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1986, 10-14 Permit: 000136525 Shed ' ---- - - - - ------� ' APPLICATION //7 5|G' 4TUREOF - DATE OWNER ORAGENT 141 ' PR0JECT# JOB ADDRESS ~ | |^~`= A25 17718 [ COACH DR "°""~ BUILBIN 131 00 � . Hz �N/ WILLIS """"="' Buildinq Code Fee $1 . 5O 17218 E COACH DR ".``. = ,.,. ^"""C"^`' , WILLIS CONTRACTOR: WTI \ IS ^DD"=". ^ 8 E CQACH DR .," ,. ",. z~. , FENACRES WA 99016 '.. """~""°. � . "74-8392 ^="/E~,.~E= °"D""= "'``' "`' `'~' "^"C"`~' "E°"~^ -^' '"^=``""' �21011 ,^,,~. LOT a BLOC" ~=^` «7 P: 911 Q »~ PLAT NAME: GTATES `=~~. Z.°" ,= " . " , """ ~°" ^` TORACE SHED =,". PAID BY: CA ," "" °" WE OF """"'`' $32 . '= —,",,. "°"""""""" / |"=°" "`^"' DATE: ~ / ���' � Boiluing Gode Fee STRUCTURAL TOTAL FEE $1 .50 BUILDING TOTAL FEE $31 . 00 Valoatinni Corr 1280 permit Fee 31 . Q0 # of Floors 01 * of Bedrooms 000 # of Rooms 008 PRIMARY STRUCTURE -, De -Fs ; CAR' -^-- Group . M-1 Type ; VN -� t Occopancy Load Rate 8 . O0 SECONDARY STRUCTURES : - ` 0- l4 ~ 6 566.2 375O �OFFICE COPY 19 sz - 4°7' (THIS IS NOT A 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) SHADED AREAS ARE FOR DEPARTMENTAL USE Project Number 1 / Owner's Name LAST IF1,ST MI i2Io/3 C 0�I/ 'il% s 9' �- Project Add s(Street Name&Number) Zip , /7A/ Co c /i (�' e /1/�c�C S Yt//�J/� s Applicant I Address o i , s�� /.//L"S ______________ I City State Zip Phone Business Phone Contractor/Agent Address City State Zip Phone ( ) Contact License Number(Required) Business Phone ( ) Architect/Engineer Address City State I Zip Phone I ( ) Contact Business Phone ( ) Lender Address City State I Zip Phone ( Describe Work -Res. Comm. II I0 I ' Subdivision/Plat Name/Short Plat Number Assessor Parcel Number Lot I I. Block Plat Number Pertinent File Numbers Zone Rill\ 4 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 Square Footage Z 0 . H Q 0 z Z . r m Number of Bedrooms Building Technician Date Group Type Show on Site Plan: Additional Information: Lot Dimensions Landscaping Existing Structures Drainage Plan F Proposed improvements Hydrants ..._ t. • Structure Setbacks Topography Easements Lighting ._ Septic System(s) Signage ; Water Lines Shorelines Sewer Lines Highwater Mark Fences,Wells Driveway(s) I Right of Way Width(s) ' flames of Fronting Street Flanking Street Leal Description -- } i •-.-- — -- - ' r {i! 1 { I- - - a--- - - 1 , I : i , I --+-i ± fff - { I -i 1 ..--I Scale: I + I r t- t Date: i Revisions: Attachments: , ' 1 : I i — 1 1 < -` - I j I I i It � { 1 l I • • I 1 : ; i,_ ! ffal° ' ! ' I : i e G 1 , 1 ft It ..6 , . . 1 I c I • rt I• I I / .._r1�OPOs .. LT1 I [ I, i I I i i I I I i i f 1 1_ _ 1 ! 1 I ! fi fit 1 t t _ r t 1 • 1I i t� I t 1 - I j { - }� i � ; I i � t- I- t f � i t t r { I { _ _ j� a DEPARTMENTAL REVIEW Cond. //// lAppproved Approval Hold Environmental Health Application# (V 6300 ( / 7 W. 1101 College Room 200 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