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LOT COVERAGE LOCTUCOVERAGE
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ATTENTION
APPLICATION
toting conetructlon; and In doing the work authorised thereby, no person
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This application is not a permit until
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ONLY THE
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ACTUAL LOT AREA TOTAL BLDG. AREA
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775-2525
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0 YES ❑ NO
NEW
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❑PLANYES
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ADD
ALTER
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TOTAL AMOUNT DUE
I hereby acknowledge that I have read this application; that the In.
formation Elven Is correct; and that I Am the owner, or the duly author-
Ired -sant of the owner. I -gree to comply with city and state laws ragu-
ATTENTION
APPLICATION
toting conetructlon; and In doing the work authorised thereby, no person
APPROVAL
will be employed In violation of the Labor Code of the Stale of Washington
THIS PERMIT
This application is not a permit until
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role Ing to Workmen's Compensation Insurance.
AUTHORIZER
signed by the Building Official or his Dep -
NOTE: Permit Limit One Year (Exeept DEMOLITIONS which
ONLY THE
WORK NOTED
uty; and fees are paid, and receipt is aa -
shall be completed In ninety days; MOVED -IN BUILDINGS shall be wan.
IIIlowledged in space provided.
plated in six months.)
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DATE SIGNED
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DEPARTMENT
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DATEE:
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Tills Per tit coven work to be done on private property ONLY.
775-2525
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