|
Building inspection Qivislc CITY OF "TRACY
<br /> 9 P APPLICATION FOR iNSPECTIONOQUF" os �cr alru
<br /> City of Tracy
<br /> BUILDING PERMIT awsxlrrs .[r JilOr ,.yy7s
<br /> mel+srarso
<br /> i JC*Aldrea<
<br /> $Ira [?ID115TAIAL sIy I11+I�R �11.s elri e.x.rr nN
<br /> 1 Assessnrs Parcel rVr.
<br /> 77 PMICCt OC-Lririton or C<rrrtnre nee
<br /> ' i , Perna iNcwrAdd of A},cr/C,sn%,cr%u Pae qciPxkto)
<br /> s Permit Type Bu,idtn¢ %fcChanrcr} irlutr,a u" Plumhrn¢ •ILn
<br /> tit H Lut .Den,uiurun C„RJl7i1 fhhcr
<br /> 5 Pn PeriOwnertt MfJ(E&6DN CDTiMIIDII
<br /> MaltingMaltingn g rWdresj;s ,]IE POST ST&FcT c 1iv75t�tC
<br /> Phone Number _ _-N FRmACISLLA
<br /> 6 OcculAnususiness Name bene Nr,
<br /> Business Owner s Name
<br /> 7 CuntratwrI Name STATENIK SICA4pT1tlM H,r,mt t,l.ctmrd Cuutr7u,+rc(YIN)
<br /> Matting Atklr= $ASM AVE
<br /> 4 � Phone Number St I L,swSutc FRES1f0 C.415"c5-+1W0
<br /> Cc,rri ,c.1
<br /> JI tic Manaver s Name 4'hont Nn
<br /> —A—Under Name
<br /> ,OTU_e.0 Grau U SC T ,fc+¢ht(FT) Storrc't Plan No
<br /> ! S I Census Ares Value Assessments Ccnaus No Private Owner,fYlNI
<br /> Cenl Census Numtser laescrtpuon AeDrY Per Bldg BVD Units No Sewer Water
<br /> Sub Cade AreayVaJue Code Per Btdg Tens Tens
<br /> code Or Cu Yrds Bldg of Cfm of Cfrn
<br /> o DFOXITIQNS. ALL OTIIEIt ftw ! 0 000 s0 t t
<br /> t � II
<br /> i
<br /> Toul Area Tulal Value Yards Zumn¢ District
<br /> THE FOLLOWING PRELIMINARY FEES ARE SUBJECT TO CHANGF BEFORE PERMIT ISSUANCE
<br /> FEE EC 1 AGE nG�
<br /> BLD6. FEE 001-72p tW--421
<br /> PLAN CK. NJ-7400-i20-01
<br /> 0W. FEE 00!-7200-100-424
<br /> E'iEE t
<br /> FEE 001-7200-400-42P � 1
<br /> PLOC FEE 00I-7200-i00-Qa
<br /> 51!!P-key. WI-0400-221-006
<br /> !! 1
<br /> RISC FEES. 1
<br /> TOTAL FEES ; --
<br /> 4MM%T F9r_ d0
<br /> Appiwtton Number I}rmrr Number
<br /> 8940 t55t3 Activity Cede
<br /> AppiKation Date Rolinissuance Dace _ Acov,ty Datt r
<br /> Sodding Olvlsion Approvtil ^_+ D*to_ Ptanrung Division Approval Date
<br /> IrraPO"lims sit Roqurrsd^R*Q~them 24 hours.in Advanc*
<br /> OWNERIBUILQt=RANFORMATION WORKERS COMPENSATION
<br /> IwaA rr.,rllr.r..r.rrwonw.rrw��+�rr�re.awl.wry�7am.nl.ww I+r.rrw.w.l....a«re�.ra�.ar.+rw.�w�arvwtiw er..�.nnru
<br /> �r.a rrrwrti.lrr c.r.Ir e.o,^.mrr.r...rSrr r.orw c�
<br /> .:wr. 4.wlrw
<br /> t— war aar.r• .e•r. C.,r�,
<br /> ❑cr...a aw s w...r......
