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HomeMy WebLinkAbout1511 (19) ', - . '"` CITY OF DIAMONDj`BAR pRESS � DEPARTMENT OF BUILDINr,AND SAFETY BUILDING PE►`;,{AIT FIRMLY JOBSITE � APPLIG%;ION Ir1 RMIT E ADDRESS DATE r V NUMBER CODFS ISSU�j TYPE OCC. > APN "—'+' LOT -- TRAC7 DAT� CONST. GROU��� t o CROSS S REET ;:ONING SETBACKS "�� � OWNER FRONT RW � � ADDR S REAR O W CITY IP TEL SIDE/SIDE STREE7 RW ❑ o APPLJCAN L SIDE ❑ a CONTRAC70 � ` SEWAGE o ADDRE ISPOSAL ❑ �SUC ` �� W CITY ZIP �. O PRNATE ''SQ.Ff.1100 GAL z STATE GRADING ❑CU.YDS.EXC. CU YDS FILL y LIC.NUMBER� �� �_" ARCH/ENG . � NPE SQ FT FACTDR PS ADJ. AREANALUAT�ON � DESIGNER I'� r� S� W � ' S � ADDRESS 2 � CITY ���� - ZIP � TEL. 3 � PROPOSED USE z 4 � � GAflAGE o NO.DWEL. NO, NO. � pORCN y UNITS STOR�ES 2 BEDROOMS m s LOT DiMENSIONS VALUATION ADJ.AREA o NO.OF BLDGS HOW ounNrrtr DESCRIPTION �' FEE � W ON LOY USED Q � U W I�.I � � C�� LCENSEO LONTN4CfORS OEUAflA1l04�I herehy dfvm�hrt I tm fcenses Wr qwivms al CM1apur 91����0 . ¢ wrtn Set�ron 1'J00)ol Divition 3 01�M&eiens aM Prohttunf Cnde.and rtry Icenn if�h�Mn�M Ntect � 3 � w r`� � �±- O�YNEfl�BIMDEH DELIARATON�I herthy dfirm ih�I�m e.emp�Irom tM Contncmr's l'smse lnv far�M followinq x rtawn ISee.7�'l15.Bmines a�d Prafessom Goda�Arq cM a tnnry w�i�h repuires i pnmq to ronsWct. 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CONSTRUCTI r " W ' �... ❑I im e+emp�unda See. ,8.6 P G IAnch tercfiom6 f o wrc �* ELECTRIC � � KiItRERS'LOh1PENSRtIQ!�EQARATRN 1 henM�firm Mn I Mre�cerv(cm d cvnen�ro xM�nsun.a � ! �[Mi1Nl1f 0���bt c���M.�m..�.�nM�e roor n���sK,aeoo.i�a.ci. - PLUMBING � ❑ca�a�ocr n nMer��e J MECHANICAL o ❑rxm.e roor R��a��n n�.a��y�e�am��r d oror+�+ � GRADING � CEATIfILATE OF F%[MPTqN FROM WORKERS COMPFNSATpN INSUR4NfI:TM fecfian n�M na M ca�qkkE Q ISSUANCE -J� y A IM1!�tm�i iS IR O�C M1undRA(S1�UI R Ins.I eerMT hat in IAt palarnene ol IM wak lar which thit F _ . . Dnmit is i:neE.I�hd mt emDbY�^M R�m^in��Y mmin�o if ro 6etdne wbRn b the NbYai Cartqensation .. . �`j M�P . .�.. - ._ . . � - ' lwn d CAilanu. W . o W PARK FEE _ W °ah � u- SCHOOL FEES � NOTICE i[I APPIIfANT:M.�ftn m�lcing�i�Cenfrne d Fvmplian.pu sMJd becme su6jett eo tl�Htrier'� —+ Cempen:anon pmisians ol tAe L�Ee1 Code.Y�mun Isttnnb mnqiy wifh uh pnvAiom s ihn D��MI � Ee deemeA revdM J � , W OIYISb110f MWSTRIAI 50.FETY PEPMIT CERTIFICATIDN� o ❑I I+ereby mtny Mat m rrtm6an!ne(5)a men 1M in Aeptn nm r,tiM i prsm is npdnd o Nuud. �� x wd M mWe in connertion wid�warl winavN by tlro pem�il.�nE Qut ro MdMp ibuctve.uafkl6^0.NeewerM. p' a Aemolrtion a asm�nM1rq�k+eol.wA M Tae tlun tlwry.y�(381��(�0�]i.Gry 1.M 2.Sec — ' W� 311,TMeB.CALI'.. .\_ �. . . . ' ) ^j. = i �1 . . . ,. � '.. ��,- ' .. . . . 3 ❑Ai owne�6uilder.I�MiI nat enOM rm�+ro do wat which waAd�puin�On�han RN Oivi+un d � . � InAnnid S�hty.as rocd Mmt.unkn s�cU R«tuf i Damil b do Mh wat hon�1M firaia� W ❑o��a e,a�rnw s,+�a r+��,x�. 2 .�-� � caosrmcroN a�omc nr�Ncr:i n„�er.�e�.�a��n.���o�r r�a.o«ro�,K� TOTAL FEES I z a m.„�n►id wnrn em xmm e�,�a�SeC arer.t�.e�. � �"'°"''"'"" COMMENT'S p�p tenee�•s Aehesf ` CERTGUTE Of LdMPLWtf ANO WflpiUTO1 6 ENTRY:I ter1�'I 1 Me nM tlw pdcMien rd rtir fn ihm Me nfm�w+�m qnen a car.ct.I pee ro canp�wia N sve�Irw�wd ary sFwsn ni.u�q n�p � y construtun.�nd+utM'v��Rpeummn d iM U4+MeM d B�6^0 and S�hry b�mr iNn fM pqerry = fa whch I Ant�OdKd lar I�e Pn�ia lM pupoa�d m+tip inV�euan. F— � SpuM d App6cnt a Aq� pw RECPT NO. 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