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690445.pdfBUILDING DEPARTMEN' PERMIT APPLICATIONTA a mi Applicant F111 Inside Heavy Lines CITY ELEPHONE NU or e* RESIDENTIA I. I R LINE NEW NON-RESIDENTIAL SIGN RETAINING WALL ALTER DEMOLISH EXCAVATE OR FILL FENCE ( ........ . x ......... Ft.) REPAIR PRE -MOVE INSP. swim POOL DWELLING UNITS t N I PERMIT NUM13ER ,?00,f /e0OCi7l EXISTING STREET R/W .......... FT - COUP. PLAN ST. R/W ............ FT. 0 YES El NO plan Check No.... BUILDING PLUMBING HEAT & GAS LINE FENCE SIGN RETAINING WALL SWIMMING POOL DEWOLITXON PRE -MOVE INSPECTION EXCAVATION OR FILL [3 YES .7 ...... 15 13 SETBACK ME N 0 NUMBER DEFICIENCY THIS PROPERTY Valuation N�i Fee TOTAL AMOUNT DUE I hereby acknowledge that I have read this application; that the In- formation given in correct; and that I am the owner, or the duly authot� I n;r0e to Comply With city and state laws rtgu- AT=NTION APPLICATION APPROVAL 0 Ized agent of the owner. lating Construction; and In doing the work authorized thereby, no Person Washington Tills FEn1%UT This application is not a permit until i will be employed In violation of the Labor Code of the State of Insurance. AUTHORIZES by the Building official or his Dep- relating to Workman's Compensation ONLY THE signed uty; and fees are paid, and receipt is ac- NOTE: Permit Limit One Your (Encept DEMOLITIONS which be WORK NOTED knowledged in space provided. be I. d in ningly days; MOVED -IN BUILDINGS shall OOm' shall com to pleted �jjx%eqnths. tin Ck 0 tGPNT) DAVID 8 INSPECTION 15IIE-EdIMEIN11515' LTUJ DEPARTMENT CITY OF M.KIDNDS NOTE: Applicant Subject to Platt Check Fee PR 6-1107 Tills Ilermit COVOn Work to be done on PrITIKO Property urijur. Any construction on the public domain (curbs, p1dowliks, driveways, rum m"Queas, @tc.) will re4alre sepamte PernI1001001- ........... WORK PERMIT No. APPLICATI(�A & Application it Limit, One Year MONDS Building Department Perm CITY OF ED Plans in accordance with the accompanying struct the following work, APPLICATION is hereb d for a permit to con rna e and specif ications: 4- - ......................... Ground Are ................................... No. Stories ............ New/ .......... WORK Addn. ... .. ....................... . . ................... Height .... ...... . ................. Const. Type ........................... ............................... Plans Submitted ........ .......... r ...... ........ Use Zol� e Zone ................... LOCATION—Address ... ................................................. . ..................... Sewerage .................................... dd'n ......................................... .............................. Recorded Lot. ................... Block. ................... A �.7 gs;� ........ Zt ...... §Jdps .. ............. ..... Lot Area ........................................ Width ............................ Min. Bldg. Setbacks, Front and . .... 22 J"'­49 7 Phoned . ..... ....... ............... Address .... ............. ....... ..... ....... ... ... r .. .. owner . .............. ........ ....... ....... ....... Address ......................................................................... Phone ................. Plansby ...... . .............................................. . ........ ................. Phone .............. .......... ....... ...................................... Address ....................................................... Bldg. by ......... ........................................... .................... ......................... ...... Address ................................. ...... Phone ............ Plbg. by ............................................................... Phone................................ ........................... Address ........................................................................ Heatingby ........................................................... Phone................................ Address ....................................... ......................... .... Elect. by ........................................... .... ................ Remarks . . ......... ..... .... ............... . .............. � ............................................................................. ................. .................................................................................. .......... ...................... ............... ................................................................ ............................... ................................................................................................ .................................... with all applicable Codes and State Laws regulating the work. The above is a correct statement and I agree to comply 'AAddress .......................................................... . ......... ;z ....... Date .... Z. Signed: Owner/AOVPA. d to compliance with the approved plans reby approved, subject to the above conditions, an PERMIT for the above work Is he s thereon. artment notation and specifications and Building Dep rERMT FEES VALUATION $ ............ Bldg. Plbg., . . . . $ ................................ $ ..................................... Heat APPROVED: Elect. $ ........................................ Date ......... Others. . . $ ............. .............. ........... BUMDING DEPARTMEN v3n Dy�, Bldg. 6 f. TOTAL FEE $ .......... ...... By......... Pjkl! ................................. ........................... I be covered before Inspection and approval. or City Engineer's inspection shal NOTES: No work requiring Buil , g Department Engineer prior to construction of all site utilities, such as Twenty-four (24) hour notice requested. Contact the City curbs, paving, driveways, sewer, water and street connections. Owner . .... e... .. . T t m