670269.pdfI
P PERMIT
OSTED ON KROLL MAP NO.:
BUILDING DEPARTMENT Applicant F In / C 'W_ I': I NUMBER b70269
Inside Heavy Lines JOB ADDRESS
PERMIT APPLICATION
(OR NAM OF DUSI 8)
I NA7
7� SIDE YARD SETBACK STREET,SUTBA REAR YARD SETBACK
0 rr&W!
7 PoIr Ild Al G S
MAILING ADDRESS 0
7,'z ' IV 11, t, /5- M ;�4_ ' r
?-Z USE ZONE LOT AREA VAC"T SITE
CITY TE �PHONE NUMBER (�? /3 9 IGY�Es [:]NO A
HEIGHT BUILDING AREA VARIANCE NUMBER
NAME
PLOT PLAN APPROVED
ADDRESS
STREET R/W
EXISTING STREET R ... IT. DEFICIENCY THIS PROPERTY
CITY TELEPHONE NUMBER 0
COMP. PLAN ST. R/W ............ FT. ....
REMARKS
NAME
BY Z
04 ADDRESS
CH739,000e
MET 8; ZE SERVICE SIZE CLEARANCE CUE
CITY TELEPHONE NUMBER 11
STATE LICENSE RGMBER CITY LICENSE NUMBER
Legal Descriptlo;nIf P operty (Show Bellow or Att our Copies) TYPE CONNECTION VERIF���
PERC. TEST
Z gER
J/2,_
REMARKS
0 FIRE ZONE TYPE OF CONSTRUCTION TRE T IMPROVED
.3 a [3 NO
SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP
YES ANO
PLAN CHECKED 33Y
RESIDENTIAL GAS
NEW LINE REMARKS
NON-RESIDENTIAL SIGN
0 --- RETAINING
ED DEMOLISH El WALL
ALTER EXCAVATE PENCE
1:1 OR FILL ( .......... x .......... Ft.)
E] REPAIR PRE -MOVE swim
INSP. POOL
NUMBER OF
DWELLING
UNITS
-WA—TURE OF WORK TO BE DONE
Valuation Fee Receipt
Z
Plan Check No ................. ...
PRurosiav yu , E
BUILDING
PLOT PLAN (Indicate BV IdIng setb kB abuttingf streets) PLUMBING
As -
BEAT & GAS LINE
PENCE
t SIGN
N
RETAINING WALL
SWIMMING POOL
0 1
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-
lzed agent of the owner. I agree to comply with city and state laws regu. ATTENTION PPROVAL
lating construction; and in doing the work authorized thereby, no person APPLICATION A
will be employed In violation of the Labor Code of the State of Washlogton THIS PEILMIT This application is not a pernilt until
relating to Workmen's Compensation Insurance. AUTIll
NOTE: Permit Limit One Year (Except DEMOLITIONS which ONLY THE signed by the Building Official or his Dep-
WOIUi NOTED uty; and fees are paid, and receipt Is ac-
shall be completed In ninety days; MOVED -IN BUILDINGS shall be com- Imowledged in space provided.
pleted In six months.)
R OR ArN DATE 81GNED INSPECTION
DEPARTMENT
CITY OF DATE
EDIVIONDS
NOTE: Applicant Subject to Plan Check Fee PR 6-1107
This Permit covers work to W done on private property ONLY.
Any construction on the public domain (curbs, sidewalks, drivemays, FILE
m&rquecs, etc.) will require separate permission.
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