660545.pdfrft - .
BUILDING DEPARTMENT
PERMIT APPLICATION
NAM (OR NA24E OF BUSINESS)
R,0,6 e T
MAILINGADDRESS
7?1,7 /�;�
Applicant FIR
Inside Heavy Lines
PEMIXT
NUMBER
60545
—USE �ZONE LOT A.REA VACANT SITE
1 [3 YES [3 No
I --- - I "TffLDING AREA I VARIANCE NUMBER IL4
—1 PERTY
EXISTING STREET R/W ............ FT- DrMCJMCY THIS PRO
COMP. PLAN ST. n/W ............ IT. ........ ... FT.
REMARKS
- -Y _/ �
TYPE
[I YES [3 NO
ElNEW
1 r7l I
Ink RESIDENTIAL
R
GAS
LINE
NON-RESIDENTULL
SIGN
DDEMOLISH
RETAINING
WALL
0 ALTER
F1
EXCAVATE
OR FILL
FENCE
( x Irt.)
.......... ..........
E] REPAIR
1:1
PRE -MOVE
INSP.
swim
POOL
NUMBER OF 13TORIES
NUMBER OF
DWELLING
UNITS
awAll�2�
Z
Y
Plan Check No ............ . .......
PROPOSED USE
BUILDING
PLOT PLAN (Indicate Building setbacks, abutting streets)
PLUMBING
BEAT & GAS LINE
FENCE
t
SIGN
N
RETAINING WALL
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE
I hereby acknowledge that I have read this application; that the In-
formation given is correct: and that I am the owner, or the duly author-
Ized agent of the owner. I agree to comply with city and state laws regu-
ATTENTION
lating construction; and in doing the work authorized thereby, no person
win be employed In violation of the Labor Code of the State of Washington
THIS PERMIT
rotating to Workmen's Compensation Insurance.
AUTHORIZES
ONLY THE
NOTE: Permit Limit One Year (Except DE51OLITIONS which
WORK NOTED
shall be completed In ninety days; MOVED -IN BUILDINGS shall be com.
pletad in six months.)
1310DIAT SEE �Ili AGENT) DATE SIGNED
INSPECTION
DEPARTMENT
CITY OF
EDIVIONDS
NOTE: Applicant Subject to Plan Check Fee
Pit 6-1107
_i9a Permit �Covm Work to be done on private property ONLY.
Amy construction on the pubtle domain (curbs. side%yalks, driveways,
. marquees, etc.) will require separate permission.
CHECKED BY 0
Z
Ila
Cj YES [3 NO
Valuation Fee Receipt No.
0 SO-0
APPLICATION APPROVAL
This application is not a penmit until
signed by the Building Official or his Dep-
uty; and f ees are paid, and receipt is aC-
knowledged in space provided.
I
I p
Furnace Fuel Unes......w�
'I, f
kW 4
to Final
I L
It p
4 d I
it p
A —1