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740619.pdf
BUILDING DEPARTMENT I Applicant Fill °� /\ 's - / PERMIT -74061 `� PERMIT APPLICATION Inside iieFlVy I ineg JOB ADDRESS NAME (OR NAME OF BUSINESS) V LOT L T COVEWAGE MAILING ADDRESSp L, _T • PER\11891BLE HEIOF/T PROPOSED HELDj,ST r �z/Jl -a3)Trf UJcoT �l/y_357� 1Z_ /. CITY TELEPHONE NUMBER ACTUAL L,QTt�w TOTAy ItLDO A x REQUIRED Y YARDSPROPOSED YARDS 1 NAME FRONT BIDE REAR FRONT BIDE REAR /o�lr�c .4s /A a5 ��' aS, ae�" 30 e .yc. W ADDREBB LEGAL LT VAIUANCE OR CONDITIONAL USE CR YES 0 NO PERMIT NUMBER 7 r� PLA NNJN O T. PROV 1 h'j CITY l� TELEPHONE NUMBER c FD��/`DS. /4'x zh [�rI STREET A/W C V g� 7 9 frl o /z EXISTING STREET R/� J.FT• DEFICIENCY THIS PROPERTY ;S COMP. PLAN ST. R/$5/56 ......p . ....D...FT. C ; NAME R iI CRESS REIMAR"S Driveway slopes not to exceed those a ADDRESS t ydl,1;7 aaoTN. 1 indicated on Standard Dwa. No. 10E � BY IW CITY TELEPHONE {NUUJM13ER i I N� �+ �� r / METzz'ww SIZE BERM ISI CLEARA CE • C • C ED BY I 1 U rT , STATE LICENSE NUMBER CITY LICENSE NUMBER `�, I / %✓ I y �3 of / 7sS Ks Legal DeecrlPllon of Property (Show eloW or Attach Four Copies) / /T L�/ AJ_ G� ,r / f '^ ��/ 17 VERIFIE �Q/,}\ 1 I 1 /ONeT,(RU//CION J1r y IB ❑ NO I I I PERM U\CHER SPECIAL INSPECTOR � 1'. © RESIDENTIAL i © NEN INGASE HEC D- Y�I, THIS SITE IS LOCATED IN THE CITY f. ❑ SIGN 17 FIRE TYPE OFA/C•- STREET IMPROVED I /ZONE /ONeT,(RU//CION J1r y IB ❑ NO I SPECIAL INSPECTOR R IRE. OCCUPANCY GROUP © RESIDENTIAL ❑FLYER © NEN INGASE HEC D- Y�I, THIS SITE IS LOCATED IN THE CITY NON-RESIDENTIAL ❑ SIGN *SHOULD LOCAL SALES TAX ADD REMAIEl ARK HOULD BEC DED 31.04. ❑ WARNING ALTER EXCAVATE FENCE ��%/��(��i✓`/�/v (IP �jf� (/ yrJ% .. ;',,, OR FILL (.....................Ft.) . REPAIR PRE -MOVE SM11I INSP. POOL ` %1U,42rw 7—e)V lS 1�l rY,�G% w_r NUMBER OF STORIES NUMBER OF DWELLING Z ! I UNITS NATURE OF WORK TO BE DONE V¢luntlon Fee Receipt No. Plan Check Nn.. i BUILDING PItOPOdED USE j U He'M£ PLUMBING PLOT PLAN (Indicate Building setback., abutting street.) HEAT & GAS LINE ` I V O .r• PENCE SIGN 1 RETAINING WALL SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL ' i TOTAL AMOUNT DUE O�QG , S /�/ 7 i V 1 hereby acknowledge that I haus rend this application; that the In- form.tlon glue. IS correct; and that I am the owner• or the duly author. Ized .gent of the owner. I agree to comply with city and elate laws ngu• ATTENTION APPLICATION APPROVAL letln. construction; and In doing the work authorized thereby, no person will be employed In violation of the Labor Code of the State of Washington TINS PERMIT This application is not a permit until relating to Workmen's Compensation Insurance. AUTHORISES Signed by the Building Official or his Dep- . NOTE: Permit limit One Year (Except DEMOLITIONS which ONLY T1tE WORK NOTED Uty; and fees are paid, and receipt Is ac - �.�—•----' Shall be completed In bluely days; MOVED -IN BUILDINGS shall be com. Imowledged In space provided. pleted In six menthe.) SIGNATURE (O VNER OR AGENT) DATE SIGNS 3� INSPECTION D 'S SIGN TO DEPARTMENT VIN • — "L CITY OFbe EDAIONDB DATE ' NOTE: Applicant Subject to Plan Check Fee ) J/ �' �,� �. 7 775-2525 � TkIS Prmut a .[ark t¢ done on prir¢te property ONLY. ' n Any ran+burl lee.yen th,• public Anne nln , Iru rl .Ide.rnll<., dri—r.y., rlr.l ,111 rerlul[r ]eptValc nd]]:on. PII.F.