111271 i 5
r , CITY OF GLENDALE . . p: p
�i Community Development Group BUILDING PERMIT .iys ; INSPECTOR COPY
ape-
ilk 5850 West Glendale Avenue �v. ■
GLENS Glendale,Arizona 85301-2599
G� Office: (623)930-2800 Inspections: (623)915-3263 Permit No. 111271 Inspection Area: A Issue Date: 07/16/2018
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• PROJECT INFORMATIONProject No. Sq.Ft. Valuation
Property Location(Verify City and Zip Code mailing address.with Postal Service) ,,,; . ,
081217 1,173 85,821
18003 N:75TH DR
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Permit Type
' BS-BLDG/ECSC/PLBG/MECH
Location Parcel Subdivision. " ,. Lot# issued By Statistical Code STD#
231-04-114 HIDDEN MANOR 2 LOT 85-110 . 97 TIEFENTHALK 434 •
OWNER INFORMATION - Sewer Elec Gas Water Meter.
PS
Name: CINDY/JESUS ORTEGA
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Address:..18003 N 75TH DR .GLENDALE AZ 85308 rf, , F Cert R q
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E-mail:- ;• ..,
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Daytime Ph(602)432-7320 .- Emergency/Fax#`, , Mobile/Pager# Construction Type Occupancy Group
R .099 PQs 5 gh I LI fS pC
PRIME CONTRACTOR INFORMATION
Name OWNER-BUILDER -
Address: l
E-mail. • ,
Daytime Ph. Emergency/Fax#' ,
Contractor.License No. License Type -" Salestax License No. ' ,
Description of_Work/Special Conditions • s, ,
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ORTEGA'RESIDENTIAL;ADDITION AND REMODEL '3 11 -33 .
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COMBO PERMIT. BUILDING, ELECTRICAL, MECHANICAL, PLUMBING,-,, , ,; Inspector U' a Z4 1
***THIS PERMIT�REPLACES~EXPIREDD PERMIT#55490*** i Date of Final /`lt/ r
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*"FOIR f=INAL`"INSPECTION°ONLY*** -
`•--_ __ _ =f Certificate of Occupancy Number
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METER CLEARANCES INFORMATION
Electrical Date
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.
Gas
Date
I hereby certify that I am tlt owner or: ly 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 outlin d- reon. also certify the plot plan submitted is a complete and accurate plan showing,any and all existing proposed structures on the subject property.
Signature Date �—/per/�
Provision • he 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.
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