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PC STED -ON KROLL MAP NO.: PERMIT
690000
BUILDING EPARTMENT
1pplicanl I
PUC '2:Wg
NUMBER
RM
APPLICATION
I
Inside
Jo
755
ADDRESS
BUSINESS)
(On nAmm Ur
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YARD SETISAUIL
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REAR YARD BEWBAIJ26
FPERMIT
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VACANT SITE
USE Z:)NZ
U
LOT AREA
ONE um
TELEPHONE NUMBER
0 YES NO
CITY
L
2,
HEIGHT
BUILDING AREA
VARIAN018 VLJALPA�
k ev, IN 2-.C/100
or
1-1 RESIDENTIAL
GAS
LINE
NEW
J
NON-RESIDEN TL,
SIGN
RETAINING
WALL
DEMOLISH
ALTE.
EXCAVATE
OR FILL
PENCE
. ........ Ft.)
REPAIR
PRE -MOVE
INSP.
SWIM
POOL
U39BER OF
DWELLING
UNITS
MA�- —f �
ElaSTING STREET R/W I
.)EFICIENCy THIS PROPERIT
COMP. PLAN ST. R/W ............ rr. .......... FT.
[3 YES 13 NO
Plan Check No .....
PROPOSED USE
BUILDING
PLUM33ING
_ji�PLAN �(XZMUC&la, Building setbaclkon, abut I g streets)
31EAT & GAS LINE
FENCE
t
SIGN
N
RETAINING WALL
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
ExcAVATION OR FILL
TOTAL AMOUNT DUE
I hereby acknowledge Mat I have read this application; that the In-
formation given in correct; and that I am the Owner, or the duly author-
ized agent of u's OwDsr- I agree to comply with city and state laws regu-
laUng construction; and In doing the work authorind 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 Your (Except DEMOLITIONS Which
be completed in ninety days; MoVyj)-XN BUUMINOB shall be com-
ATTENTION
THIS PERMIT
AUTHOVJZES
ONLY THE
WORK NOTED
plated In six months.)
a
INSPECTION
DEPARTMENT
CITY OF
Lahani
— C_
'aWNER `CR AGENT)
8 [ATURE (1
JA vhatt44
DATE SIGNED
9
I I MONDS
NOTE: Applicant Subject to Plan Check Fee
PR 6-1107
990 —permit coven work to be done an private PrQparFY uv"z-
A,sy tondructjon on the public domain (curbs, sidewalks, driveways,
marquess. age.) will require separate permisslon.
[3 YES El No
Fee
NO.
I 10 - 0 e) 14 Ill ?!
APPLICATION APPROVAL
This application is not a permit until
signed by the Building Official or his Dep-
uty; and fees are paid, and receipt Is ac-
knowledged in space provided.
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