660183.pdfIs
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BUILDING DEPARTMENT Applicant Fill
PERMIT APPLICATION inside Heavy Lines
NAME (on N"la or BUSINESS)
0— Al, 1'e5Z
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ON KROLL MAP NO.:
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PERMIT
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660183
NUMBER
DRESS
ARD SETBACK
STREET SETPACK
REAR YARI? SETBACK
ONE
LOT AREA
vKcAjTr SITE
'� / 2"-
1[3
YES [3 NO
r
j3ujjAjING AREA
VARIANCE NUMBER
3T.AW APPRnVr.D
N
NAME
REMARKS
ADDRESS
METER SIZE SERV10E.S1ZE CLEARANCE CH
Ig -7 to .1 - / Lk
TELEPHONE NUMBER ___7
to-ITY 19R - 4
- 9.-/ 7?
RVEARKS
_!18!ST!�YTE —LICENSE NUMBER CITY LICENSE 14UNIHNn
1A) aj" J TYPE CONNECTION VERIFIIVY
Legal escription of Property '(Show Below or Attach Four Copies) 40-
PERC. TVT
Ll�� �2
IV
STREET IMPROVELI
EIRE ZONE TYPE OF CONS ON
0 YES 13 NO
SPECLALL INSPECTOR REQUIRE —FANCY GROUP
hu- '4' a,,
I A/ YES 0
e- —PLAN CHECKED BY
S -51
VALUATION TOTAL FKK
BUILDING
WORK TO BE DONE I VALUATION
BUILDING PERMIT
ZN
2 FEB 15��4_52, (-7
PLUMBING In
3 PERMIT FEE
HEAT & GAS LINE
OF STORIES 4 PERMIT FEE
NEW SIGN PERMIT
SH I
ADD DEMOLI DEMOLITION
PERMIT FEE
RESIDENTIAL NUMBER OF
El ALTER I EJ DWELLING PLAN CHECK
ElREPAIR NON-RESIDENTIAL UNITS 7 FEE
8 AMOUNT DUE
I hereby acknowledge that I have read thin 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. THIS PERMIT This application is not a perrnit until
lating construction; and in doing the work authorized thereby. no Vernon AUTHORIZES signed by the Director of Building Inspec-
will be employed in violation of the Labor Code of the State of Washington ONLY THE tion, or his deputy; and fees are paid, and
relating to Workmen's Compensation Insurance. WORK NOTED
(Ell,pt Demolitions which shall receipt is aclalowledged in space provided.
NOTE: Permit Limit One Year be completed In ninety days.)
—I INSPECTION
SIGNATURE (OWNER OR AGENT) DATE SIGNED DIRE
11 1 DEPARTMENT
& CITY OF
31ONDS DATE./
L V
NUE: Applicant Sitbicct to Plan Check Fee PR 6-1107
This Permit ceven work to be done on private property ONLY.
Any construction on the public domain (curbs, sidewalks, driveways, FILE
marqums, etc.) will require separate pemlsmion.
d' d
— ------ ----
L al nes cri pt i u n for
Lawrence M. Getz
of Gov't Lot 4, Section 16, T27N.9 R4r.
Al 1. t h at po rt io n
Lo t
described as follows: 1;eginnim at the S1q corner of said Gov't
0
4; thence S 09 42' 27" F., along the -South line thereof, 193.3 ft;
thence North
Point of l',eginnin
themce North 435,2 ft. to the., True
lUO.00 ft..to the Southerly ritarqtn of 194th St. S11; thence Fast
260 ft; thence South 209.90 ft; thence West 265.04 ft; thence
0
N' 26' 35' W-9 33.43 ft. to the True Point of beqivining.
Togethf,-r with an easement for ingress and egress of record.
Mey ring Surveyorst :1 C.
May 2. 1966
RECORD OF INSPECTIONS
Foundation
Plumbing (Partial)
(Rpugli)
Frame
A7 urnice & Fuel Unes—&�ei�-