640400.pdfa
In Applicant Fill
Building Permit Applicatic Inside Heavy Lines
NAME (OR NAME OF BUSINESS)
MAILING )W—DRESS
Al 06
TELEPHONE NUMBRa
A16 5 1-2 (0
7. .......
PLAN FILE NUMBER BUILDING
PERMIT 640400
NUMBER
JOIJ��DNESS
SIDE YARD SET BACK REAn YARD
7,L—
USE IZONEI MAP NUMBER A SITE
-2-[3 YES NO
. . . . . .
BUILDING AREA LOW ARE& VARIANCE NUMBER
ADDRESS
HEIGHT ALL BUILDING SETBACKS
NOTE: TO EAVE LINES
CITY NE Nu
REMARKS
NAM
ADDRESS
Encroachment Permit PERMIT NUMBER STREET GRAME CHECK
k.
Required
YE13 No
CITY TN"pHoNE NUMBER
METER SIZE SERVICE SIZE CLEARANCE CILECKED BY
STATE LICENSE NUMBER CITY LICENSE NUMBER
REMARKS
LOT BLOCK TRACT
TYPE CONNECTION VERIFIED BY
PERC. TEST PERMIT NUMBER 1
11 ".4, ; I Q*�:�S.�
FIRE Z014E TYPE OF CONSTRUCTION STREET IMPROVED
Ej -me NO
0
SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP,
YES 0 NO
PLAN CBECKED 13Y
WORK TO BE DONE
0
NO. Or BLEIG$. PgRIBLE10. TOTAL FKZ
BUILDING
VALUATION
......
o..
BUILDING PERMIT
ij;
NUMBER OF RTORI
2 FEE
DEMOLISH
PLUMB ING
ADD
PERMIT FEE
3 112
HEAT & GAS LINE L/
r7u."
ALTER RESIDENTIAL NUMBER OF
DWELLING
I
4 PERMIT FEE
REPAIR NON UNITS
DEMOLITION
PERMIT FEE
AMOUNT DUE
I hereby acknowled go that I have read this application; that the In -
ATT]ENTION APPLICATION APPROVAL
formation given Is correct; and that I am the owner, or the duty author.
trod agent of the owner. I agree to comply with city and state laws regu-
THIS PERMIT This application is not a permit until
lating construction; and in doing the work authorized thereby. no person
AUTHORIZES signed by the Director of Building Inspec-
Will be employed In violation Of the Labor Code of the State of Washinstm
ONLY THE
relating to WorkmeWs Compensation Insurance.
WORK NOTED tion, or his deputy; and fees are paid, and
receipt is acknowledged in space provided.
NOTE: PqRMIT LINK ONE YEAR
mR, OR DATE SIGNED
INSPECTION D CT7018 a ATURE
' S
Zj) I
-?6
DEPARTMENT
ylkldg. 0fricial
CITY OF
DATE
EDIVIONDS
P LOT PLAN CHECK & APPROVED
PH 6-1107
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