680017 (2).pdfC,
BUILDING DEPARTMENT Applicant OR
PERMIT APPLICATION I inside Heavy Lines
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NAME
ADDRESS
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CITY TELEPHONE Numuli'
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or
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REPAIR
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RUMBER OF STORIES
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NATURE OF WORK TO BE DONE
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Plan Check
PROPOSED USE
BUILDING
PLOT PLAN (Indicate Building oetDacKs, abutting st 3
PLUMBING
02
HEAT & GAS LINE
PENCE
SIGN
RETAINING WALL
SWIMMING POOL
DEMOLITION
V�
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL A31OUNT DUE
I hereby acknowledge that I have read this application; that the In-
formation 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-
ArMNTICON
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 WorkmeWx Compensation Insurance.
AUTH01MES
NOTE: Permit Limit One Year (Except DEMOLITIONS which
ONLY TIliE
WonlK NOTED
shall be completed In ninety days; MOVED -IN BUILDINGS shall be com-
pleted In six months.)
_810 URE (OWNER OR^VN14',Q UATE SIGNED
INSPECTION
DEPARTMENT
CITY OF
EDIVIONDS
NOTE: AYPlicant iubjcct to Plait Check Fcc
PR 6-1107
This Permit coven work to be done on private Property ONLY.
Any construction on the public domain (curbs, sidewalks, driveways,
marquees, ate.) will require separate permission.
PERMIT
NUMBER 680017
I
DEFICIENCY .. .
Z 6 0 "'ex 15 r.
Valuation
=ETBACK
E3 NO
iUMBER
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0 YES
APPLICATION APPROVAL
No. I
This application Is not a permit until
signed by the Building Official or his Dep-
uty; and fees are paid, and receipt is ac-
Imowledged in space provided.
I
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POSTED ON KROLL MAP NO-: PERMIT
NUMBEIt
680017
BUILDING DEPARTMENT Applicant Fill
J 0 1 F
PERMIT APPLICATION Inside Heavy Lines
JOB ADDRESS
17'0
NAME (OR NAME OF BUSINESS)
el
V01VAI'D A. J4AoWARD
BIDE YARD SETBACK STREET SETBACK
REAH YARD SETBACK
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USE ONE LOT AREA
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CITY TELEPHONE NU:WB—LR
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HEIGHT isu AREA
VARIANC MR
NAME
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EXi =/STREET THIS PROPERTY
a R/W .310.7T. DEFICIENCY
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CITY TELEPHONE NUMBER
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RECMOM'P. PLAN ST. R/W..60.FT.
ARKS
NAME
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CHECKED BY
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ADDRESS
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SERVICE SIZE CLEAMANC
CRECKED BY
CITY BER
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LICENSE NUMBER
REMARKS
or
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RESIDENTIAL
F -1
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NEW
I
NON-RESIDENTIAL
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r
SIGN
RETAINING
DDEMOLISH
WALL
ElALTER
EXCAVATE
D OR FILL
0
FENCE
( x Ft.)
.......... ..........
REPAIR
PRE -MOVE
1:1 INSP.
SWIM
POOL
NUMBER OF STORIES
ER OF
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ZU
WrLLING
UNITS
NATURE OF WORK TO BE DONE
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TYPE OF CON
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CTOR REQUIF
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Plan Check
PROP013ED USE
BUILDING
PL1L1MRTNG
PLOT PLAN (Indicate Building setbacks, abutting at
1.14
6 3'f;
HEAT & GAS LINE
FENCE
t
N
SIGN
RETAINING WALL
SWIMMING POOL
DEMOLITION
V\
I
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL A31OUNT 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-
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
ATTENTION
THIS PERMIT
rdlatIng to Workmen's Compensation Insurance,
NOTE: Permit Limit One Year (Except DEMOLITIONS which
AUTHORXZES
ONLY THE
WORK NOTED
shoal be completed in ninety days; AIOVED-IN BUILDINGS shall be com-
pleted in six months.)
INSPECTION
DEPARTMENT
DITY OF
;IG"TURE (OWNER Oft/ETNNT)
DAT GNED
11V1d$,-47
i EDDIONDS
NOTE: k'Plicant Subject to Plait Check Fee
PR 6-1107
This Permit covers work to be done on private Property ONLY.
Any construction on the pnblic domain (curbs, aldewulks, driveways,
marquees, etc.) will require separate Permission-
[3 YES
Fee
41
APPLICATION APPROVAL
i
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.
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