1200 Rinehart Rd - BC04-002031 (TEMP TRAILER) DOCUMENTS05/06/2004 12:28 9547270332 HODGEN CONSTRUCTION PAGE 02
06/07!04 12c54pm P. 002
a--- ' 04/9tD/06 06:58prn P. Ode
C[fY OF SAH(i tD PERvrr APPLwcA TrON
Permit #
J/
1111,1111,Addra:
e__ Ia�Op_�± Dste:-� `�•—'D--
Dmerlptlnn a Work
Historic DlaMct Zoning: _ Vatrre of Work:
Permit 'type: Building Ekotdcal Mechanical PB.rnnhin
1S ___ Pirr: 9PrtnlrlerlNlnrn+ pool
BlaetrieAl: Now SeMcc — K of AMPS — Addition/Alcaatirin __ ChaW of Service, Temporary Pole
Mact"aldcol: Residentild -- Non -Residential _ Replacement �•__ New _ (Dttet Layout & BncW Cala Regal*
Plutnblegi Ntw Commrneisl: # n(Pi;tlttes __ # of Wader R Sewcr Unm # of (3aa Linea
Plamblatt(Nerr Redden6d: # of Water GlosoM,. , Plumbing Repair— Kcvklentiol or Canirtetcial
Occupancy. Type: Residential � - • COmmereial — InduRtrial ._-. • Total 9puare Flaatagr.
Coustruetlnn TMM: go(9Mr1ea: # of I)welting Units; Flood Zone: (PRMA Porm required for othw %ben X)
Pancake: _
Ownon Nona
Canitanor Nkme &
(Attach Proof nfOwnerahlpatER."Deaereptton)
Phone Rt fnsai�%.:71°'d/4
p routpAoy:
Address: --
Audreac:
MortSRge L ao4at: l'Ji1 / 1
Addret.t;
Addrea at/Qttgnoer: _ Phnno:
ApplicnNan is hereby m.As to atttAin n Permit to An rhe �vnrk and ittstalrnnrnu sn lndkan d. le that no work oluratalletion has oennnwced prior to Me
iannWCC of D Pt:trrnll msd thM Rd worts Witt ba porarrnrd to T 1 J 4 mian in Ajokirlodiction. I cxtdmtotnd tbu a RtgrRraoe
PunknmtgtbosecumdfbrUSCTRTCALWORK.PLt1MRIN ,, NS, S, U BS, DOILRAS,.i1{1ATEiU.TANKS. rnd
AIR CONDITIONERS, are.
y -
2a/1?O;R'S APFIDAVf�; I ceRify that s.11 of thelorogoine info) a a rn c tbs al c will bu dere in norMlintae with alt applicable lawa regulating
cnosttt�tttion Rod ranine. WARNrNO TO OWNP A.- YOUR FAILURE TO RMOR.D A N0T141'_ OF COMLIBNCIlMewr MAY 0NUIX IN YOUR PAYING
TWICR FOR FMFROVGidl;M TO YOUR PROrrRTY, IF YOf11NT13h10 TO OBTAIN FINANCING, Co NSULT Wl?R YOI±R LEND@R OR AN
ATT)"y ABFnRE PACORD(NG VOUR NOTICR OF COMMEWPMBNT.
NOTICE,: In eMitbn to the enter{ramcout of this permat ellen may be Rddifimml rnMkfimrs opplicabic to thin
thfs county, AM thrne OPY to eddlirlonsl permits requlrrA from other governnmrol antide% etch Am watorSft
Aeceprenee
r owns Of tba prngctry of the
lel may he fm od in the pdblio recon& of
rlrlets, nape atcnelm, or Adoral sgtodW.
PS 711.
Moro
•,. ��recv�nrrdenronams '�' ,P��
• r•'
coos
�3A7�/ D � SiQnnturc ofisnury�9mro of Pbna MCC
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aaNcE urC , �fi'"' DE80RAH a 9iiQWN
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Produced p ` PenonRRy Known to Me or ContrnererfAgent is .. � Pcraono r o
tEl(
_— Proclocco tD RES, MOa9@ber 19.2006
ado Noeryptwk 'nova"
APPLICATION APPROVBD h)Y: fltdmi)ff-'®1
'r/� + zoning
(Initlll R nam) (h�itinl & Da ) (initial & Darr:) (Idiriol & Dare)
Spco;nl Conditions: