Fillable RAA-3 Residential Addition Alteration Permit Application RAA-3_Residential_Addition_Alteration_Permit_Application

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RAA-3 Residential Addition Alteration Permit Application RAA-3_Residential_Addition_Alteration_Permit_Application

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File type: PDF

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BROWSE CITY OF LACEY (WA) FORMS

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FORM: RAA-2 / 04-09
CASH OR CHECK ONLY PLEASE
CITY OF LACEY
Community and Economic Development Department
420 College Street SE
Lacey, WA 98503
(
360) 491-5642
Construction Type:
Deck Sf:
Description of Work Being Done:
OWNER:
Address: City: State: Zip:
Phone: Email:
Address: City: State: Zip:
Contractor's License No. Exp:
Occupancy Type:
Total Area (sq.ft.):
No. of Floors:
Project Value:
Garage Sf:Subdivision:
1st Floor sf:
2nd Floor sf:
Applicant's Signature
Print Applicant's Name
Plumb Application Attached, if applicable: ( ) YES ( ) NO ( ) N/A
Mech Application Attached, if applicable: ( ) YES ( ) NO ( ) N/A
Date
Cell Phone:
the above described property will be in accordance with the laws, rules and regulations of the State of Washington.
CONTACT PERSON:
I hereby certify that the above information is correct and that the construction on, and the occupancy and the use of
Electrical Application Attached, if applicable: ( ) YES ( ) NO ( ) N/A
Phone Number:
City Bus. Reg.
RESIDENTIAL ADDITION / ALTERATION PERMIT APPLICATION
General Contractor:
NOTE: THIS APPLICATION MUST BE ACCOMPANIED BY TWO SETS OF CONSTRUCTION PLANS,
AND TWO SETS OF THE ENERGY CODE APPLICATION (IF APPLICABLE), AND TWO
Building. Footprint:
4th Floor sf:
3rd Floor sf:
SETS OF ACCURATE, FULLY DIMENSIONED SITE PLANS. SITE PLAN MUST SHOW ALL PROPERTY LINES.
Project Address:
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RAA-3 Residential Addition Alteration Permit Application RAA-3_Residential_Addition_Alteration_Permit_Application

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Completed 13 July 2020

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