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BUDDING PERMIT APPLICATION KING CITY DATE_ " l�D`� 78 1314
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE J 5-04 4 15
CR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS, OWNER PHONE .__f'3 9-2 2
LOT NO. ,.
OWNER �* A.,:revariva JOBADDRESS 16551) _t;ta,.j ')r Labe _
ARCHITECT
S 5 J l.0n6tr• 336 `-'F n i Cl i , ENGINEER
BUILDER � ADDRESS 1 � +" DESIGNER 1 `+ .i
STRUCTURE ❑ NEW ❑ REMODEL 11 ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
0 RESIDENCE ❑ COMM 1-.1 EDUCATIONAL ❑ GOV'T D RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY t ' LAND USE ZONE'_ BLDG.TYPE —1"' _FIRE ZONE. -` PLAN CHECK SY `I 1] HEAT..___ r
or1Atruct vreenhoil.8,% andi1 L4'n to alnple fa -iI ly dweI.Iin --
SEWERPERMITM
OCC.LOAD FLOOR LOADC O ri C r.HEIGHT i; NO.STORIES 1 AREA 12 0 NO.BEDROOMS VALUE
_ BUILDING DEPARTMENT SETBACKS FRONT I REAR 1 ^LEF t SIDE _ 3 RIGHT SIDE
Permit_ _ _ THIS 'ERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Z REGULATIONS AND ALL APPLICABLE: CODES AND ORDINANCES, AND IT IS HERESY AGREED 1HAT THE
Plan Check WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL, APPLICABLE CODES AND OP.DINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal RESTRICTIVE COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
!� LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER.PLUMBING AND HEATING.
State Tax •t)•� _
SDC-
Total
By ---
—"- PDC# APPLICANT OR AGENT
p 1
Receipt No. -_
Approved ADDRESS-____. -- -- -- - PHONE
—�_-..
� itza.
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
Wit'-/ - J ✓ Permit No. -
-- Rough-in
Fixture
'Final
HEATING
Contractor-
-__ � Permit Noy^T'
— --- Gas or Oil---^---� A
Rough-in— ----- — —
�--
SEWER ---
-4�i Final
— _---- � DRIVEWAY — -
_—_--_---- Final
Storm Drainage
(Rain Drain)Final
Sidewa I k
Curb&Street Final
Approach
E
BLDG. DEPT.FINAL TMPORARY — CERTI__FICATE OCCUPANCY Final —
CERTIF9CATE OCCUPANCY
Landscaping
Zoning Final