1018 PUGET LN.pdf,
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APPLIGATION is hereby made for a permit to construct the following work, in accordance with 'the accom
panying plans and specifications. Two seta are submitted herewith for approval. } '
new alter �� Off -St
Work addn repair .................................................. ..... .......... ................. ....... Parking• .-..:
Occupancy.......... Const. type :.... ......... .......Use zone::. :. Fire zone .........................
! Address ............ %Q /....✓.:.?`�G- •....�..-...... Blk .. Addn.......
Lot frontage .................. Area ..-.. Septic tank ........: ......... ....
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Bldg. setrbacks -front ....:.::.......-...... r. side ............ ..........: 1. aide ................:. rear................................
Owner.. ,./ .... ............... Address.-...... ..-................. Tel. No.- ..................
Build(.rt .�r�r' t� ... c- Address: fir -ems o �/.. �p � .i
er. Tel. No . ..............���; .per_ � •
Plans by
......................................................... Address-..-•... ....-................................. Tel. 'No ......................
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Re -marks ..................................................................................................................................... ...... .......................
..
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The above is a correct statement, and I agree to comply with all applicable Codes and State ° laws regulating this "
work
Signed Owner/Agent....... k .. "'.............. Address.......... ........... ... ..... Date.....................
PERMIT for the above work is hereby approved, subject to the above conditions, and to compliance with a'p•
proved plans and specifications, and Building. Department notations thereon.
Valuation ... ......... �' �r .............. Permit fee......... F-? ............... Recd. 6y... ........................ `
Building Department, By... ...:........Q.SJ.. ! ! r............. Date.-... ' J .. 1
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This Permit does not cover Plumbing, Sewer or Electrical installations.
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