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PERMIT NO. <br /> RESIDENTIAL/AG PLAN CHECK PROCESS: THE FOLLOWING ITEMS MUST BE COLLECTED <br /> BEFORE ISSUING THE BUILDING PERMIT: $� <br /> Referred to Fire District: "Q J2.2 2 <br /> Balance Due: <br /> District: Date: Fees Valid Through: <br /> Date Returned: <br /> Signature of Owner or Contractor <br /> Corrections: <br /> 1st — Date: 2- Owner/Builder Form <br /> Notified: _ <br /> Proof of Ownership <br /> ned: <br /> Date Returftc— <br /> Contractors License No.: <br /> 2nd — Date: Expiration Date: <br /> Notified: <br /> Date Returned: Workmen's Comp Insurance Certificate <br /> 3rd — Date: Expiration Date: <br /> \ Notified: SJAFCA ` <br /> Date Returned: <br /> School Certificate: <br /> Date: Status: <br /> Will Serve Letter or Receipt <br /> From- <br /> Signed Special Inspection Agreement <br /> Floor Plan for Assessor <br /> Public Works Release Form <br /> Other: <br /> APPROVAL STAMP: AFFMI !-© Other: <br /> Apoimd of plans shall not b2 constmed to be a PERMIT APPROVED: <br /> permit for or an azprtr.ra1 of mr,;rio*i)tion of any <br /> i <br /> Seckm Of S ,J���q(�'`n County Codes or Ordinan'M' Date: Applicant Notified: <br /> Signed X <br /> Date <br /> SAM 10AQUIid COUNTY BUILDING I NSPE bEFf <br /> PLANL CATIOW—A—f'`'iC— <br /> DATE REMARKS <br /> -- i <br /> BPAPPS\BPFILE2.TF(3/97) <br />