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HomeMy WebLinkAboutSigned Construction Permit ApplicationntForm1ResetFormSaveFormDEPARTMENTOFCOMMUNITYANDECONOMICDEVELOPMENT--—-—--—“Renton0CONSTRUCTIONPERMITAPPLICATIONPlanningDivisionIDevelopmentEngineeringSectiontAcoc7Phone:(425)430-7200Iwww.rentonwa.govLINewBuildingLIAdditiontoExistingLITenantImprovementProjectAddress:XXXXDuvallAveNERenton,WA2WorkDescription:ConstructPublicRightofWayImprovementstoDuvallAveNEandChelanAveNEfrontingtheprojectsite.Constructanew16’widepavedalley,togetherwithextendingpublicutilityinfrastructure(Sewer,Water,Power,Etc.)andstormwaterfacilities.KingCountyTaxAssessorNumber:102305-9139E1/2OFSW1/4OFNE1/4OFNW1/4LESSS200FTLESSN110.04FT1.LegalDescription:57677.31681SquareFootageofEntiresite______________________________ImperviousAreaPropertyOwner:Socheat“Kent”KhnorAddress:7(,2(i.0ASCity/State/Zip:/ó’’V1,t—Phone/Fax:(206)715-9826Applicant:SameasPropertyOwnerAddress:City/State/Zip:_______ _______ ______ _______ _______ ______ _______ __Phone/Fax:___________________________Whenapplyingforredevelopment,creditWatermetersize:AccountNo:InformationprovidedbyUtilityBilling(425)430-6852Thisapplicationdoesnotconstituteapermittowork.Workisnottocommenceuntilaconstructionpermitisissued.IcertifythattheinformationonthisapplicationisaccuratetothebestofmyknowledgeandIwillberesponsibleforanyadditionalfeesresultingfromadifferentvaluation.Sreat/2H:\CED\Data\Forms-Templates\SeIf-HeIpHandouts\PublicWorks\ConstructionPermitApplication.docx08/2015