690457.pdfI
BUILDING DEPARTMENT 'p"
ICATION Inside Heavy Lines
PERMIT APPL
E OF BUSINESS)
NAME (OR NAM
0 RESS
RJ/6-- / 7 f-ALf Pl,,9
CITY TELEPHONE NUMBER
NAME
ADDRESS
-WI—TY wz"rjuuv� NUMBER
NAM
14 -]M—DREBB
CITY TELEPHONE NUMBER
NTIMRER
or
L L
4-5.'R n-V
rs - L .1 A L 191 A'�'D
PERMIT
NUMBER 690457
14�eel—
SIDE YARD SETBACK
13XIMAKK SETBACK
REAR YARD SETBACK
0
USE ZONE
LOT AREA
V
[3 YES 13 NO
v CE NUMBER
ARIAN
EXISTING STREET R/W ........... FT -
COMP. PLAN ST. R/W ........... XT.
_ff- I _,_C L �� ,
DEFICIENCY TE38 PROPERTY
[] YES MLN0
Z
W
J �\'i
C3 %�
5a RESIDENTIAL
GAS
LINE
ES 0 NO
[3 YES 13 Z40
—
CHECKED BY
PLAN CHECKED BY
P
1 �1
NEW
El
NON-RESIDENTIAL
SIGN
1
ADD
H
RprximNa
WALL
REMARKS
DEMOLISH
F-1
ALTER
E:]
EXCAVATE
OR FILL
F1
PENCE
( ........ . x .......... Ft.)
LR
REPAIR
PRE -MOVE
INSP.
El
SWIM
POOL
NUMBER OF
DWELLING,,,
L 0 t"J
AQ�9-'WIEQT5
RUST 1> 1�
_T. \"S\
oF %C1 PC
J
UNITS
nw WnRrl�_
I
Valuation Fee Receipt No.
AJA e- tF5
� 3 A-P *r5 -
I hereby acknowledge that I have read this application; that the In-
formation given is correct; and that I am the Owmer, or the duly allthOr-
lzed agent of the owner. I agree to comply with City and state laws regu-
lating construction; and In doing the work authorized thereby, UO Person
will be employed In violation of the Labor Code of the State of Washington
relating to Workman's Compensation InsUrAncs.
NOTE: Permit Limit One Your (Except DEMOLITIONS which
shall be completed in ninety days; MOVED -IN BUILDINGS shall be Coul-
plated in six months.)
NOTE: Applicant Subject to Plan Check Fee
This Permit coven work to be done an private PrOPOTtY ONLY -
Any construction on the public domain (curbs, sidewalks, driveways,
marquees, etc.) will require separate permission.
Plan Check No ........
BUILDING
PLUMBING
HEAT & GAS LINE
FENCE
SIGN
RETAINING WALL
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
L "OUNT DUE
ArfENTION
TT
APPLICATION APPROVAL
1(
THISEZEWIXT
THIS
This application is not a permit until
UTHORIZES
A UOMZI
UT
signed by the Building Official or his Dep-
rTOwTALAMOUNT
ONLY THE
0 N LY
uty; and fees are paid, and receipt is ac
WORK NOTED
WORK NOWJ
knowledged in space provided.
INSPECTION
I �ZCTIC
__ DXREOTOWS AIQNATU,.E
----------
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