16040 SW QUEEN VICTORIA PL —
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CITY f� O F
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B..,. . i�G PE 1,1 1 /'1f PL1,., -�T?ON Tt 1 _ , .. DATE , 19 9
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED
OR AS SH•WN AND APPRO ED IN THE ACCOMPANYING PLANS AND. , �SPECI�FIC�ATIONS. OWNER PHONE
OWNER �� I . � ADDRESS /. G�d / /1/'I.s�>WVee( _ BUILDER PHONE
/
c� ENGINEER
gl�ILr2FR f(10244t1 `-.-&'— ARCHITECT DESIGNER
STRUCTURE ^NEW E REMOD ADDITION TO-REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
ESIDENCEDCOMM E.:EDUCAT!ONAL DGOV'T ERELIGIOUS DPATIO 0CAR PORT. ❑GARAGE ❑ STORAGE❑SLAB ❑FENCE
BOND 1-1
MOVING _aCONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED OSIGNS
OCCUPANCY LAND US ZONE BLDG.TYPE FIRE 0 ' PLAN C CK BY HEAT •
–7:71:e/7 ., / , , •• Z. V--9.0 dr 4,1 _ • fi , . „.... ..
e ,e__05-ec,ka.-9 or Al 62-•-ei.."(
OCC LOAD FLOOR LOAD HEIGHT NO,STORIES AREA VALUE ?7
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit .
1 } 1 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check LL REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
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11 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Recording , ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
C RESTRICTIVE COVENANTS. CONTRACTOR A _ 'R CONTRACTORS TO HAVE CURRENT CITY BUSINESS
;o State f // I LICENSE. SEPARATE PERMITS REQUIRED FOB .ER, PLUMBING AND HEATING.
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Total , /0 , 10
lily 1
,'I APPLJCAN u,< AG, ;
Approved , Receipt No.
—. PHONE
ADDRESS