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WHITE—Deparfinem Copy. YELLOW—FtoqsendC. PINK—Assessor CoqLDGOENROD—FtM Cq* OREEN— Appkwft COPY
SS106-111'83
CITY OF DIAMOND BARwl- DEPARTMENT OF BUILDING AND SAFETY
A RUILDING PERMIT
PRESS c.Ok
FIRMLY
JOBSITE'
GZL (/y '_ _ ADDR
APPLICATION RM USEG°— _ 13 NUMBER 'C CODEDATE
ISSUE OCC.
APN OT TRACT
TYPE
DATE _ CONST. GROUP
CROSS STREET ! - c -,a rT1 11 i's
OWNER 1-111 1Vet
ADDRESS > ADDRESS
ZONING SETBACKS S69D WNM
WFRONTRW—
REAR
91&44-15, ZIP !y' /k TEL. -,FfCITY -- SIDE/SIDE STREET RW •
APPLICANT TEL. SIDE
CONTRACTOR i S L L/lt-f C- d ' . SEWAGE PUBLIC PMT 0
ADDRESS
CITY ZIP TEL
DISPOSAL PRIVATE SO. FT./ 100 GAL
GRADING CU. YDS. EXC. CU YDS FILLSTATE
LIC NUMBER 2 % L
ARCH/ENG/0
DESIGNER A e7
ADDRESS -4 P L(. /iTl , • LL
TYPE SO FT FACTOR PS ADJ. AREWALUATION
2 mf t'+/
CITY `TU '4 ZIPaZ E-1*J'M TELT 0 ` - 3
PROS USE itiE`'Z' l "/' ll
w C i n —
Z 4
0 GARAGE
NO. DWEL. NO. NO.
UNITS f STORIES BEDROOMS )
LOT DIMENSIONS E ? P7 / 1L l 47
NO. OF BLDGS MOWrONLOTUSEDSy2KIN C1-
DPORCH
co
VALUATION ADJ. AREA
OUAHrmr DESCRIPTION FEE
e., COW. RA. TI -AS DECLARATION I Mrely dhrle O:r I am bcvsrl rdr provmrs of Chow S Uarrlaltml
Sax+ 77[!tl of Dv 7 of tM &.nest AM Profeur.t Cafe ad eM kwo 1 n Rd late aM eMrct
a
WW
en 1 an I—oll Iron Or C I'Kbr s lsenes lame 4 M 0.11-1eYy4ER&fi DER DMARA(C% I hole., Man R
reeun ISet 1231 S &awss ad Netsws Cane Ary ury a carry wtecn rmw a Rrml b conmat
11'0 npfM Mnwth a t9par A" rrR9/t ANO b 111 etrae8 8190 tadros N arka.l Ir wh Pp NI
n Ise a aya.d 11a'.ne+1 pa he r kM d p.s. l b N Md thee CaaKbr 1 Lelrr9 La.. lChedr
9 icama.rrlurq w.7 $aoon 70061 0l D.tm 7 d M &.011 ad Praleuron CaMI r NI M . laMaPl ead.an
aM to Gut for the ~ on-Mba A.1y vaso w of Saar 70315 by My apmearl 4 a per rYOptN
I%- apart m a c1d p 11v of ml .al r..M EPA hulerd aeras 111581 I-1
I As o.mea of 10 pses•ty a aaq .^dmro sem ween a Ow tae cVgmO%oaa. wJ d.M late W
CO
CL
Y(
Ifo n•ec:Jro re rot .meld a drrd b NN ISK To" Efuumn ad hdestwl COM TM CTIIaY 1 I.—
law dols es, 890y b a atom of pop•ty w9a burs a I'Vm s MONO ptl WhO art secu was 1—es'
a thaadr M o.n !-payer% prmded RJ' ma ergvN ll we nut mWeW r O1b•d 4 ISN If, be.ewr,
IM buaa..rj ..•.pmemwt . sed w 1.. err to. of 0arglrt- the o—v O." ser bow 0. b.Mr of paq
Rai M d.a W bra or impow la Ifo p r;cr of sat l
1 as otvnr of t'r pt*prry am mixu N cxueclml w.0 k—al mr•vKrn b m.mvtt the pari ISa
