680461.pdfI
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DENS
or
/ P � �0 1 Nur"w
DRESS
�L�
ARD SETB�CK STIEET SETBACK
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'VIE LOT
USE Zo 13 NO
HONJU 140&151:i� 1 '21
ell HEIGHT' BUILDING �A" A VARIA14CE NU
I �3 GAN13F
NEW RESIDENTIAL LI ,
NON-RESIDENTIAL SIGN
0 ADD RETAINING
DEMOLISH WALL
ALTER EXCAVATE PENCE
OR FILL ( ........ _X .......... Ft.)
REPAIR PRE -MOVE swim
INSP. POOL
4UMBER OF STORIES N R OF
DWELLING
UNITS
THIS PROPERTY
aSTING STREET R/W .... . ... FT, DEFICIENCY
-IOMP. PLAN ST. R/W
;MARKS
Driveway slopes not to exceed those
indicated on Standard Drawing #103.
0 YES
NO
Plan Check No .....................
PROPOSED USE
_/J
BUILDING
PLUMBING
22
-PLOT PLAN (Indicate Building setbacks, abutting streets)
HEAT & GAS LINE
-2 N
PENCE
SIGN
RETAINING WALL
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE
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-
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 Washington
relating to Workman's Compensation Insurance.
NOTE: er. . Limit One YearAExcept DEMOLITIONS which
a hall be compIC In ninety days; 310 IN BUILDINGS shall be com.
p1leted In onths.:
ATTENTION
THIS PERMIT
AUTHORIZES
ONLY THE
WORK NOTED
INSPECTION
DEPARTMENT
CITY OF
ONA VNER OR AGE
DATE SIGNED
51 —
MMONDS
NOTE: APWant Subject to Plan Check Fee
Pit 0.1101;
7iltis _ftrnut coven�jvork to be done on private property un�x.
Any construction on the public domain (curbs, sidewalks, driveways,
manuees, etc.) %vill require separate per"5510n.
It
YES [] No
Fee
0 0
091 A (Ogi
APPLICATION APPROV�AL
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.
DIREC a slogyrUFF
DATE
FILE
a
A
RECORD OF INSPECTION9
Date Passed
Foundation
plumbing (Partial)
(Rough)
Frame
Furnace & Fuel Li
Final
-61
N' fi
MUOTRb YF'I' 'S'P..EU bM
Date Passed
DrainagG
Sewer
Parking
Landscaping
Fire Dept.
r-1-
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