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A 0 0 R E 5 S___l__�-=-� L) sGtr K,f(. PERMIT f 0._—____
PERMIT CHARGE= /` none
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C O N t:E C T I O rJ FEE
OUR , �LZ� ?tillwu
PAID BY a�sZ
TYPE OF BUILDING ��� DATE COr;%E,CTE.D
r
/ Ir1SPECTI0r1 FEE
SERVICE R A T E ---- ---
CO�:TR' CTOR _ PAID 81' r!� UATE
SIZE OF CO;1r:EC1'ION ASSESSMUIT _ _ ____ PAID
BUILDING PERMIT APPLICATION MITY0 F TIGARIDDATE_____ ' ' ol
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WOPK HEREIN INDICATED RUILDER PHONE-__-
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS OWNER PHONL--_____
LOT NO,—.-
OWNER, , S�4%rijUj# JOB ADDRESS 1.4,J) WOME ADDRESS
ARCHITECT
BUILDER ENGINEER
ADDRESS —
DESIGNER_.
STRUCTURE 13NEW CIRI:MnDEL DADDITION C3 IR e.PAIR ORENEWAL
OFIRE DAMAGE ODEMOLITION
-IRF —]PATIO OCAR PORT DGARAGE OSTORAGEOSLAR [-- FENCE
CIRESIOENCE ChOMM DEDUCATIONAL CIGOV'T (- -LIGIUL-Sl-
1313OND MOVING 000NDITIONAL USE DDESIGN REVIEW OCOUNCIL APPROVED
OSIGNS
OCCUPANCY LAND USE ZONE I-_- -13LDG.TYI-L�
—"' .FIRE ZONE —, PLAN CHECK BY--.
�� tEAT
Lill,..3 tr u KL—OA111-14" f its r''1 1 Al a c h a04 L ri U a 3 bwijl" j 3
(r11,eF Bina A Mechviniusl fj*xmj
t's required,
too lyt4oftw
A 3 06 9
BUILDINF, EPAE1,MENT
SETBACKS FRONT 6nf
REAR LEFT SIDE RIGHT SIDE
Permit 2210 UG
THIS PERMIT IS ISSUFU SUBJECT TO THE REGULATIONS CONTAINED IN THE AUILDING CODE, ZONING
Plan Check X3.50 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND It' IS HEREBY A(;REFr3 THAT THE
Sub total WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS A,',If)SPECIFICATIONS AND IN COMPLIANCE WITH
J) AIL. APPLICABLE CODES AND ORDI-NANCE!, r14F ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRIClIVF COVENANTS. COYTRo%r'TOR AND %kJR CONTRACTORS TO Ht.VE CURRENT IATY BUSINESS
State TaA V4 LICENSE SEPARATE PERMITS FIEOUIRFD FOR !:,FVVER, PLUMBING AND HEATING.
Total
Bv
APPLICANT OR
Approved Receipt No. ;/4-3
DATE INSP. TYPE INSPECTION REMARKS PLUMBING Dt.TE
T (It V-wwr.z--b,,37 Contractor
I, 2Y 06,T7
(,I/ A/,0 (k).4 J'* Permit No.
2)- 7 9' g-U Rough-in
Fixture
Final
HEATING
Contractor
Permit No. /5- 3 7--7'r
Gas or Oil
Rough in
Final
SEWER
Final
DRIVEWAY
Final
—Stoft—Drainage—
(Rain Drain)Final
Sidevvelk
Curb&Street Final
—a:—DGD E_1;_T._iF_1N_ACT_ Approach
_ TtMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Landscaping
Zoning Final