HomeMy WebLinkAbout1833 BUENA VISTA WAY; ; 75-233; PermitOWNER MAIL ADDRESS ZIP PHONE
3
4
5
ARcnirEcr OR DESIGNER MAIL ADDRESS PHONE LICENSE NO.
LICENSE NO. ENGINEER MAIL ADDRESS PHONE
11 Valuation of work: $
SPECIAL CONDITIONS:
4PPLICATION ACCEPTED BY I PLANS CHECKED BY I APPROWM R ISSUANCE BY
DATE DATE
NOTICE
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB-
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
ING, HEATING, VENTILATING OR AIR CONDITIONING.
TION AUTHORIZED IS NOT COMMENCED WITHIN 12ODAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM- MENCED.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT THE GRANTING OF A PERMIT DOES NOT PRESUME TO GlVk AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
SIGNATURE OF’ONTRACTOR Op AUTHTIZEO AGENTx,.. (DATE1
PLAN CHECK FEE $ PERMIT FEE $ //
I IMICRO FILM FEE Type of Const. Occupancy I Group
WATER DEPT. I I I
f WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECcVALIDATlON CK. M.O. CASH PERMIT VALIDATION CK. M.O.
INSPECTOR &#.
INSPECTION RECORD
CONCRETE SLAB
FRAMING
INT. LATHING OR DRYWALL
DATE I REMARKS I INSPECTOR FOUNDATIONS: I
,
SET BACK
TRENCH
REINFORCING
FOUNDATION WALL &
WEATHER PROOFING
~ ~~
EXT. LATHING
MASONRY
FINAL
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.
: 0.K. R. Nun