16690 SW QUEEN MARY AVE CITY OF
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1. _OiNG P7M3 I API 1,..i A � InN t G0V DATE
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYINGPLANS AND SPECIFICATIONS. OWNER PHONE
OWNER - 1 efi 9i1....e.--kaiLrN ADDRESS 166 70 5W) tf17,2-ye* BUILDER PHONE
14 / ENGINEER III4
91.1,-a„R 1 i' d ARCHITECT DESIGNER
STRUCTURE ENEW (—IRE REMODEL CI ADDITION SEPAIR ❑RENEWAL DFIRE DAMAGE ODEMOLITION
ESIDENCEECOMMEEDUCATIONALEGOVTDRELIGIOUS RELIGIOUS DPATIO 0 CAR PORT ❑GARAGE ❑ STORAGE ESLAB ❑FENCE
❑BOND MOVING -CONDITIONALUSE E!DESIGN REVIEW ❑COUNCII_APPROVED ❑SIGNS
OCCUPANCY !_AND USE ZONE B/L�DG.TYPE FIRE ZINE_ PLAN CRE/K BY HEAT
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OCC LOAD FLOOR LOAD HEIGHT NO.STORIES AREA VALUE 036 *"`
BUILDING DEPARTMENT 1 SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit Oi '_ -
ii THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check , REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES. AND IT IS HEREBY AGREED THAT THE
I, [/7� WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Recording %V ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
i- 4•*`—["" RESTRICTIVE COVENANTS. CONTRACTOR Ar: _R CONTRACTORS TO HAVE CURRENT CITY BUSINESS
3%State -�- LICENSE. SEPARATE PERMITS REQUIRED FOR .',ER, PLUMBING AND HEATING.
Total J/0 ,
--"Y- [ •APPLICANI AG'
Approved
j Receipt No.
ADDRESS PHONE