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15925 SW QUEEN VICTORIA PL • King City CITY OF BUILDING PERMIT APPLICATION TIGARD DATE , 19 N° 10 4 0 THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE OWNER ADDRESS BUILDER PHONE ENGINEER BUILDER "! mtOgrg `' fi8 • ARCHITECT DESIGNER STRUCTURE ONEW ❑REMODEL ❑ADDITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE ['DEMOLITION ❑ RESIPENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ['CAR PORT ['GARAGE ❑STORAGE❑SLAB ['FENCE DBOND ['MOVING ❑CONDITIONAL USE ['DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS OCCUPANCY LAND USE ZONE BLDG.TYPE FIRE ZONE_ PLAN CHECK BY HEAT OCC. LOAD FLOOR LOAD HEIGHT NO.STORIES AREA VALUE BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE Permit . 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 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 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS 1%State LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING. Total By APPLICANT OR AGENT Approved Receipt No. ADDRESS PHONE 411. DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE Contractor Permit No. Rough-in Fixture Final HEATING , Contractor Permit No. Gas or Oil e//7--// '/_ Rough-in / Final SEWER Final DRIVEWAY Final Storm Drainage (Rain Drain) Final Sidewalk Curb &Street Final A••roach BLDG. DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY CERTIFICATE OCCUPANCY Final Landscaping Zoning Final