640471.pdfPermit
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IAN 711M NUMBER BUILDING
Fill PERMIT
Lines NUMBER 640471
joB ADDRESS
SIDE YARD REAR YARD
( /' c4j I)
5_5 C r-j I [] YES [:) NO 0
BUILDINU AICIGA I LOT �AREA VARIANCE NUM'zn
ALL BUILDING SETBACKS
NOTE: TO EAVE LINES
Required
rl YES M NO
TYPE CONNECTION VE D Y
t 0 be aon(l 5
PERC. TEST PERMIT17BER
(77
IRE NE TYPE OF CONSTRUCTION STREET IMPROVED
—Ilk elly-Es NO
uL;uUk,Al4CY OR
7Tf-I YES al�o' I F,
SPECIAL INSPECTOR REQUIRED CUP
(S
Z
W
NO. OF SLIMS. PERIBLOG. TOTAL FZE Z
BUILDING
VALUATION
13000
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1
2
BUI PERMIT
FEE
—
7
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NEW
ADD
A, DWD
DEMOLISH
I
NUMBER OF STORIE
3
— /
PLUMBING
PERMIT FEE
BEAT & GAS LINE
PERMIT FEE
ALTER
REPAIR
RESIDENTIAL
NON-RESIDENTIAL
NUMBER OF 4
DWELLING
I UNITS 5
DEMOLITION
PERMIT FEE
AMOUNT DUE
_J_
PROPOSED USE
5;�e V 7W 71_e14-_' 6
I hereby acknowledge that I have read this application: that the in-
formation given Is correct; and that I am the owner, or the duly author-
ATTENTION
APPLICATION APPROVAL
ized agent of the owner. I agree to comply with city and state laws regu.
lating construction; and In doing the work authorized thereby, no person
will be employed In Violation Of the Labor Code of the State of Washingtoa
relating to Workmen's Compensation Insurance.
NOT : PERMIT LIMIT ONE YEAR
THIS PERMIT
AUTHORIZES
ONLY THE
WORK NOTED
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 aclmowledged in space provided.
,,,,fGNATURE
D IRE ��CT�r7
110 U (0 MR OR AGENT) DATE III NE
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1 �7
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INSPECTION
DEPARTMENT
CITY OF
��MONDS
PR 0-1107
DATE
FILE
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