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PERMIT
USE
F,- ZONE NUMBER
aiSUITE/APT #
k. SUBDIVISION NO.
E is • I ' .)', , • � // /
A;iRIGHT !.
it{fil OF WAY PER OFFICIALMAP. TESCP Approved
Inspectioni I EXISTING REOUIRED DEDICATION Street Use Permit Req'd 0
• :• 13
PROPOSEDSidewalk Required 13
I. atlllt I'.REMARKS
CITY
1�REVIEW By
n�
„• ry.- • TURES
-
METER SIZE 1:SUILDING SUPPLY SIZE
E EXEMPT
F FIX
Iii REMARKS
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SHORELINEMPLET
ALL
PLANNING REVIEW BEXP
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ET
® LOT COVERAGE
,l. FRONT •
Tax Account Parcel No,
U NEW U RESIDENTIAL
ADDIALTER CJ COMMERCIAL
❑ APT, BLDG•
REPAIR
❑❑ GRADING
DEMOLISH ---- CYDS.
CARPORT
REMODEL E GARAGE
WOOD STOVEI ❑ RETAINING WALL/
INSERT ROCKERY
(TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN:
NUMBER OF STORIES NUMBER OF
DWELLING
UNITS
DESCRIBE WORK TO BE DONE (ATTACH PLOT A
.op MBING
(� CHANICAL
►_ J SIGN
❑FENCE
I. x _FT)
SWIM
POOL
RENEWAL
BY TYYt ur l.v,'•o, n.+v.,--•- I
SPECIAL mar•cv..+,• I I GROUP
REQUIRED YES I
REMARKS
PROGRESS INSPECTIONS PER UBC 305
FINAL INSPECTION REQUIRED
OCCUPANT
LOAD
JOE WIN PLAN CHECK FEE
... BUILDING
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PLUMBING
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Plan Check Noe
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STATE SURCHARGE
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W 412 STORM DRAINAGE FEE
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DEPOSITPLA
NT DUE
TOTAL AMOU
APPLICATION APPROVAL
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RECORD OF INSPECTIONS', ..
INSPECTOR DATE APPROVED i
SETBACKS.
FOUNDATION:
Footing ................
Wall..:......:....:.
Pier/Porch .............Ip
Retaining Wall..........
- PLUMBING: i A
Underground 0 91 1 •..• It It
Rough -In .....'.
CP...........:........
HEATING:
Gas Test. .
Gas Piping ....`-
'IIt
_ Equipment... - {.
CF....................
_. FRAMING
INSULATION ..:.........
> SHEETROCK NAILING ...'.
SPECIAL INSPECTION ... .
FINAL APPROVAL
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FOR OCCUPANCY .:
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