640369.pdfIde I
rOB7uldingjermit Application I.S"'
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ADDRESS
CITY
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Fin
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;'013 ADDRESS
ILines
SIDE YARI?
U SE Z ONE
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Required
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NO
74. / tFIREZONE I TYPE
SPECIAL INSPECTOR
(3 YES 0 NO
�v
BUILDING
VALUATION
BUILDING PERMT
2
FEE
NUMBER OF STO
13
PLUMBING
NEW
E] DEMOLISH
PERMIT FEE
4
HEAT & GAS LINE
PERMIT FEE
ADD
ALTER
RESIDENTIAL
NUMBER OF
DEMOLITION
I
E]
DWELLING
I
REPAIR
NON-RESIDENTIAL
UNITS
M
PERMIT FEE
61 AMOUNT DUE
I hereby acknowledge that I have read this application; that the In- ATTENTION
formation given to correct; and that I am the owner. or ' the duly author-
ized agent of the owner. I agree to comply with city and state laws regu- TIUS PER51IT
lating construction; and in doing the work authorized thereby, no Person AUTIJORIZES
will be employed In violation of the Labor Code of the State of Washington ONLY THE
relating to Workmen's Compensation Insurance. WORK NOTED
NOTE: PERMIT LIMIT ONE YE R INSPECTION
31GN RE GENT) DATE SIGNED DEPART
CITY OF
MENT
E&T P HECjpj�7A_ MMONDS
rROVED PR 0-1107
FILE
MUA�."�
PERMIT 640369
NUMBER
7�
ALL BUILDING SETBACKS
NOTE: TO EAVE LINES
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.
& WILDING PERMIT Appl. No. .//4.=4Z ........
ONDS Building Departumnt Permit, limit� one year
hereby made for a permit to construct the following work, in accordance with the accom-
"fications. Two sets are submitted herewith for approval.
Off'st
I. .......................... .................................
.......... ................ ......................... Parking ......................
............. Const. type ................................ Use zone ................... ........ JFire zone ...........................
e ........... 2X .......... Lot;% .................... Blk ........................ A dn ......................
................
.......................... . �xea ................ ............. ............ Septic tank ... A-10-41&7-e--t ... 01 ......................... .
rear ......... .....................
front ....... :9�5 ........... r. side ........... 7 ............. 1. side .. 114-
...........................
_Uj
.. ..... 719
z ....... / ................
1/7 .... . Address ... Z ......... Tel. No..
7 ................
re 0
kl.W.-,.,.6� ...... ..... Tel. No.. �� I
................
-V-� ..... . ........... Addres&....
Plansby .................................................................. Address .................................................... Tel. No ..............................
Remarks....................................................................................................................................................................................
..........
................................................................................................ ............................................................................... .......
...................................... ......................................................... ................................................................................................
The above is a correct statement, and I agree to comply with all applicable Codes and State laws regulating this
work.
e.
Signed -Camer/Agent.. ..... ......... Address ............................................ Dat ...............
PERMIT for the above work is hereby approved, subject to the above conditions, and tocompliance with the ap-
proved plans and specifications, and Building Department notations thereon.
Valuation ........... ;- 5- ......... Permit fee ........ 5.,!r .......... Recd. by. -A .. �O-V--A . .... .....
Building Department, By ........ ............... 40
..................... ........ Date ..... Y:Z:z ..... &Z.# ........................
This Permit does not cover Plumbing, Sewer or Electrical installations.
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vast of the folbMift d"Crib": ProPertyl D"i"nies at the wortho'
section 24. Tom**h 3 go, us".
Of ftwegumt TAt 2 of ip 279 No&,
coraw:10uthe paved hisbFURY aNd"14veet
thence South 30 feat to the Vest
Wonda's 920boWUlb County. Wmmhi4tOD;, thmc* South. alMW the
jJ1,
wt PrOducad
7lo67 feet to tbati6i-POlut Of begiMiNgoe t
f'.SJjjFjjwtb StT4 to Walter No vielaim a
M* 0
...... . the North line Of tract heretofori"Mummywo
ed
p"oth street
alow Iredde
ad jalrellel to the W"t - time Of 8
tboace, at left w4les a go
South line Of tZa
ct heretoforelcouveyod,to Wolter
nore Or loje. to the vast � tim
ling, 2so feet to the
thence at left aq &to" iiaid South
rumming the V48t-liUGof SOventh
rMoin thmee Poether
'Seveath Street Produced; ly 4eft,
-of'.. a, to the tine point of beginning,
to" Move or I",
street p""God
�jv K r �atj TIMMER'
(T �1-' I I'l wi
00'rRMAN
Yd
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