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HomeMy WebLinkAboutBLD9919 Addition - BLD Permit / Conditions - 8/10/1976 A #CATION .- , , BUILDING Ty 1Vp� COS ghslton�Wahington 9SW4 P.O. BOX 1> DATE ISSUED PERMIT NO. zw pNONE C1Tv a STATE MAIL 110D1 NAME r O OWNER � to SEE ATTAtX1ED stern pin i!iQNg p+aptaE TO J09 SITE LICE11lIE NO. LEGAL O -d - aw a STATE ©asca /NAME MAIL ADOf�e CONTRACT'�1R . u�E OF d TION /❑ REPAIR O MOVE ❑ REMOVE aU1LIN46 ❑ NEW ❑ ADDITION ❑ ALTERA Class of work Deserlbs work PERMIT FEE g. PLAN CHECK FEE Valustien of work: SPECI L CONDiTION5: D ton TMs d era" I,I c By Qp1� Max. roN D M. of ooc. Lad so of Oft. E.D.NUVAE" �_ fTol�ti e4•Ft. aE1►fld'a� PE <{$ CONTRACTOR AFFIDAVIT } ,stored contractor In IboNtid NaRwulaa a currently of the 1 certify that 1 am ton and 1 am aware ulatin�the work for which the State Of Wh1n5 done will be In ZONING ordinance requiteme"te mo and all work 1{ LTM � the permit Is issued ORKS conformance therewith- AD gOAD DEPT. Firm BY Date Pi °tic.No. N T 1 Cam, No. HEA1 OWNERS AFFIDAVIT KUMSI 1:00 of the A1>E ICAO 1 P[lWMe _--.inert tha Togo n���.,..... �EPAM7E _ � .�.crilONf 01e�• ___.......,.�•►m101 ,lba91" N. �.. 0-76 Martst+ 101W d.•Jarralls C . ' --26-21*-2 Tr 4 Govt Lot 3 Addition $80,0.00 s I