660535.pdf7:0STED ON KROLL MAP No.: B iLDING
PERMIT 660535
NUMBEr
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PERMIT APPLICATION :ZC3> 0
NME (OR NAME OF BUSINESS) EAR ARD SETBACK
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WA;;; LICENSE NUMUN" CITY 11WE940IN NU.-nin
TYPE CONNECTION VEHI '10 X
Legal Description of Props
PE T UMBER
ERC. TEST
Z F1 E TYPE OF CONSTRUCTION STREET IMPROVED
a15' /f C t-6 S A`
YES
H REquIRED OCCUPANCY GRO
SPE I INSPECTO
14
0 YE13
PLAN CHECKED By
VALUATION TOTAL FZK
BUILDING
WORK TO BE DONE 1 VALUATION
BUILDING PERMIT
2 FEE
PLUMBING
3 PERMIT FEE 40 C2 4
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0 HEAT & GAS LINE
4 PERMIT FEE
OF STORIES
I SIGN PERMIT
0 NEW SIGN -F
El 5 FE,
M ADD D MOL-ISH FENC DEMOLITION
ca 6 PERMIT FEE
NUMBER OF
ALTER RESIDENTIAL I — 4 1
ki I DWELLING PLAN CHECK
REPAIR I El NON-RESIDENTIAL I UNITS 7
FEE
8 AMOUNT DUE 171 <7— 69 e��
I hereby acknowledge that I have read this application; that the In.
NTION APPLICATION APPROVAL
ATTE
formation given In correct; and that I am. the owner. or the duly author- til
IzLd agent of the owner. I agree to comply with city and state laws regu- THIS PERMIT This application is not a permit un
lating construction; and In doing the work authorized thereby, no person AUTHORIZES signed by the Director of Building Inspec-
will be employed in violation of the Labor Code of the State of Washington ONLY THE
relating to Workmen's Compensation Insurance. WORK NOTED tion, or his deputy; and fees are paid, and
receipt Is acknowledged in space provided.
(Except Demolitions which shall
NOTE: Permit Limit One Year be completed In .- ninety days.) INSPECTION DIRE ------
SIGNATURE (0 GENT) DATE SIGNED
DEPARTMENT
CITY OF DATE'
10NDS
licant Subject to Plan Check Fee
NOTE: APP Pit 6.1107
Till% Permit C()vpm worli w N? done on private property ONLY. FILE
Any construction on till! public domain (curbs. sidewalks, driveways.
niarquees, etc.) will require meparate pprinimstan.
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