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PERMIT 650013
NUMBER
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RESS
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LOT AREA
VARIANCE NUMBtat
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ALL BUILDING SETBACKS
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ADDRE13B Encroachment P rmit pEj�T NUMBER STREET GRADE C
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r-I YES 0 NO W
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TYPE CONNECTION VERIFIED BY
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FIRE ZONE TYPE OF CONSTRUCTION STREET IMPROVO
1 0 YES 13 NO
SPECIAL INSPECTOR REQUIRED OCUL]VANCY GROUP
0 YES NO
PLAN CHECKED BY
WORK TO Iffr'DONE
NO. OF BLOGS. PERIBLOG.. TOTAL FrKE
BUILDING
VALUATION
BUILDING PERMIT
UMBER OF STORIES 2 FEE '4
NEW DEMOLISH PLUM13ING
3 PERMIT FEE
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LTER RESIDENTIAL "UMBER OF 4 PERMIT FEE
DWELLING DEMOLITION
PAIR ON-R_q 8 1 DE N TIAL I UNITS 5 PERMIT FEE
PRO
6 AMOUNT DUE
I hereby acknowledge that I have read this application; that the In- ION
formation given Is correct; and that I am the owner, or the duly author. ATTENT APPLICATION APPROVAL
Ized. agent of the owner. I agree to comply with city and state laws regu- THIS PERIfflT This application is not a pernift until
lating construction; and In doing the work authorized thereby, no person AUTHORIZES
will be employed in violation of the Labor Code of the State of Washington ONLY THE signed by the Director of Building Inspec-
relating to Workmen's Compensation Insurance. ItVORK NOTED tion, or his deputy; and fees are paid, and
receipt is acknowledged in space provided.
NOTE: PERMIT LIMIT ONE YEAR
INSPECTION DIREdTOR'S BIG LTURE
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SIGNATURE (OWNER OR AGENT) DATE SIGNED DEPARTMENT
f I/,/// I , �� CITY OF DATE r
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PLOT ��N O/HECK & 4!,�CVED �, Z
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