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PERMIT No.
BUILDING PERMIT TUKWMA, WASHINGTON ,
N? 142
OWNER
MAIN
L— RE89
.�
PHONE N/
DATE ,
✓ '
BUILDER
FT. FT. 80. FT.
ARCHITECT
WIDTH DEPTH AREA
ADDRESS
BUILDING
BUILDING
JOB
STREET
U
FT. FT. FT.
ADDRESS
2' FT.
EXISTING BUILDING AREA---------- --
80. FT.
TOTAL AREA OCCUPIED LOT AREA LOT AREA OCCUPIED
LOT COVERAGE
_ _ py
USE ZONE
LEGAL
FINISH
LOT SIZE
LOT ARE
HOW
BASEMENT
AS
HEATED
LOT
BLOCK
YARDS
MAIN
SETBACK
SIDE YARD
REAR YARD
NEAREST
ACCE890RY
SET BACK
BIDE YARD
REAR YARD
NEAREST
DISTANCE TO
BUILDING
COMBO
BUILDING
I
BUILDING
NOOK
BUILDING
PROPERTY LINES
GARAGES
HOUSE •ATT. GARAGE
OTHER D
ALLIMPROVEMENTS
l/
FOUNDATION OK
FRAMING OK
CLASS OF WORK / V �_ S J/" /V
REMARKS DESCRIPTION OF ANY WORK NOT COVERED ABOVE 4& r G /�i 6 0 - 7 r OuJ 154 / r/ n Mir
WARNING 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 g by Inspector in writing on Permi 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.
Written Authorization of the owner must be pre-
sented when work is done by occupant or lessor. OWNE ggzt:C� D T' X
PERMIT FEES: (THIS SPACE FOR BUILDING DEPARTMENT USE ONLY)
HOUSE &
MAIN
WIDTH DEPTH AREA
TYPE OF CONSTRUCTION
BOND NO._ TOTAL FEES S Y
BUILDING
�/ _
X
SIZE
FT. FT. 80. FT.
ACCESSORY
WIDTH DEPTH AREA
OF
BUILDING
BUILDING
X _
— eq.
FT. FT. FT.
2' FT.
EXISTING BUILDING AREA---------- --
80. FT.
TOTAL AREA OCCUPIED LOT AREA LOT AREA OCCUPIED
LOT COVERAGE
_ _ py
Sq, FT. SQ. FT. /U
EXTERIOR
FINISH
OCCUPANCY
TO BE USED
HOW
BASEMENT
AS
HEATED
SIZE SQ, FT.
ROOMS
TOTAL
BED
BATHE
LIVING
L•D
DEN
KITCHEN
NOOK
K•D
ATT. ❑
GARAGE DET, ❑
ROOMS
COMBO
NOOK
VALUATION OF
HOUSES
GARAGES
HOUSE •ATT. GARAGE
OTHER D
ALLIMPROVEMENTS
l/
FOUNDATION OK
FRAMING OK
FINAL INSPECTION
REMARKS DESCRIPTION OF ANY WORK NOT COVERED ABOVE 4& r G /�i 6 0 - 7 r OuJ 154 / r/ n Mir
WARNING 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 g by Inspector in writing on Permi 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.
Written Authorization of the owner must be pre-
sented when work is done by occupant or lessor. OWNE ggzt:C� D T' X
PERMIT FEES: (THIS SPACE FOR BUILDING DEPARTMENT USE ONLY)
HOUSE &
OTHER MISC.
HOUSES G ARAGE f �� G ARAGE f
1 RECEIVED
BUILDINGS S FEES S
PERMIT
BOND NO._ TOTAL FEES S Y
NOTICE: THIS PERMIT DOES NOT COVER PLUMBING. SEWER. OR WIRING INSTALLATION.
PERMIT PLACARD MUST BE POSTED ON THE WORK
I