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APPLICATION FOR COMMERCIAL BUILDING PERMIT <br />5 <br />BUILDING OWNER •-_T •^17 <br />DATE 1-11-79 <br />')DRESS CITY <br />ZIP CODE <br />CONTRACTOR T r <br />— PHONE NUMBER (2n_P1 <br />ADDRESS ^.-.. �..�i:�r -�, -- <br />CITY LICENSE NO. P2j_p _9cT05 <br />ARCHITECT OR ENGINEER 7TNUC"AT,n7 '- - T.... LICENSE NO. <br />ADDRESS '�'�-106TR c,W, <br />CITY_ ^nn, wn. PHONE NUMBER M -74-i4 <br />ADDRESS OF NEW BUILDING OR CONSTRUCTION «1 ­,n nnen ,-- <br />THIS BUILDING WILL BE USED FOR <br />,0,;.--SEPTIC TANK PERMIT NUMBER <br />TE APPROVED _ <br />LEGAL DESCRIPTION: SECTION In <br />TOWNSHIP pin RANGE__ 1�.I ZONE___ <br />SUBDIVISION LOT BLOCK LOT SIZE f!- <br />METES AND BOUNDS 16TI1 SECTION <br />CU PERMIT SO PERMIT EIS REQUIRED NEG. DECLARATION <br />EIS PREPARED DATE APPROVED <br />,I9ae7- .0 i2zaoy-S/- ci7- 000.3 <br />)THER BUILDINGS EXISTING ON PROPErTV <br />BUILDING DIMENSIONS: ^" x '^'-^" PLEASE CHECK THE FOLLOWING ITEMS: YES NO <br />BASEMENT SQ. FOOTAGE <br />FIRST FLOOR SQ. FOOTAGE fin" <br />SECOND FLOOR SQ. FOOTAGE <br />THIRD FLOOR SQ. FOOTAGE <br />FOURTH FLOOR SQ. FOOTAGE <br />MEZZANINE SQ. FOOTAGE <br />EXTERIOR DECKS SQ. FOOTAGE <br />COVERED WALKWAYS SQ. FOOTAGE <br />IF MORE THAN ONE BUILDING, SUBMIT A SEPAR- <br />ATE APPLICATION FOR EACH STRUCTURE. A <br />SEPARATE BUILDING PERMIT MUST BE ISSUED FOR <br />GACH BUILDING. <br />NUMBER OF SETS RECEIVED <br />TYPE OF CONSTRUCTION <br />GROUP OCCOFAW <br />OCCUPANTLp 'OF <br />FOR OFFICE USE ONLY: <br />PLAN CHECK FEE $ <br />PERMIT FEE $ <br />,ITAL FEE DUE $ <br />VALUATION $ <br />PERMIT NO.# <br />DIAGRAMS X' <br />S B GI EER OR - <br />ARCH, LICENSED BY WASHINGTON x <br />SITE PLAN SHOWING: <br />U1MM IUNEU PROP. LINES <br />- X <br />OC O F SLi'TIC II :CLu- '-- - <br />�EHCItION - _— <br />E'RT7TNrB_17ILmmA� -" - <br />SCREENIN. LANDSCAPING <br />CURBING <br />3Tb1FAM"TMT - <br />PR OSED DRAIN GE FLOW —' <br />tV TTHH GRADES <br />-- �IFA�fNG <br />SIGNED BY <br />FOR <br />DEPARTMENT APPROVAL DATE <br />PLANNING <br />BUILDING <br />ENGINEERING <br />SANITATION <br />