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690319.pdf1NG DEPARTMENT I Applicant Fill RMIT APPLICATION Inside Heavy Lines (OR NAM)s OF BUSINESS). VL As PP%(Nm `ez O D dB 9 o & 75 rH (a. Wesr TELEPHONE NUIIHL:F h+or�s WA.. 1743 n6%45'"- 1\10 ON kr r RESIDENTIAL LINE NEW ADD ❑ NON-RESIDENTIAL aSIGN RETAINING DEMOLISH WALL ALTER ❑ OREXCAVATE FEN CE FILL........ ..x.......... Ft.) f - REPAIR NPIIOVE ❑ BWIL NUMBER OF STORIES I NUMBER OF DWELLING UNITS t I rq 1 wrr VWSIN w romwM Y I . • I7 v l r M Z ?H R F o R7' 5TRUCTUIRM PROPOSED USE t)*Y,A RD l MPfzO�a= �( (Z) SHeti E ft O PLOT PLAN (Indicate Building setbacks, abutting streets) N cease 75rwP4r ' oj*RfooRT I N I 1 z G .e--G 3 `—»j I hereby acknowledge that I have read this application; that the In- formation given Is correct; and that I am the owner, or the%dw*,author- ized agent of the owner. I agree to comply with city and state Idws regu- lating construction; and In doing the work authorized thereby, no person will be employed In violation of the'Labor Code of the State of Washington relating to Workmen's Compensation Insurance. NOTE: Permit Limit One Year (Except DEMOLITIONS which shall be completed In ninety days; MOVED -IN BUILDINGS shall be com- pleted In six months.) SIG URE (OWNER OR AGENT) DATE SIGNED NOTE: Applicant Subject to Plan Check Fee ' This Permit coven work to be done on private property ONLY. Any construction an the public domain (curbs, sidewalks, driveway/, marquees, eta.) win require separate permission. ILCK STREET SETBAI - 74 690319 & At NO KIST O STREET R/W ............FT. DEFICIENCY THIS PROPERTY COMP, PLAN ST, R/W ............FT. ............FT. YES SPECIAL INSPECTOR GUIRED (OCCUPANCY GROUP 13 YES O / 1 Valuation Plan Check No, ....... HEAT & GAS LINE FENCE SIGN RETAINING WALL 'l�v DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL Fee j C e, G C W m TOTAL AMOUNT DUE I I o© a I (l-S_/� 7, � ATTENTION APPLICATION APPROVAL THffi PERMIT This application is not a permit until AUTHORIZES signed by the Building Official or his Depw ONLY THE WORK NOTED uty; and fees are paid, and receipt is ac- imowledged in space provided. INSPECTIOLN DEPARTMENT PUT CITY OF I .�� • l r l PH 6-1107 I . j , 1 T La,,di r .[ { P,1 .... I . ..... . . { E d,.1 It,,,;.u:.111$ 11 4tII, CI I 1..v, t �1114.. ,.. -,.,+..It, I... ( r 7 `rP1 tr 2if.. .., t5 IT IT Tit r S: •7 r g1 t. t - 1 .. f n„ .. .i ., It '. TII_. .. '._ . , I It 7 p f/f AAµ { i mot,.Mao,,, r rriY ; i ` rY d'1' Ir r t IT _ ... v IT S y . .. 1 EC i ' r N'T! r,f� ,r . �RECORD OFINS'' TIONS �� ' r [� Date Passed ;1TIT T ; t ' ' `'' Foundation Z -Plum •ng (Partial)' I IT kTK _ (Rough) a.. ----, 'Frame Furnace & Fuel Lines Final IT It I IT It If I Tit i 3A, 1 r I, J t h.{ ti 4 LTIIV / K ♦ i>lt([,ilY. ) ri, '+t,rt 1 r, 1, e9 1 t,r') IT .., 1 r , ti[•( r r si S �. 1 ,, yr� t , 1 f 1 ., i. to 7 / C., ' [• l 2 : 1''A L, r •, l :t ' RECORD OF INSPECTIONS rt'ti [�, 4it 4 Date'Passed , ir It if Drainage t{?Tk y yam' a riw , S v rd T'��l i - - SewerI.�t, Ar': �i "�"��, J A42 l Parking `irJ. j- ,+l G%A'i"F?tI -T r } t• t .,rl , 1 P tll ^" 11 ,, ,_,.,... , ,. Landscaping t Fire Dept. 'It , 1 1 ,1 a i 1