670096.pdfJ.
POSTED ON KROLL MAP NO.: PERMIT -7009
BUILDING DEPARTMENT Applicant Fill NUMBER 6
MIT
Inside Heavy Lines jUBA�UREJI111791�0�—/ _et—Zl
P=PERMIT APPLICATION
NAM (OR NAMN Vic ISUBINN85) �`= ---""-7T- -17
SIDE YARD SETBACK t3TREEJ: SETBACK REAR SETBACK
42 V C1
-_a — 0 1
MAILANO AUJJAZub LOT AREA A14W MWN
4 —U—SEZOITE VAG
5 -4 LIx ___V/ . [3 YES KNO
orry TELEFRONJ9 r,
0 d Wo 9 1 /?/T, 6 A 3 HEIGHT BUILDING AREA VARIANCE R 16
PLOT PLAN APPROVED
ADDRESS NO A A-" t—r
STREET R/W
CITY ---- 7-1 TELEPHONE NUMB EXISTING STREET R/W ............ FT. DEFICIENCY THIS PROPERTY a
COMP. PLAN ST. R/W ............
REMARKS
NAME
(7 CamCKEE, BY Z
ADDRESS
/ el C 4 METER SIZE SERVICE SIZE CLEARANCE CHEC BY
CITY T PHON
rwa 0 II/L?s �2)
SIAT'n- LICENSE NUMBER rjlrx LICENSE NUMBER
I I TYPE CONNECTION V FIED BY
R rEA.R K Ell
M
TYPE Col,
Legal Description of Proper (show Below or Attach Four Copies)
o-P a to le's S PERC. TEST PERMIT NUMBER
4o W d Ly C/V REMARKS
(57 Mira Ill ck h 19 ko /—M �s oo-.
FIRE ZONE TYPE OF CON13TRUCTION BTR T IMPROVED
2-613 0 NO
SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP
0 YES [] NO
PLAN CHECKED BY
GAS
NEW RESIDENTIAL El LINE REMARKS
ro NON-RESIDENTIAL SIGN
X�hj — D
0 F-1 RETAINING
DEMOLISH WALL
ALTER EXCAVATE PENCE
D on FILL ( .......... x .......... Ft.)
REPAIR PRE -MOVE SWIM
1:1 INSP. POOL
ES NUMBER OF
DWELLING
UNITS
NATURE OF WORK TO BE DONE
Ao (l a t-i�
:FAI�5 llk� P67 t-7;
Valuation Fee -Receipt No.
X
=k P ;zh+ (ice b Plan Check No ............ . .......
PROPOIJEW UUM (j
BUILDING
-Z 0 0 0 0�0 17,, 5�0
-FLOT —PLAN (Indicate Building setbacks, abutting streets) PLUMBING
ft HEAT & GAS LINE
e P I—cl I/L) i Ill
FENCE
SIGN
t
C( a N
J RETAINING WALL
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE
I hereby acknowledge that I have read this applieLtIOU; that the In-
formation given IN 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- ArMNTION APPLICATION APPROVAL
toting construction; and in doing the work authorized theroby, no person
will be employed In violation of the Labor Code of the State of Washington THIS PEMUT This application is not a permit until
relating to Workmen's Compensation Insurance. AUTHORIZES
ONLY THE signed by the Building Official or his Dep-
uty; and fees are paid, and receipt Is ac-
NOTE: Permit Limit one Year (Except DE31OLITIONS which WORK NOTED
ahall be completed in ninety days; MOVED -IN BUILDINGS shall be com- knowledged in space provided.
pleted In six months.) INSPECTION IS 8
SIGNATURE (OWNER DIREC IGNAT
DEPARTMENT _FT9R
CITY OF
EDDIONDS DATE'
NOTE: App�cant Subjcct to PlanCheck Fce PR 6-1107 0
This Permit covers work to be done on private property ONLY.
Any construction on the public domain (curbs, sidewalks. drivewaYs, FILE
marquees. etc.) will require separate peroilsslon.
, f.