
By
Receipt No. r� - PHONE
ApprovedC3Wft _.. J .: -- -----
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DATE INSP. TYPE INSPECTION REMARKS
-- _ PLUMBING DATE
L _ �� J% --- ----— tConuit No. Jt"
Rough in
��--- Fixture Y -
Final
HEATING
Con tractor 1-1
_- Permit No.
---- Gas or -
-- gh-in
-_ —.--.--.--- ---- Final -
-- ---- -_ SEWER ----
- ---�--_ _ —.- - -- Fi
not
DRIVEWAY -
- Final
- -- _ Storm Drainage -
- (Rain Drain)Final
Sldewalk
— - ----- - Curb IL St"t Final
__ - —
BLD(i. DEP1 FINAL TEApproach
MPORARY CERTIFICATE OCC Nf.Y
CERTIFYATE OCCUPANCY Final
3
-17-?a1 -- --
Landscaping
Zoning Final
j
1,