750479.pdfC CITY TELEPHONE Nt
� . 4J1 776-- - 7s
z
0
U STATE LICENSE NUMBER (CITY LICENSE
3—
— (�3� s
+��IcrlpiZ of Property (Show Below or Attach Pot
0
J
Q
❑ NEW
RESIDENTIAL
Q LINE
UNDERGROUND
1,
❑ SIGN
❑ ADO
TYPE CONNECTION
USE �j PERMIT
ZONE OS _. NUMBER 750479
BUILDING DEPARTMENT
Applicant Fill
❑ W NCEOR X FT)
PERMIT APPLICATION
Inside Heavy Lines
SOB
UMBER OF STORIES
NAME BUSINESS)
NUMBER OF
DWELLING
UNITS
ADDRESS
o
ATURE OF WORK TO BE
NAME (OR OF
LEGAL LOT
IB�s ❑ NO
LOFITTAAREAVI�n
C1 O (V
SUBDIVISION NO.
e5j
MAILING ADDRESS
✓D
(,
Z
i
CS_—
VARIANCE OR
COND. USE NO.
AOB NO.
G
CITY
TELEPHONE NUMBER
��� /��
PROPOSED VARDS� t
NEI' NT
FRONT 33 SIDE REA
F.
NAME
ALLOWABLE
SIGN AREA
SIROPOSED
GN AREA
U
W ADDRESS
F
=
FENCE
OTHER
REgU1REMENT
CITY
TELEPHONE NUMBER
SIU
PLANNING EPT. APPROVAL GATE
ti_l ar l� q — ,Z — s
NAME 1
✓� a (Zili/L'G/�.'�,�-!r
STREET R/W
EXISTING STREET RJW FT. DEFICIENCY THIS PROPERTY
E
O ADDRESS
„�,..
COMP. PLAN ST., FT, FT.
REMARKS
C CITY TELEPHONE Nt
� . 4J1 776-- - 7s
z
0
U STATE LICENSE NUMBER (CITY LICENSE
3—
— (�3� s
+��IcrlpiZ of Property (Show Below or Attach Pot
0
J
Q
❑ NEW
RESIDENTIAL
Q LINE
UNDERGROUND
E]NON-RESIDENTIAL
❑ SIGN
❑ ADO
TYPE CONNECTION
G
ALTER
❑ EXCAVATE
FILL
❑ W NCEOR X FT)
REPAIR
NSP.
POOL
UMBER OF STORIES
p PLO PLAN IND6rAICATE BUILDING SETBACKS,
NUMBER OF
DWELLING
UNITS
/
ATURE OF WORK TO BE
DONE
ABUTTING STREETS)
STREET AND/OR UTILITY ❑ YES
WORK REQ'D
❑ NO
UNDERGROUND
❑ YES
WIRING REQ'D
❑ NO
TYPE CONNECTION
VERIFIED BY
D
❑ YES
PERMI'1
SEPTIC SYSTEM
p PLO PLAN IND6rAICATE BUILDING SETBACKS,
APPVD BY CITY ENG.
13 NO
REMARKS
ABUTTING STREETS)
BUILDING
R
%,s C 7,3
CNCY OCCUPANT
^� LOAD i
F
CATED IN THE CITY w
LOCAL SALES TAX j
Z
O I
m
VALUATION FEE
PROPOSED USE
Z
PLAN CHECK
—
D
NO.
p PLO PLAN IND6rAICATE BUILDING SETBACKS,
O
ABUTTING STREETS)
BUILDING
✓D
PLUMBING
i
,G•
^1
W
c
m
HEAT & GAS LINE
0
FENCE
SIGN
RETAINING WALL
�s
SWIMMING POOL
1 hereby acknowledge that I have .ad th�pplication: that the In-
TOTAL AMOUNT DUE
�y
Iormatlon given Is correct; and that I am the owner, or the duly author-
Iced agent or the owner. I agree to comply with city and .tate laws Mgu-
thereby, no
ATTENTION
APPLICATION APPROVAL
laung construction; and In doing the work authorized person
will be employed In violation Of the Lab— Code of the State of Washington
THIS PERMIT
This application 1s not a permit until
pp
relating to Workmen's Compensation Insurance.
AUTHORIZES
Blgned by the Building Official or his Dep.
NOTE: Permit Limit One Year (Except DEMOLITIONS which
ONLY THE
uty; end fees are paid, and receipt is ac-
h'�J
.hall be completed to ninety days; MOVEDdN BUIL shall be com-
WORK NOTED
owledged in space provided.
plated In elx months.)
INSPECTION
AT RE )OWNER OR AGENT) DATE SIGNED
"EPA RTMENT
IREC R' SI NATO E
LON
uC.ni
CITY
ED MONDS
ATE
NOTE: Applicant Subject to Plan C Teck Fee
775-2525
�-
This Permit covers Work to be done on private property ONLY.
(curbs, driveways,
ORIGINAL -File YELLOW - InspcUor
Any construction on the public domain sidewalks,
PINK GOLD -
<
rauweo,. ctc.I:•il: requu0 soparatu permission.I
I
'=—'ice._,
r
_��..,Jc"�.,.
{.Ii' '7.-'iFt ..,-1—t1�4'^–' Iia •. .w Js
1
r ,
nl.., nv~
:
,.
1.
1
- -' 1.
,. ..
F .
! 1 i • .4 .. ... F' � ��•
.,
I
r
A:
T(1
1
I
I
r.
, I
.. .._1
r.
..
.. ....
n
{111
-
.. '�.
._. .. .... � .'..._.... ...... •
.
f
1
i
4
d
1 ,J
-
_
RECORD CW WSPECTION5
`
!late Pas". 1i
i
rnunclalirnVI
.. ..
IO •./y� -l—V Ate.../ I a R '
�2 _est 7G