670061.pdft
POSTED ON KROLL MAP NO.; PERMIT
NUMBER
r.k:
DING DEPARTMENT APPUCI=t FIR Al 6700(
Inside Heavy Lines JOB ADDRESS
IT APPLICATION
OR NAME OF BUSINESS)
YARD BETFA—CK
BACK STREET RET13ACK REAR
"e ' 0 BIDE YARD
&JR08 8
ttLk671 wr USE ZONE VACANT UrrA
Xa S 0
TELEPHONE NUMB El N
On NUMBER
HEIGHT BUILDING AHEA VARIAN
/wAe 767V :17;� All C, PLOT PLAN APPROVED
STREET R/W IS PROPERTY
TELEPHONE NUMBER EX38TING STREET R/W ..... FT. DEFICIENa TH
COMP. PT.AN 8— ........ FT.
I� 46 REMARKS
eHECKM9 Byy-
Z
ql— /V0 �;T35RtSIZE SERVIC SIZE CLEARANCE �?Vcxw BY
TELEPHONE NUMBEK
I? _401�
Mj�_9.161L_3 . A=B 5:1-
UIW—ITCENSE NUMBER
TYPE CONNECTION VE BY
n —Property (Show Below or Attach Four Copies)
PERC. TEST PERIB��TBER
A
YES
rv—v GAS
RESIDENTLA LINE
NEW NON-RESIDI TIAL R SIGN
EJ� RETAINING
0 DEMOLISH WALL
ElALTER EXCAVATE FENCE
0 OR FILL ( .......... x .......... Ft.)
D REPAIR PRE -MOVE swill
R INSP. El POOL
:S NUM13ER OF
DWELLING
UNITS
Plan Check No .....................
PROPOSED USE
BUILDING
PLOT PLAN (Indicate Building setbacks, abutting streets) PLLTM33ING
HEAT & GAS LINE
t-A Ae FENCE
t SIGN
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 to 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- ATMNTION
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 THIS PERMIT
relating to Workmen's Compensation Insurance. AUTHORIZES
ONLY THE
NOTE: Permit Limit One Year (Except DEMOLITIONS which WORK NOTED
shall be completed In ninety days; IVIOVED-IN BUILDINGS shall be com.
Pleted In six months.)
NATURE (OWNER 0,4 AGENT) �11 DATE 112IGNED INSPECTION
DEPARTMENT
CITY OF
ED31ONDS
NOTE: Applicant Subject to Plan Check Fce PR 0-1107
This Fermit covers work to be done on private property ONLY.
Any construction on the public domain (curbs. sidewalks, driveways,
marquees, etc.) will require separate pernilselon.
Valuation
0 YES EI 0
Fee
No.
L9__2_ I S�� 1 -4-5-95, 1 1
APPLICATION APPROVAL
This application is not a permit until
signed by the Building Official or his Dep-
uty; and fees are paid, and receipt Is ac-
knowledged in space provided.
DIRECTOR'9�_SIGNATY,RE
MIX
19
..... ......
90.0
All that portion of I
of tb e of -bbe N'4-� of
4 L-0-r 10
,._of '-'(;c T" 'Twn 27 N Rll vAL,,- rz \/ I- A A/ C-
,"�,�described as follows: m 0 /V 0 $1/ W4.5 It
the 3F, corncz-- of Lot
Lane accovdinG to the plat
00"T'ded in Vol 20 of T)Iats, i I )g
oi'ii �sh' Count�,
ecords of 311ch
ate of lviashingt�. �+ hence E,
1 057120" '�Jest olori�; '�-) e S line o
i d Lot
r
-lei- ro. thence
th e c 0.-1 1, 0
0 2 f�.
0 0
2110 lei alon", L"If, line of
31st Pi it, e.
corne f ' t . 0 V- 1. c, y Lane
benc- 3 2�'0003"28" for 1`7.57 60
'5
-ft*'- to ti) 12 _.....J_
c o rn of so J
10, tbence 0 22" 51 E 70-112 ft
S X'g
uo FOB, si ed in the Count-y of c 0 /vc P4 7"10
S n o h or i s h
-'L"�te of ',�Innhlyq,-ton
.o 00,
0 2� 0,
G A h�
V c Ovc
PORCH
I WAIC 0
C 0 /V c_ W'I
. .........
7 0
v /00 C101
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