HomeMy WebLinkAbout1611 (23) '"� CITY�OF DIAM�ND BAR �`��D�3�
PRESS
DEPARTMENT OF BUILDING AND SAFETY F�RMLY
BUILDING PERMIT
JOBSITE f ^ APPLJCATION PERMIT SE
ADDRESS c�( �D Fi�"� L�SN(=ST DATE � "' � NUMBER /� CODE
�SS�E q_�� _90 n� �. �
� APN LOT TRACb�D_� DATE CONST. GFi�UP�
o CROSS S�EET ..,�►�,s
ZONING SETBACKS
°^ OWNER � �,�� FRONT ' RW ❑
o ADDRESS � L-E' .REAR ❑
,� CITY 7�►�A 1�!� f2 � ZIp 74' TEL � SIDE/SIDE STREET ' RW ❑
o APPLICANT/YIi1�f.t' T1-k'�'�l�S✓i'l� TELS%�//S'Y �SIDE ` -, ' ,-�� "1 ❑
4 CONTRACTO � � v�V 5 SEWAGE ' ,
o ADDRESS/�� 3 �'iYto�Ur�oS�' C T` , ❑ PUBUC , PMT�
3 oisPosn� �:.-: �-�',-;
F W CITY���}/tVD ��t.L S ZIP _ 7� TE -��f�/ ❑ ��ATE„ ��SQ.FT./100GAL
z STATE � _
N UC.NUMBER ��l7 ��� GRADING ❑CU.YDS:EXC. CU YDS FILL
N ARCH/ENG/ � NPE S(] FT R PS ADJ. AREANALUATION
`=' DESIGNER �1 Cf�i`'}/e�� n�i b S C� � W 1 . ,
o ADDRESS 1�020 /.�/�/-3-N B�.✓I� W 2 , z,�• - � Z � •
Z CITY �'L/��VL39��" ZIP`�/ 03 E "S p �e g .
� PROPOSED USE Z 4• ,.
� � GARAGE •
o NO.DWEL. NO. NO. � PORCH
N UNITS STORIES�BEDROOMS�
� LOT DIMENSIONS CrV �� m VALUATION ADJ.AREA
o NO.OF BLDGS HOW ., Quarnmr DESCRIPTION FEE
_ .W ON LOT� - — - -. ._ .. _ USED S I N Co LL Q -
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�""' I.ICENSED LONTAACIORS OECLAAAIION 1 k��6y JMm that 1 an kmssd Wet proruwu d Gapur 9 IramimuN �
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3 � W � ' -
LL QNNEq BUILDEH DECIAflAiGH I Atte6y dlum WI I rn uempl fmm Jr Canuacta't Lcmu l�w la 1M Wiow�np
m�son ISec 70315.Buw�ns wd P�ubss.w Cuk My Wy n canry wIW��pwn a pam�m cwu�.1 C� "
o ysi.anpore.dcmohsh.a reprr ury sUucNc.pwr m ro oswrc�.�Iw nyw�s ths yp4cant lar wch pawl Z
F= m hk s s�gneG it�tement tn�i ts u kwW Wswnt m V�e Wau�ans at tt�t Convutor's Uume Liw IGuDur G1 (J � j/U � OI OQ
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a
� ❑I,�s owner ol ih paperry,a my empbyees w�fi wages u thev sok cm�pmutnR w�Y do the wak,W
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�uruiKam ol Y+4etdi Lanpen�atan Inwu¢�.m a caaf�ed cap�Ihacd(Sec.1800.l�b.CI� � P lJ
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y peraut u issueE.I sAaN nol empby i�y pt�3a�in�Mr mimer so u b becam WEKtl b tlr KMkNi Conyeoialm
s (iw3 Of CWApnia �,(,�
o � W PARK FEE
� °iti �� u- SCHOOL FEES
W hOTILE TO APPIILANT.X.�lur m�kup Uu�Coral�u al Emnpuon.pu�ha1d becar�tub�st b tM N6Yr's
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LL he dttmcd nwYed n rr=�-
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OIVLSION OF WOISIHIAI SAFETY PEflNYT RfliIFILATION�..._;y t�;' ..J
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0 �pµMrWp[ntA�WI ro�usvaWn Me IS)a��lal m dsp�h ob wAch�puson n�q�wd b descud.
ae w�tl k made n caxucuon w�m wai r�tln¢ed W tlrt D�rm0.�nd tlw ao bwWxS suuclw.ualkidu�p.lals�wak. �
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W 361.T�tleB.LAC) yEP � 6 ����
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'� ._.-... �_- •.,. .` �',� '.. �i.�:�'�.
W ❑Qvunnd6d.svdSaferyhmwtka .' ` �. ..._ - TOTAL FEES
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�y CONSTRUCfDN IENW�G AGEHLY:I Ainbr�tl�a dut tlave u��tonftauw lu�p pairy la tlM pwlu�mro � I D
Z d ih wa1 la w1ucA tlw pcml a usud ISec 3Ri1.Gr.GI.
� �"d�'�°w"" MME �
m ludei s Address
� R87IF(J�7E OF CONPLIANGE ANO kIJINOPoUTION Of fNTPY:I uM�r 1 luw�ud tlw�ppMra��n ad sur
�n that th�nf«nuuon pv�n a co�ui,I pa a cmp1Y wah al tur lava rd wy rdnrcu ndrp m builrq
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� —� Squtue d �a T p�y RECPT NO_ �/� P/UD BY � VlWDAT
WHITE—Oepartment Copy,YELLOW—Finance Copy.PINK—l�vsesaor Copy,GOLDENROD=File Copy,GREEN—ApplicaMs Copy
BS106-U/89 ' .
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