670543.pdfPOSTED ON KROLL MAP NO-:
UILDING DEPARTMENT Applicant M
K., APPLICATION 11151de HeaVY Lineg JOB ADDRESS
W or— 07
ANN 07,15116INESS) 92 dR 7110.0
SIDE ITARD SETBACK STRE
u C
LAM
VIN y I 1�
!n.
co
40 VICE
1. 4.
0 uch 1;
Mar-
2j,-0Z_a-;.
ka —.
a x4serlptina Or V"Por%y tun,
f 0
Ltn RESIDENTIAL
GAS
I=
El NEW
El
xoN-nEsfDENTrAL
sioN
RETAINING
WALL
DEMOLISH
E] ALTER
EXCAVATE
OR FILL
FENCE
........ . x .......... Ft.)
REPAIR
M
PRE -MOVE
INSP.
El
SWIM
POOL
NUMBER OF
DWELLING
UNITS
PERMIT
NUMBEIt 67
REAR TARD SETBACK
VACANT 1"WA1 ! . I I
0 YES C3 NO M I
EXISTING STREET R/W ........ ... FT- DM17CIMOY THIS PROPERTr
I
YES [3 NO
Plan Check No .................
PROPOSED USE
aBUILDING
—0 0
L T TN (Indicate Building BetbaCka, abutting streets)
PLUMBING
_71
HEAT & GAS LINE
if_4
PENCE
SIGN
—j
RETAINING WALL
SWIMMING POOL
OLrTION
0
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE
I hereby acknowledge that I have read this application; 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 lawn regu- ATMIMON
laUng 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 WorkmeWs Compensation Insurance. AUTHORIZES
ONLY THE
NOTE: Permit Limit One Year (Except DEMOLITIONS which WORK NOTED
&hall be completed in ninety days; MOVED -IN BUILDINGS shall be com-
pleted in six months.)
SIGNATURE (OWN, R OR AGENT) DATE SIGN D INSPECTION
7 DEPARTMENi'
74 CITY OF
NOTE: Applicant Subject to Plan Check Fee PR 6-1107
This Permit covers work to be done on private property ONLY.
Any construction on the public domain (curbs, sidewalks, driveways,
me Uwe, etc.) will require separate Permledon.
13 YES [3 NO
Fee Receipt No.
00
00
S'-b 1(4/31
APPLICATION APPROVAL 100
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.
RA SIGN&V,7M .
I I , I � W I
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