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1985, 02-22 Permit: 00004267 Fire DamageSIGNATURE OF O'JNER OR AGENT '~~^~~~~^=' 17621 E ALKI AV . O"NE"' LYNCH, BEN ~~~°"""' 17621 E ALKI AV . ""`' =` `°' CREENACRES WA 99016-0000 """".^"`' C & K RECONSTRUCTION "=`"^"`°"' ~"="""' "'``' "`' ='"' = """"""°. ."=/""°.°~= ^"=^"= "",' = =°' '^"""`~' 185530111 ""°"""= '°"'"=TOR' PLATS: 0D2545 LOT & "="" 003 018 ~=^` "^`"^M"' 182545 ZONE*: ZONE ACRI ~^^ ^ ` " 2 ^SEI MOD '=~..~~.. """"`"""=`' 010000 FIRE DAMAGE REPAIR ^""~~~^~^"' 17621 E ALKI AV . APPLICATION DATE ^=".= 0004536 ~~=' 02/22/85 =°~°` 00004267 StroctVre Fee $96.00 ,"= 96.00 ,^.=",. CA = X CG NC ~."°-E. 0/1 '=~..~~.. ~=". STRUCTURE R IT STRUCTURE Description R DWELL Group R-3 Type VN Square feet 010000 Occupancy Load 0000 Est Pin Chk $0.00 Actual Pin Chk $0.00 Var TOTAL FEES $96.00 $0.00 OFFICE COPY ~� 02_J7~�5 7 l45 *9 60 0.6 SIGNATURE OF OWNER OR AGENT DATE APPLICATION JOB ADDRESS: OWNER: ADDRESS: CITY: ST: ZIP: APPLICANT: CONTRACTOR: ADDRESS: CITY: ST: ZIP: PH: LICENSE*: ARCH /ENGINEER: ADDRESS: CITY: ST: ZIP: PARCEL*: CENSUS TR: INSPECTOR: PLAT*: LOT & BLOC K FINAL PLAT NAME: ZONE*: ZONE FSB S - / S - 2 RSB MOD USE OF PERMIT: JOB ADDRESS: 11 • i I U SEO. *: DATE: PROD *: t.! R E FEES: PAID BY: CA CK CG NC COUNTER APP: PLANS EXAM: DATE: �� J I P'E R 'a 1 R UC TUR E Da<:.c::r:i.l3iiori R DWELL Group R° -3 Type VN Square feet 010000 Occupancy Load 0000 Est Pin Chk $0.00 Actual Pin Chk $0I00 Var l tl i AL. $0.t.0 SPECTOR'S COPY 0 1 SETBACKS BUI LDING 2 FTGS & FORMS 3 STEEL 4 PROGRESS 5 BOND BEAMS 6 ROOF DECK 7 FRAMING 8 INSULATION 9 SPECIAL INSP. 10 ASSEMBLY 11 FIREPLACE 12 EXTERIOR FINISH 13 DRYWALL 14 EXT. GRADING 15 FINAL 16 GRD. PLBG. r C -- 17 WATER PIPING 18 DWV TEST 19 FIXTURES 20 SEWAGE DISP. 21 SEWER 22 al ATER HEATER 23 OGRESS 24 WATER SERVICE 25 ROOF DRAINS 26 FINAL 38 VENTILATION SYS. MECHANICAL ___...... . . 39 PLENUM &DUCT 40 GAS TEST 41 FURNACE 42 • DAMPERS 43 INLET /OUTLET 44 COMPBUSTION AIR 45 COMPRESSOR 46 APPLIANCE 47 FIRE DAMPER 48 SMOKE DETECTOR 49 HOODS 50 PROGRESS 51 FINAL 52 FINAL INSP. 1 OCCUP / SPECIAL 53 FIRE PREVENT, 54 OCCUPANCY /TEMP. 55 REQUESTED 56 OCCUPANCY /FINAL 57 OCCUPANCY /OTHER 58 COMPLAINT /ZONE • OMPLAINT /BLDG. 60 COMPLAINT /OTHER COMMENTS: