670181.pdfBUILDING DEPARTMENT
PERMIT APPLICATION
NAME (OR NAME OF BUSINESS)
R NY P7TENSC �M I E
III
MG-K—DDRESS
S�L,� A-VE- W
CITY WE
P D M 0 Al 1) 5 WA 5V- 12
M
0_2 Iff-5-mrsm
Applicant F111
Inside Heavy Lines
37)-
.7-0 Tf+ ff
EX36TING STREET R/W ........... I".
COMP. PLAN ST. R/W ............ FT.
E P M 0 IV 1) T I ��Z
REMARKS
FIRE ZONE TYPE or
SPECIAL INSPECTOR REC
[j YES [3 NO
PLAN CHECKED BY
GAS
NEW El RESIDENTIAL LINE
NON-RESIDENTLA.L SIGN
RETAXNING
DEMOLISH WALL
ALTER EXCAVATE PENCE
OR FILL ( .......... x .......... Ft.)
REPAIR PRE -MOVE swim
INSP. El POOL
REMARKS
NUMBER OF 13TORIES
I NUMBER 0
DWELLING
UNITS
NATURE OF WORK TO BE DONE
131) LP I N (3 PETgN17- BENP\IYAL-
Plan Check No ... . ...............
BUILDING
PLUMBING
PLOT PLAN (Indicate Building setbacks, abutting streets)
t
HEAT & GAS LINE
FENCE
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-
formnUon 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-
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
rolating to Workman's Compensation Insurance.
NOTE: Permit Umit One Your (Except DEMOLITIONS which
shall be completed in ninety days; M0VXD-IN BUILDINGS shall be com-
pleted In six Months.)
ATTENTION
TIUS PERMIT
AUTHOIMES
ONLY THE
WORK NOTED
INSPECTION
DEPARTMENT
CITY OF
E0MONDS
PR 6-1107
IIGNATURE (OW3�Kkt Un AGENT)
DATE SIGNED
ZVOTE: Applicant Subject to Plats Check Fee
I, Permit covers work to be done an private property ONLY.
Any construction on the public domain (curbs. sidewalks. driveway@,
nuLrquees, etc.) will require separate permission.
PERMIT
N'UMBER 670181
C3 YES 0 NO
DEFICIENCY THIS PROPERTY
[3 YES [3 NO
lit
...L.
Fee Receipt No.
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.
.-7..
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