1985, 11-14 Permit: 00008698 MHSIGNATURE OF
OWNER OR AGENT
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OWNER:
�OJTEN/ ELCIVA L
ADDRESS:
E ALKI A4.;
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my: my: REENACRE� WA 99016
BOOTEN/ ELCIVA L
BOOTEN/ ELCIVA L
19121 E ALKI AV
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26 MOBILE HOME REPLACEMENT
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MOBILE HOMES
Make
Number 1 Width 12 Length 60 Height 10
Misc Desc : BLDG SC
APPLICATION ' --
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DATE �
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0009560
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11/14/85
PRO ~
00008698
MOBILE HOME $51.50
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CA
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NC
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MOBILE HOME PERMIT
Serial *
TOTAL FEE
Fee
Misc. Fee
$51.50
50.00
1.50
OFFICE COPY
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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 8C BLOCK
FINAL
PLAT NAME:
ZONE *:
ZONE
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S - 1
S - 2
RSB
MOO
USE OF PERMIT:
JOB ADDRESS:
SEQ. *:
DATE:
PROJ *:
FEES:
PAID BY:
CA
C K
CG
NC
COUNTER APP:
PLANS EXAM:
DATE:
TOR'S COPY
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SPECIAL INSP
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10 ASSEMBLY
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5
FIXTURES
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OHEATER | --
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24 VV*JER SERVICE
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25 ROOF DRAINS
- |
26 FINAL | .
38 VENTILATION SYS.
39 PLENUM&DUCT
40 GAS TEST
41 FURNACE
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42 DAMPERS � / | E
43 |N LET/OUTLET
_____
44 COMPBUSTION A0
45 COMPRESSOR �
40 APPLIANCE
47 FIRE DAMPER
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48 SMOKE DETECTOR
49 HOODS
50 PROGRESS
51 FINAL
52 FINAL INSP. / 0
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53 FIRE PREVENT. | ��
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54 OCCUPANCY/TEMP. 0/ } --- C
55 REQUESTED -o
56 OCCUPANCY/FINAL un
57 OCCUPANCY/OTHER "
58 LA|NT/ZONE 0
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DEPARTMENTAL REVIEW
I certify that I have examined this application and state that the information contained in it and submitted
by me or my agent to compile said application is true and correct.
Signature Date
Approved
Cond. Approval
Hold
�--
Environmental Health Application # / °C-)0 ...S.----
/ I/ :U
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'
Room
W. 1101 College
200
0
Planning /Zoning
N. 721 Jefferson
Engineers
N. 811 Jefferson
Utilities
N. 811 Jefferson
Plan Review /Fire Prevention
N. 811 Jefferson
Other (SEPA/Critical Material /etc.)
Fast Track /Special Inspection Information
Project Representative
Phone
Address
I certify that I have examined this application and state that the information contained in it and submitted
by me or my agent to compile said application is true and correct.
Signature Date