Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
750124.pdf
A � BUILDING DEPARTMENT Applicant Fill ZONEQ S- ao NDMBER )1 7501G'+ V PERMIT APPLICATION inside Heavy Linos y�—p ADDRESS CAME (OR NAME OF BUSINESS) /10�O , y r Jl PERMISSIBLE E/ ACTUALA LOT OYERAOT COV OERAGEI.9 ''I +I Nl r I LING ADDRESS ,0 TPEtA1tl8HLE HEIOkT PROPOSED H6 ) d T �J O CITY' TELEPHONE NUMBERAOTUAL ;ODA Fi DO� TOTAL BLD��REA_ z ; �J[REQUIRED YARDS PROPOSED/�YARDS N �^ NAME FIiO j' HIDE REAR FRONT 81.E REAR � �S t`lin� 25 W ADDRESS AIS LEGAL LOT VARIANCE OR CONDITIONAL Ute— (y (] YES NO PERMIT NUMBER V PLANI G PT. PROVAI. E• - '-• ;1 CITY TELEPHONE NUMBER STREET R/W ^v..FT. EXISTING STREET I DEFICIENCY THIS PROPERTY NAME COMP. PLA ST. 43 ` REM^RKB Driveway slopes not to et sed those to ADDRESS indicated on Standard Dwq. No. 103 NUMBERLAI) CHECKED BY F CITY TELEPHONE l 07 U I METER 8I- W i C4 f4c, SERVICE 81ZECLEARANCE CHEC D BY STATE LICENSE NUMBER CITY LICENSE NUMBEH - I )� I LC Legal Description of Property Below or Attach Four Copies) 6 p R B ( � -) � ! � 1y�(BhoW TYPE CONNECTION V RiFI I FERC. TEST p. NUMBER a. n I O REMARKS y� .7 FIRE ZONE TYPE OF CONSTRUCTION CTR IMPROVED YEIt 13140 SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP © RESIDENTIAL G'tS YES NO L )y ✓/ NEW LINE PLAN_C{IEC D Y THIS SITE IS LOCATED IN THE CITY NON-RESIDENTIAL SIGNLOCL RUED TAX i ADD RETAINING 8N CODED 3L04SALES AR DEMOLISH WALL ALTEREXCAVATE FENCE % OR FILL (.....................Ft.) REPAIR ❑ PRE-INSP.❑ 1 POOL ) I NUMBER OF STORIES NUMBER OF DWELLING UNITS NATURE OF WORK TO BE DONE Valuntlom Fee Receipt Na. i ` Plan Check Na..................... .0.i \ tri-v(i BUILDING 4 PROPOSED UBE PLUMBING ! 7 G� ' q W / O PLO .PLAN (Indicate Building BCtb.0 a, abutting streets) HEAT A GAB LINE f ClC UO I 0 FENCE �} SIGN U RETAINING WALL !j N SWIMMING POOL DEMOLITION ' PRE-MOVE INSPECTION EXCAVATION OR FILL — I hereby acknowledge that I have read this application; that the In- TOTAL AMOUNT DUE b formation glean Is correct; and that I am the owner, or the duly author- Ixed agent of the owner. I agree to Comply wlth city and elate rows reg.- ATTENTION APPLICATION APPROVAL Intim; Construction; and In doing the Walk authorlxed thereby no person will be employed In Violation of the Labor Code of the Slate of Washington THIS PERMIT This application is not a permit until relatlog to Workmen's Compensation Insurance. AUTHORIZES signed by the Building Official or his Dep- NOTE: Permit Limit One Year (Except DEMOLITIONS which ONLY TILE W'ORII NOTED uty; and fees aro aid, and receipt is Bee- P P In ninety days; MOVED-IN BUILDINGS shall be was- be csix Imowledged in space provided. months.) pts In six months.) in 81 TURF OW IENT) DATE 810 ED INSPECTION D R' NATO _ DEPARTMENT CITY OF NOTE: Applicant SuGject to Plan Check Fee EDi♦fONDS DATE ( 7 -- ,~---' k %%S-ZSZS _ y� This PenuIt rareA work to be none on prlv.le property ONLY. Anycanetruclian on the public domain (curb,, sidewalks, driveways, marquees, etc.) will require separote permission. FILE