1985, 07-29 Permit: 00006592 Garage'
S:GNATUREOr- APPLICATION
OWNERORAGEm_lo u*��
JOB ADDRESS:
00006592
ADORES
CONT ACTOR:
FEES:
PAID 11:
CA
CK
C6
IC
PARCE *t
175531101
CENSUS TR'.
0999
INS cToW
PLAY NAME:
TION
USE OF PERMIT:
1101 ^DOR95S:
0007098
00006592
FEES:
PAID 11:
CA
CK
C6
IC
STRUCTURE PERMIT
STRUCTURE TOTAL FEES $61.08
Description A PRI (].,AR WF Groop M --- I Type VN
Sqoare feet 000624 Occupancy Load 0000
Es -t Pln Chk $0.0O Actoal Pln Ch $0.00 Var, $0.00
07-29-~85 381625 °611006
110
P /--------
s./
f 3z'
3d
.1.
v-0 streell'
05
-
LE
LM
U
I
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 is true, correct, legal, and binding.
Owner's Signature Date
Approved
Cond.
Approval
Hold
Environmental Health Permit Number o
W. 1101 College
Room 200
Planning/Zoning
N. 721 Jefferson _
Engineers Permit Number
N. 811 Jefferson
Utilities
N. 811 Jefferson
Plan Review/ Fire Prevention
N. 811 Jefferson 3 <
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 is true, correct, legal, and binding.
Owner's Signature Date