HomeMy WebLinkAboutB1 Special Fence PermitCITYOFANDECONOMICDEVELOPMENTSPECIALFENCEPERMITAPPLICATIONPlanningDivision1055SouthGradyWay,Renton,WA98057Phone:425-430-7294Iwww.rentonwa.govALLREQURESTEDITEMSMUSTBEPROVIDEDINORDERTOPROCESSTHISAPPLICATION1.PropertyAddress:2-t-nse(L-.2.TaxAssessorNumber:—5E’oo3.PropertyOwner:ci-oZ..rci.)Phone:-izsLiJv7ZLL.MailingAddress:cSCity/State:k/A-Zip:4.ContactPerson:—‘‘3‘-DaytimePhone:L/1Lj7MailingAddress:.occSc24o7&.-rCity/State:z‘—4-’7Zip:‘‘?5.MaximumHeightofProposedFence:6.TypeofMaterialtobeUsedforFence:—‘‘‘C.4A-.-)7.DistancefromProposedFencetoPropertyLine:8.ProjectValue:9.DescribeLandscapingtobeInstalled:Lc,ip-.4!’4C-tCjfZt.JCQC.,--rz•t’:mrzoZiOci‘2VthSc)..t(2)-A..LIt..)i..)A--‘A-L.I,theundersigned,declareunderpenaltyofperjuryunderthelawsoftheStateofWashington,thattothebestofmyknowledgetheaboveinformationistrue,correct,andcompleteandthattheapplicablerequirementsoftheCityofRentonwillbemet.Iunderstandthatthisapplicationisvalidforsixmonthsfromtheapplicationdate.Ifapermitisnotissuedduringthistimeperiod,theapplicationwillbecomevoid.Thisapplicationdoesnotconstituteapermittowork.Workisnottocommenceuntilthebuildingpermitispostedonpremiseswhereworkistobeperformed.Certificationisherebyrenderedthatnoworkistobedoneexceptasdescribed,andthatallworkshallconformtotheapplicablecodes.Workinpublicrights-of-wayand/orutilityeasementsarenotauthorizedunderthisapplication.Applicant’sSignature:___________________________________Date:6H:\CED\Data\Forms-Templates\Self-HeIpHandouts\Planning\specialfencepermit.docRev.2/2017