24213 78TH PL W (2).pdfAPOUCATION is hereby_made for a pern�t
to construct the following work, In accordance with the
accompanying plans
and iipecl,'l cations:
"WORK
New/Addn .
........................... ............... Ground Area ..........................
.............. -Cll�� . ..... Z.o .........
No. Stories ............
Submitted .................................. . ..................... . . . . ...................... .............. . Const. Type .................................... ....
HelghL .......................
,�-�t:Plans
Use Zone..
Fire Zone ....................
.
LOCATION — Address
...................... . ....... ... .................
. ...... ....... ..................................... ............
Recorded Lot ........... Block ................... Add'n .......
4�3 - ...................
****" .. . ........... Sewerage .................
1,
'R tW
LotArea .......................................
Width ............................ Min. Bldg. Setbacks, Front and Rear ...............................
Sides ..............................
;1A
Owner .... C;" .........
Plansby .................................
6��
Bldg. bya ......................
Plbg. by .................... . ...........
Heatingby .............................
Elect. by ................................
Remarks..............................
Cz--11 Phone....
............................ ........................... Address. Y 2:x�.�
;.4 .. ................... . ............. . ..........
.................................... . .. ..... . ........ Address .................... . ..... ............................................ Phone ................................
................... Phone ................................
.................................. . ......... . ..... .
................. . .......... ...................
................. . ............................... ...... Address ............................. . ......................... . ....... . ..... Phone ........... . ..................
................................................ . ....... Address .................... .............................................. Phone ................................
...... Address ........................................................................ Phone ................................
....................................................
The above Is a correct statement and I agree to comply with all applicable Codes and State Laws regulating the work.
`.&I-L ..... Address . ..... .. ........
....... Date....
Signed: Owner/Agent/--rx---I� -
PERMIT for the above work is hereby approved, subject to the above conditions, and to compliance with the approved plans
and specifications and Building Department notations thereon.
VALUATION PERMIT IMES
c) C? e,2
Bldg . .... $ .............. i�� ..... ........
$ ........................................ t f) — d; 0
Plbg. .... $ ........................................
APPROVED:
Date ....... .................................
..... .. ... ... .... ... ...
Heat.... $ ........................................
Elect.
BUILDING DEPARTMENT Others ... $ ........................................
Wm.. Herbert,, Bldg. lnap.' TOTAL FEE
By............................................................. .....................................
NOTES: No work requiring Building Department or City Engineer's inspection shall be covered before inspection and approval.
Twenty-four (24) hour notice requested. Contact the City Engineer prior to construction of all site utilities, such as
curbs, paving, driveways, sewer, water and street connections.
F.
Foundation
Plumbing (Partial)
(Rough)
Frame
Furnace & Fuel Lines
Final