ss adnsms Calk TM Crlratr b Lmmse Er. does Ad ..rrANDYbanoat poetry WmT;r.a 8vs.meM P
4.nbo a ••o•mn mora• rd w• he ewdectA 4 wb 0MAKtt wT a WOKwisl koud perm b N Cs11111l1 b
Lt.— Law I
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CONSTRUCTION
1 am em rd. S. .8 It PC IArarb Crakabl PLAN REVIEW
Do! ° ""
W
ELECTRIC
PLUMBING
MECHANICAL
W.FKERS COM^EfdSATpI CECLARATIOI I Mt9rf oxen 0n 1 base o Crakes! N Irr.11 to art Owl r
a cernka•e of Wasri Canprulw 1rsaw. a a 9.0.0 tow Abased (SK 380C. lab C 1
Ca 11.0 cow .1 Mrry f—mod
1 Crated up r Nod .•a ft &.10.q aspect- prompt a Drr~t
CERNECATE OF EeEWTION FROM WDR9ERS' CWRNSATON 14 MNfi 77.1 law ma rol be ea.ebw
d 0 p.'f 1 fa ole byrdrd Ilial a Nps 1 cardfy Des w N pwelrte d N seat be sebcb nes
t.g a teed I r.e not r p" " pato r wv -ease Is as b became seb1Kt to N Mblbri C-WIM l
Law, of C,14.-
CA,
AppkwiW
Q
W
LL
GRADING
ISSUANCE - 0
SM IP
PARK FEE
SCHOOL FEES - -N r LNI:'.KE TO API!U' 1fT 8 MIL.mes.p 0n CwN.ae d Ee1gMn Yate sMrY 0ecn..e wlptt b N Nerba'e
Carye.utm pa.s-s of N Lala Calk yw "Al 416.0 wT 1.[b Is— a M rand Md
be dwmrl raveood
Orr.SQk OF PAU..c•'RIAL SAFETY PERIAT CERTIFICATION
01 Mnh Bray Or ro e.eeveoa bw ISI a as. M m dope nb ~ 1 petal a two is Wcad 4z 'F 7
rl, r. W so bed" d" aaodvn Kdkl" IdwaweammWnWm:w sen .al &%avd p Ow pmd
a demoam r 61ma.6rq IMrod sed M we dw 0.ty W Iii Net ho1011 7 t. Cil t. An t SK
311 T.18 CACI
ej .,
w P Ir• r n r -Tv{ OR, d..w Imes, 1 w1 1a eyry .1. As lk orb weal —0 res -9 a Pamee Noes -nd
dIM,nl.a Sairy. a1 rood ohm .04011 Arlo Pall Ma W'm b do slab and boll to dollar v ........ ..... ..
Dat- of oral°res sabo pvss, No TOTAL FEES
CUtSTRU.7ETN LENOFG AWRICT I booby A"— 811 an r e swboeer iriq erlel 4 on tl.famenr
A
COMMENTS M12COMMENTS
e of dr yw.b 1. wwb M Pam r Nerd Ises X67. C. CI
L.rw 9 Name
larder s Adan
C IIMTFICATE OF CO.iIIMBi AN AUTIO8lAT01 OF EKITr7 1 dap I oar rood 09 40MOM rod nM
7 Oar Nerlrtr — pan a C~ I Mes b —Aiv .0 d room um atd oNy allklreces term r emir
senna w aad "t—a ctgp lent d w Orrsomes d bodingad Sdry be arbr up" w pwavy
4 .rtah 1 bow wAhed 4 dr par ler tW . d mob" w octnes
X a' u
AI Apdecim r Apr Dome
1 l s • , 'rl
RECPT NO. ! g& PAID BY 1d1LIQATrON
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Ll
INSPECTION RECORD
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11 UND-M FLOOR DUr, i
I F' OOR CONDUIT
Fo"JINDATION
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