LOT 4 CHERRY HILL MANOR STREET FILEIIIIIIIIIIIIII
14919
17708 69TH PL W
DEPARTMENT
COMMENTS
DATE
W A T E R
STREET
SEWER
C
�
&XJ
•10N 'MAP
ERo NO.;
pswam
BUILDING DEPARTMENT
'Appaonsrm
xyIIBaR `''
PERMIT APPLICATION Indde
Heavy US."
NAM (OR HANK OF nee)
r •
SIDE YARD SETBACK
BTRBSr SETBACK
REAR YARD SETBACK
.
0
R
A IT
ONE Numeng-.
S
o To o NO
e
�- - 06
VAIUAre
NAMEMi"Fa
N A P O E
O
ADDMS
nXlg'1'1N0 B1'RBET R/W
,..........,PT. D1g➢'ICIIIN07 T1II4 PROPERTY.
CITY :_ �.
COMP. PLAN sT. R
FT.
AMn
0 W04
ADDRES8
(j
G)
01CITY
UNDER
r
M BR at" I BERV1Cn SIL6 I C 'ARANCh
I CHECKED BY
-ei-65
'lAgal
Daterlptlun u Pr perty tbbuw Below of Att&db WOW plat
`�-�-- —r c' AQY'Y jj( / ,.
TYPE CONNECTION
VERiF1BD BY ,
T.
=
Mah&Ir
FIER10iff-RUM [BIB
Pknc. TINT
RgMAAXS.
ooe
• - ,. "'1
FIRE LONE TYPE OF CONSTRUCTION STREET IMPROVED
.
.i
•i
IDYEN No
OCCUPANCY O ,
RESIDENTIAL
GA8
❑ LINE
0 YEN 0 NO
per$ D By
I
NEW
❑ NON•REBIDIDNTIAL
❑ aoN „
1S S:TE IS UICAT-M IN THE
❑ ADD ❑ W TALL 'q
CITY (::.. ; ; ; . , ll. SAL[S
.
❑ DEISaLL88 ..
.,
❑ ALTER ❑ EXCAVATE
OR PILL '. ❑ f.....—s..... ....P11
❑ REPAIR ❑ IINRSpMOVn ElPOOLffMM '
.. .
I
N M R OF BTORI 8 N
•, ,
' DWELLING
I
_
__
•
�
UNITE
'
A R OF WORKO E
valustloo
Fee
Receipt No,
Pr Oeek No. . .:
..
.
BUILDING
�tA
C
{
PLOT PLAN (Indicate 9RFdWS sal — la. abu ne u ) -;
BEAT a GAO LINE
.
PENCE
I
Oro"
—
.
_. i•
RETAINING WALL
_
sWIMI[INa POOL
J. ..
..
.,.
DEMOLrYJON
RECEIVED
Pltn•KOvE INSPECTION
NOV3 0 iyil
EXCAVATION OR PILL
— --
.
. L.
TOTAL AecocrT DOa
..
_
' I hereby aatnowledso that I ante rand two apptlanon; that We Is.
to mstlab Area t000t'Iest; and that I am His owner, a We day 200IOr-
_
Islas rent Of tee owner. I agr« to comply with city and elate ties rent•
:
ATTENTION
APPLICATION APPROVAL
lotion ooeettuatbn; andm domert the waautbortoad tbereby, ea DOM=
will be employed m'noutron of the Labor Code of the State of WaabW"
rod IERKIT
.
TAL application le not a perntlt until
relating to W.Man•s Gompeasatlm Iwreow.
ACTKOatlna
a1gA0d by the Building Official or his Dep.
NOTE: Permit Umit One Year (Mmos aEKOUTIONG Walsh
amLY THE
Wean NOTSD
uty; and fees are paid, and receipt to ac-
.hall be completed In ninety days; KovED-IN DVEMUroe mau be sam•
knowledged In apace provided.
pitted In six months.)
INSPECTION
PUA RE (OWNER A \
t ( a
DaPARTMICNT
i
/ 7
OITY OF
MATE
6DMONDS
NOTE: Applicant Subject to Plan Cbatk Fer
n 0.11"
Thla Permit emaa wort to be now an PrIt aat peoenrF ONLY.
-
Any aanatracHna on toe paella domain (CMW, K6watb. 41 ass.
TnA
twryas". ale.) wW resalra separate parmlaeeaa.
',
5