The URL can be used to link to this page

1985, 05-07 Permit App: 00005295 Garage - BUILDING PERMIT APPLICATION WORKSHEET PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOU UNDERSTAND (Please return this original and your building plans to the Department of Building and Safety) 1 Owner's Name (last/ (first) �.�//. (m) JcPartmen)4eonlY / /g../40.e...2 Pro' Add '. ailing Addi6ss)a-Road Name FIX. � Space Zip Comm 6©// cv 32Commu 'ty j Stat ( Subdivision/Plat Name — 4)CA 1-^t–LL L—ee- '---( 1M 14 teL b R "I2 C 4 / r/Parcel No. 6 Lot Block 6 51 a - /02 O 26 I , * * * DEPARTMENT USE ONLY * * * 5 Sic Code I Zone Act.# Zone Project No. /r� 5 6 Dwell# I No.of Buildings Sq.Ft./Acre Depth I �i Frontage 7 Set Back-Frorlt� I(L)S-1 I(R)S_2 Rear Census Tract / ((�,QQ Module No. I(J!��tials_ _ * 16 Architect Firm Name , /O )'I �Ci DNS IStreet Address Ig Zip I City I State Phone Contact Person ( ) Phone If different than above actor Firm „bete Street Address e j11"19) Zip Cityr // 'o? , (�� a / I � State Phone ' Contact Person (� JI ((��`', I �' ( ) 9.?,–o�02 7 ` v License No. Phone If different than above 8 siker/Agent(if different than#1 above) IBusiness Address 9 Zip I City I State Phone ( ) 12 Review Required I Plan Check(Y/N) I Other(YIN) I SEPA Exempt(Y/N) I Date 15 Type Work [BldgElMH I )(51,..New Replace ❑ Other ❑ Fire ❑ Demo 0 Add/Alter I 0 Move I 14 Describe Work67 el X 3 0 to-----tc11,44..../ 72-,0 r)14--tT 10 Applicant Name Street Address 11 Zip I City I State I Phon(e * I * ) Lender IStreet Address Zip I City I State Phone( ) Contact Person Phone if different than above ( ) Additional Information DEPARTMENT APPROVALS ' This is nota Permit Application Type (Standard unless (Indicated approvals required in either"release"or"release with conditions" otherwise indicated) space prior to permit issuance.) ❑ Fast Track Release ❑ Early Start Release w/cond 1 Hold 2 ❑ Environmental Health ❑ Commercial; ❑ Residential 0/ W.1101 College ❑ New Construction; ❑ Bldg alteration/addition 164k Room 200 Additional structure; APPLICATION# -Doi 4'3 Conditions/Comments: ❑ Planning/Zoning: ❑ Commercial; ❑ Cert.of Exemption; ❑ Frontage; N.721 Jefferson ❑ Setbacks; ❑ tot w/d; 0 lot size; 0 use/zone; O CU,variance,zone change;shoreline; 0 fence; ❑ Other Conditions/Comments: ❑ Engineers: ❑ Commercial; ❑ Residential; 0 Flood Plain; I . N.811 Jefferson 0 drainage 0 new access/approach; 0 fence; 0 road improvements Conditions/Comments: ❑ Utilities: N.811 Jefferson Conditions/Comments: ❑ Other: ❑ Plan Exam Fire Prey. Conditions/Comments: m❑ Project Representative Telephone a Agencies Performing Special Inspection: N c O 1. U .- 2 711 2. in O ( LL 3. 1 indicate above or attach conditions relative to final as built approval 2 Indicate above or attach reasons for hold • • ,,9G, �� -, 7G° • N. • • —I' . ' . • zr- - . "<----/.65' 4 . ' Irfc-- -1-1--. 0 : 4/01"IN/ 1 ' OsvO.Sr'.ZO d • Ni I _ y N , r')/ ..d. : ;di1 • � G , G'{ 6' 4Ii LAI ,-"10 _ : it : io ' . , I .....•p p.0 • 1 _± , 79�l�'.�NcHE,� 164R,e,g,tciI v _..los :{ l `- `-~ • 4 1 /2 I . '69 I 9?' I i .. . . C''et� ii . ''� 19= 31 1 Vs....\/1:1\%..i ic. \jr i,,,..., 77 , % 1J . k. ).'i ,.. i i , . Q 67S ., • • • F ��/Trt14D0 .GU i . •SCOT '7e/ G�4 e 4? / Ez,er E _.. . 7-I 1 ' , 4//v7-fie 4F v�O.C.b/Y E� ��i�?"E Ode Glf'�SolAiv6 reN. • �4'n✓T'E'4,CTOrP l �iPEE //t/E3".L7VC, { i r • { �QED�00/fj / ., + 1 ' -4•-i- ;-!•• --: -I- -';-1- •• " ?‘t, ? 6 /_.,.,A . , • .