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1987, 07-21 Permit App: 87002243 Pool(THIS IS NOTA PERMIT) BUILDING PERMIT APPLICATION WORKSHEET PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOU UNDERSTAND COMPLETE IN INK (Please return this original and your building plans to the Department of Building and Safety) C%o. -aZ S3Cr ,� -.. --- ...._.._ ...._ .... ��........�.....� .,�� 1 h. 0 Owner's R J7 LAST v= DA VENPORT D4V/b E . Project dress (Street me 8 Number) Zip &3O5' d. CoWKLIN RD, 1 /E- 4 DA LE wry-, 79©3 7 Appl nt RIAL f oOLS INC Address `Jc7 IJ _i O fREYA t City SPe-r)/<AA/ State WA 1 Zip ,i3O 7 Phonef ( r9) �s' ? -.6-47 y. Business Phone ( ) Contractor/Agent IMPERIAL POOLS . iv'c, Address Al, 575e7 i -REY4 City s{�Q/(44/5 StateZip �4 99'x'% Phone (5r9 ) «-'?- Contact 136)5 Lt 4L. 51/ License Number (Required) e lV 71"7- Business Phone ( ) Architect /Engineer Address City State Zip Phone ( ) Contact Business Phone ( ) Lender Address City State I Zip Phone ( ) Describe Work SW//vffr//,Ya Pott, c rN s ner<c-TY,✓A,/ Res. Comm. Subdivision/Plat Name/Short Plat Number tJy, j` rutt- Assessor Parcel Number z.SS�1-0 ° Lot 3 Block 4 Plat Number Pertinent File Numbers Zone gs Comp. Plan Census Tract Number of Dwelling Units Number of Buildings Lot Size (Sq. Ft./Acre) Depth Frontage Front Setback Left Setback Right Setback Rear Setback R/ W Width Additional information VG INFORMATION Square Footage I BUILD!' Number of Bedrooms Building Technician Date Group Type DEPARTMENTAL REVIEW ON SFWEX 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 CpApproval Hold Environmental Health Application # W. 1101 College Room 200 Planning/Zoning N. 721 Jefferson Engineers N. 811 Jefferson Utilities N. 811 Jefferson I Plan Review/Fire Prevention N. 811 Jefferson Other (SEPA/CrItIcaI 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 - t . — 1 T 1 1 I 1 i 1 4 ' ' i -i - I 1 4 1 ; I i I . i 1 ' 1 i C i LL i _ , i i . ! _ - 0 ..;..... ...._ I , . _ H - Ct. 1 1 "Ns.. .:',..., 1 ! *.7-- 4 . __ * f 1 I I , ..... I , 141 I i ..4.1. ---------------- "ro i i I . i I, 1 . -, 0 -- - t ! 4 i , i i I __ __ i: _ • . i i , .. , 1 - ' r - I _ 1. 1 - t . — 1 T 1 1 I 1 i 1 4 ' ' i -i - I 1 4 1 ; I i I . i 1 ' 1 i - C 0 ..;..... Ct. *.7-- 141 "ro 0 -