<br /> CImwaayg,rt r 1... w car wrwr��ww `
<br /> OW ^ r o� A i r��r
<br /> S
<br /> r�,rr.roe-
<br /> rl'r"r ++w+ f rarar.ww.�r ur.urnr rn..rar.r r.ti..ra.rra■ar
<br /> 1rr "'w'rr •��rwwww wiw�rw+wr+r»uyr ^+w.rrrrra.rr�rr +�a4.r...wwwrr.v.`wr.0 w..�.wtiw.r+�`rww...a
<br /> our.waarr.a.r�aw r�cw+.a.wr• •ww.l►wr....r...w+..w,.G.r�.....r e+.w.r
<br /> +�� .wM++rwrrrwrwal+�w.wrwr�wwrlwn.ww.ra
<br /> Wra wrwrMrr..rwr!^I�..r.yl�w rl��wwwr��rsry�.wrwls. ear .Wr.r
<br /> raQl0 MrllC.r[1 rr��rwc.1.warra�.�w..+��..�l..rrrrw.rr..r
<br /> iaw�.•r..rwrL..I YIIiI.Nrt�.r�Ya��w.w�1�\wY�w�+IF MM.w.a+Nw� Iy.1.Yfi Al�yrr��.,l�..r y�.11rw�\.lryn'r rl.
<br /> wMwwy.rel+lY.r.rr�Yr1./4�aiO��Yrrw/�IrMI`.C/Rrl.f��..
<br /> w..arrar�aw rrr rwa.a,r•rwwgr.rwar a.rr.r.lti rr r.a�la.r
<br /> .ar..r.,wlwa„frr.w.rrra.www.rrwrrww.w ra..r...,..w.rr lyrr+wrr,..rnVa a[.ar,rarMUG71Glr..olrrf nr.r rK+eorwro7r.rwaeareti
<br /> rw,+aww..r.rwr ur.y rwrwn.awrwrrw.rr..arru.r ,.a,er,ORvar..rr.u an uowUnripvrlritroamat.Irra+rlrrr4 ro
<br /> U,
<br /> �y cOrs7 cfmANDmmorwrrgwpre.rr,ar.wwrea■.Man lognme rrw r 9.3cl
<br /> z ❑xrw..rrtiw.rprwwlwFraa..p�ar...rrrrrr.rwrl.rrrwawrq IfWA.Ort4WM51,rig.awrllaera.UrmOakanarmTl.aNlrrfrui+r'rlwur
<br /> ,Ira rpr r.�wn.r.r.prr rrrtr+rr�..rwn a�rr.rrr.rws....
<br /> If WAra er.l.tOw wowsalr;s.ors•aV.1171ro+�rar,wr r,.ar aoa.a a0ldl
<br /> �r••��a�+'�1Oiwa��'r,'rs•ywwaw>•yrr�rawrrrri rtww r �'w� r�11Rrr71 UW&rM war 46=100 rlY rra paRR4rr
<br /> Q rrwlw rr +�eti�a[a+tStjiaW e0+uea'A
<br /> ❑rrrawryrFK (7\\
<br /> — aar4 r M11.�r � r'Lr�
<br /> rwwww..rrrwra+wrrrr+*s.wr+.wrwrrrr..rrrwwr ❑4+r❑ Grw
<br /> a ar rarwrMur awa er 4 ••"
<br /> errs inwrr.w+
<br /> �+ Cdosty •
<br /> u+rr.a aa,aea w ora
<br /> WHEN PROPERLY YALMATED •THIS FORM CONSTITUTES A BUILDING PERMIT
<br /> + M'aC�MrraUnarwflMlar�rtAr+r�MrlR�aoDYtaq�IRArOfalwrs 0rarq*Ilara/Yewg
<br /> r♦ r�rMw*a4OrlwfmiR6�?r6lwwolMrrw�+rrow rr�rws�rwrr w.egdorrCa
<br /> enOlpue O h!atrsa.a claaa ar r+rnar..n wusea uaee 7rra R1Yr Poore/++w tyro reO w rorty U rrar mwraa wq.w r aw rwlwr r,s arr ar
<br /> R rnr rn�Oar,r1O mlehrlCfleal Hrr rr(a,a Trra raq ra nra woaa4Mnrtr�Twr auw euwrwtoe___rtti.ovfr arrr newer elarse m"'W
<br />
|