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BUILDING' 'PERMIT ruOM& WASKINGTON
BUILDING
PERMIT No..
OWNER
AD
PH • 'E�
DATE
BUILDER
ADDRESS
G
ARCHITECT
ADDRESS
—
FT. Q 8Q. FT.
° Y
JOB
ADDRESS
STREET � G J NU Ep _ 1 7 ;r
l! W
USE ZONE
LEGAL I/
LOT SIZE
LOT ARE
BUILDING
BUILDING
LOT
■LOCK
YARDS
DISTANCE To
PROPERTY LINES
MAIN
BUILDING
8!T BACK
SIDE YARD
REAR YARD
NEAREST
BUILDING
ACCESSORY
BUILDING
BET BACK
BIDE YARD
REAR YARD
NEAREST
NUILDING
CLASS OF WORK X Ill a
REMARKS DESCRIPTION OF ANY WORK NOT COVERED ABOVE _
WARNING I Notify Building Department by Street Address and Permit Number when ready for inspection. Work must not be
covered before inspection and OK for covering has been given by In spe c tor in writing on Permit Placard.
I hereby acknowledge that i have read this application and state that the above is correct and I further agree
to comply with all City Ordinances, State Laws, and lawful orders of the Building Inspector governing building con-
struction. ,Q�
Written Authorization of the owner must be pre' owNE�!�`�'� �""'��� -� T x
sented when work is done by occupant or lessor.
PERMIT FEES: (THIS SPACE FOR BUILDING DEPARTMENT USE ONLY)
A4A+N —
WIDTH
DEPTH
AREA
TYPE OF CONSTRUCTION
G
�f.
�/
FT. X 5
—
FT. Q 8Q. FT.
° Y
Y
SIZE
OF
NOT COVER PLUMBING. SEWER, OR WIRING INSTALLATION.
ACC FASORY
WIDTH DEPTH AREA
BUILDING
BUILDING
PLACARD
�(
FT. ' `
_
FT. 8Q. FT.
BE
POSTED
BQ. FT.
EXISTING BUILDING AREA----------- --
SQ. FT.
TOTAL AREA OCCUPIED
LOT AREA
LOT AREA OCCUPIED
LOT COVERAGE
80. FT. '
SQ. FT.
EXTERIOR
FINISH
OCCUPANCY
TO BE USED
HOW
BASEMENT
AS
HEATED
SIZE SQ. FT,
ROOMS
TOTAL
BED
ROOMS
BATHE
LIVING
L.D
COMBO
O!N
KITCHlN
NOOK
K.D
NOOK
GARAGE ATT. 13
OFT. ❑
e
VALUATION OF
HOUSE S
GARAGE $
HOUSE . ATT. GARAGE
S
OTHER:
ALL IMPROVEMENTS
FOUNDATION OK
FRAMING OK
FINAL INSPECTION
REMARKS DESCRIPTION OF ANY WORK NOT COVERED ABOVE _
WARNING I Notify Building Department by Street Address and Permit Number when ready for inspection. Work must not be
covered before inspection and OK for covering has been given by In spe c tor in writing on Permit Placard.
I hereby acknowledge that i have read this application and state that the above is correct and I further agree
to comply with all City Ordinances, State Laws, and lawful orders of the Building Inspector governing building con-
struction. ,Q�
Written Authorization of the owner must be pre' owNE�!�`�'� �""'��� -� T x
sented when work is done by occupant or lessor.
PERMIT FEES: (THIS SPACE FOR BUILDING DEPARTMENT USE ONLY)
HOUSES
G ARAGE i
HOUSE & OTHER
G ARAGE t ILDINGS $_
_ RECE
ERMIT
BOND NO.—
TOTAL FEES S
° Y
Y
NOTICE: THIS PERMIT DOES
NOT COVER PLUMBING. SEWER, OR WIRING INSTALLATION.
PERMIT
PLACARD
MUST
BE
POSTED
ON
M ISC.
FEES i
DATE
THE WORK