HomeMy WebLinkAbout9453 W. 47th Avenue10 -Mrs H"#T#11 -• - it
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Propert Y billmer, Email:
Mailing Address: (if different than property address)
Address:
CL, State,Z :
tAj
ArchitactiflEngineer E-mail: Phone.
FOR OFFICE USE ONLY
P'*0A;'wM1t #
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C 3 44(l
ontractors City, Uoense Phone: 3
-mallAddress:
Sub Contractors:
E-5111 k 4'y)�(— Plumbing.'
lectrical. kCL,�V��i Y'� �
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City License #
N
Mechanical:
WA City License # W.R. City License #
Other City Licensed Sub;
City License #
Vru" At L X13 0 (13
`o lets all Wormation on BOTH sides of this form
COMMERCIAL#
tr: .Trm I n.. sa
■ NEW COMMERCIAL STRUCTURE ELECTRICAL SERVICE UPGRADE
NEW RESIDENTIAL STRUCTURE COMMERCIAL ROOFING
COMMERCIAL ADDITION RESIDENTIAL O
RESDENTtAL ADDITION WINDOW
COMMERCIAL ACCESSORY STRUCTURE
• a a !s w.*: deck,
RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
MECHANICAL # 111NR REPAIR
IF i #a or ! •
J
PLUMBING SYSTENVAPPLIANCE REPAIR or REPLACMENT
ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
OTHER
..
•.:. projects, please provide a #4i!*_: description of 1t to be performed, includingcurrent useof
proposed a footage, existing condition _ • proposed e.. condition,as anoe size and efficiency, type
amount and
of e o be used,
f
c I u c b e(7- kc'4'
. FtJLF Istu's Gallons
Amps Squares Other
Prooct Value: (Contract value or the cast of all materials and mbar included in the an#tre project)
y that the setback distances proposcd lty this permit application arc accurate and do not violate applicable ordinances, rules or
silwim y tallecations made are
:.mimim
AWN 1411
! t • R.
6,011111110
Wart # i... # { .. '.. * A
described ,:.am also authorized by the legal
owner of ..
or have been authorized by the legal owner of the property to perfbrat the
ny
entity included on this application to list that entity on this applicatiom 1, the applicant for this building permit application. warrant the
truthfulness of the information provided on the application.
'.. ONE- x. r s) gr (AUTHORIZED :i x r t ♦. x.
i 1.. ,y and last a t