640258.pdfBuilding Permit
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1147111 PERMIT
Lines I NUMBER 640250"
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LLI' NEW I L_j DEMOLISH
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ALTER RESIDENTIAL N
D=ER OF
LING
REPAIR F� NON-RESIDENTIAL UNITS I
I hereby acknowledge that I have read this application; that the In-
formation riven in correct; and that I am the owner, or the duly author-
tzed agent of the owner. I agree to comply with city and state laws rCgU-
lating construction; and in doing the work authorized thereby, no person
will be employed In violation of the Labor Code of the State of Washington
relating to Workmen's Compensation Insurance.
NOTE- PERMIT LIMIT ONE YEAR
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NO
[3 YES [] NO
BUILDING
VALUATION
13UILDING PERMIT
2
FEE
PLUMBING
3
PERMIT FEE
HE AT & GAS LIN
4
PERMIT FEE
DEMOLITION
5
PERMIT FEE
6
AMOUNT DUE
ATTENTION
THIS rERNHT
AUTHORIZES
ONLY THE
WORK NOTED
INSPECTION
DEPARTMENT
CITY OF
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PH 0-1107
0 YES [3 NO
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APPLICATION APPROVAL
This application is not a permit until
signed by the Director of Building Inspec-
tion, or his deputy; and fees are paid, and
receipt is acknowledged in space provided.
DIRECTOR TORE
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LLUAL ..... .. .. .... ... .... ......... McGRATH HOMES, INC.
.5A...
6702-220th S.W.
MOUNTLAKE TERRACE
DATE ........ ...... WASHINGTON 6B043
ELEVATION ... ....... .. ....
SCALE:, 11' - 20
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