15975 SW QUEEN VICTORIA PL +�, APPLICATION CITY OF _
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tt DING PERMIT APPLICATION TI A4� DATE g'-- 3 , 39 .7 2
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED 6 3 ?-1/q)- 6)
OR AS SHOWN AND APPROVED��jjP�JJ�� IN
THE
ACCOMPANYING PLANSp� AND SPE J..EJ. ATIONS. OWNER PHONE �( --7
OWNER -1 9 Citi- R ADDRESS I /S °-'644z.I BUILDER PHONE ( - ,� ! 3
ENGINF�i,
`" "1 DESIGNER
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STRUCTURE nNEW ❑ REMODEL I&ADDITION a 0 REPAIR ENEWAL ❑FIRE DAMAGE ODEMOLITION
' RESIDENCE ❑COMM 0EDUCATIONAL _GOV'T ❑RELIGIOUS EPATIO ❑CAR PORT OGARAGE 0 STORAGE OSLAB OFENCE
❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED DSIGNS
OCCUPANCY ND USE ZONE BLDG.TYPE FIRE ZONE— PLAN CHECK BY HEAT _ ,
'et( / / iv-5-'
OCC. LOAD FLOOR LOAD HEIGHT NO. STORIES AREA VALUE
BUILDING DEPARTMENT 1
t SET BACKS FRONT REAR LEFT SIDE RIGHT 510E
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Permit ,^, ^ ---— ——— --_
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' 1' 11 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
PIan Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
F-- iI WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Recording ill
l ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
11RESTRICTIVE COVENANTS. CONTRACTOR Ar. . JB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
%State j LICENSE. SEPARATE PERMITS REQUIRED FOR .'ER, PLUMBING AND HEATING.
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APPLICAN-t v't , GEa . ___._
Approved i 1 Receipt No.
ADDRESS PHONE