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■" CITY OF GLENDALE. BUILDING PERMIT' C�]
'M f� i'`-` ` v :h . 0" _. INSPECTOR COPY
,� Community Development Group _ , '''-:-.-7- '7' .'''''''''''''''''''' '.,•
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„5850 West Glendale Avenue h' ``-
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Glendale,Arizona 85301-2599 r 1t , j J: , `tiT'''..'-'-' ,Y <, (]� ,1 _1r .�s
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,y-; i, _«•e°Office:-623 930-2800:Ins ections. 62.3 915-326 ' ` n
t w: �,�. (. )_ p . i( ) Permit NiNo :: Inspection Area aw 12/05/2017
1.07.16311v � Ins do 'Issue Date
PROJECT INFORMATION Project No. Sq.Ft. Valuation
Property Location(Verify City and Zip Code mailing address with Postal Service) 0 8,000
6007 W ALICE AVE UNIT DPermit Type
BS-PLBG
Location Parcel Subdivision Lot#
143-46-036C I Issued By Statistical Code STD#
i TIEFENTHALK 434
OWNER INFORMATION Sewer SRP Gas Water Meter 1
Name: LUIS ANGUIANO FF Cert Req f,
Address: 6007 W.ALICE AVE UNIT D GLENDALE AZ 85302 i
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E-mail:
Daytime Ph(602)309-0535 Emergency/Fax# Mobile/Pager# '; Construction Type Occupancy Group
PRIME CONTRACTOR INFORMATION
Name: OWNER-BUILDER
Address:
E-mail: _ `
Daytime Ph Emergency/Fax# ,
Contractor License No. License Type Salestax License No.
Description of Work/Special Conditions ,
ANGUIANO RESIDENCE SEWER LINE REPAIR/REPLACEMENT ON PRIVATE PROPERTY SIDE
PLUMBING PERMIT _ Inspector
- - (4 Date of Final
exilo,rte+ S ,..(,�y _
, , e` Certificate of Occupancy Number
' METER CLEARANCES INFORMATION
Electrical Date
Gas Date
I hereby certify that I arfe owner or 54 authorized owner's agent,that I have read this application and that all information is correct. I further certify that I have read,understand and will comply with
all the provisions oytlin hereon. I a so eertify that the plot plan submitted is a complete and accura plan howingwiany and all existing proposed structures on the subject property.
Signatur- �LZa i� Date I z f 05 1in7
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Provisions: The applicant is advised that issuance of this permit will not relieve responsibility of the owner or owner's agents to comply with the provisions of all laws and ordinances,including federal,
state and local jurisdictions,which regulate construction and performance of construction,or with any private deed restrictions. This permit becomes null and void if the construction work authorized is
not begun within 180 days from the date of issue or if at any time prior to final inspection and approval the work is suspended or abandoned for a period of 180 days.