660079.pdfPOSTED ON KROLL MAP NO:_� BUILDING -
BUILDING DEPARTMENT PERMIT 660079
Applicant F111 NUMBER
nes ADD 7 WV
Inside Heavy Lines jog
PERMIT APPLICATION I Lo.
NAME (OR NAME OF BUSINESS) V1 -1
SIDE YARD SIYrB 7REET SETBACK REAR YARD SETBACK
M C- y
ILIN
MA G ADDRESS
M
us O;�E LOT AIX- A A�137 SITE
�.CITY- TELEPHONE NUMii� NO
14
Fc n 0 i
NUMBER
BUILDING AREA VARIANCE
AA o din(S LJ 19 1 P 8-16 3
NAMF
PLOT ED 04
)ztc� -
ADDRESS
RE711
Io-
VrELEPHONE NUMBER
A B4 3
REMARKS
METER SIZE SERVICE SIZE CLEARANCE CHECKED By
CITY IF TELEPHONE NUMBER
-WE—MARKS
STATID LICENSE KUMBER CITY LICENSE NUMBER
Le��crrlon of Proper (show Sol w or inch our Copies)
0-z PERO. TEST PERMIT NUMBER
5— ONSTRUCTION STREET IMPROVE
FIRE ZONE TYPE OF C
0 YES 13 rTO
SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP
E] YES NO
PLAN CHECKED BY
4
F� NEW
SIGN
NUMBER OF
ADD
DEMOLISH
FENCE
ALTER
leo RESIDENTIAL
rB OF
NU%L0LIRNG
REPAIR
I
F] NON-RESIDENTIAL
UNITS
I hereby acknowledge that I have read this application; that the In-
formation given Is correct; and that I arn the owner, or the duly author-
Ized agent of the owner. I agree to comply with city and state laws regu-
lating construction; and In doing the work authorized thereby, no person
will be employed in violation of the Labor Code of the State of Washington
relating to Workmen's Compensation Insurance.
IE,,e,t Demolitions which shall
NOTE: Permit Limit One Year be completed in ninety days.)
;1G:NAT (OWNER OR AGENT) H GNED
NOTE: Applicant Subject to Plait Check Fee
This Permit mvpn work to be done on private property ONLY.
Any construction on the public domain (curbs. mIdewulks, driveways,
marqueesp etc.) will require separate permission,
BUILDING
I
VALUATION
BUILDING PERMIT
2
FEE
PLUMBING
3
PERMIT FEE
HEAT & GAS LINE
4
PERMIT FEE
SIGN PERMIT
5
FEE
DEMOLITION
6
PERMIT FEE
PLAN CHECK
7
FEE
8 1 AMOUNT DUE
ATTENTION
THIS PERMIT
AUTHORIZES
ONLY THE
WORK NOTED
INSPECTION
DEPARTMENT
CITY OF
EDAIONDS
PR 6-1107
nz
GO
0 4
I I //_ _6�_o 1
APPLICATION APPROVAL
This application Is not a permit until
signed by the Director of Building Inspec-
tion, or his deputy; and fees are paid, and
receipt Is acknowledged in space provided.
— /I /,, Z,
FILE
00000