680047.pdfww
UILDING DEPARTMENT
PERMIT APPLICATION
Applicant 7111
Inside Heavy lAnes
OF BUSINEJ38)
6UatbM
"ILING ADDRESS
.V6 &14
Fitt"
TIC—LIEPHONE NUMBER
Or 61W
TAM
a=
TELEPHONE NUMBER
HAMM
1 -73
CITY rj.,,k
TELEPHONE NUMBER
143-2103
STATE LICENSE NUMBEft
'z?_3—ol -77--H
CITr LICENSE NUMUN-11,
I
Legal Description or ji-roportX tanow Bowl or Attach Your Coples)
TVId- 7, Wdtftd�>�& ImA'S RV, IF-L
In W. 113 0i'VIA i YaO -77,1 W,0�
MY ' 46 we.44�v� 310
W;J I Ila
n! � �4 a ride 19;aZ�'_* ITOM ;-.7 - : I all
EXISTING STREEr R/W
COUP. PLAN ST. R/W ....... ...
NEW RESIDENTIAL
El
GAS
LINE
ADD
NON-RESIDENTL&L
SIGN
RETAINING
DEMOLISH
WALL
ALTER
EXCAVATE
OR FILL
PENCE
( x Ft.)
I
El
REPAIR
PRE -MOVE
INSP.
........ . .........
swim
POOL
DWELLING
UNITS
I hereby acknowledge th" I have read this application; Mat the in-
formation given is correct; and that I am the owner, or the duly author-
129d agent of the owner. I agree to comply with city and state lawn regu.
toting conAMCU011; and In doing the work authorized thereby, no person
will be employed in violation of the tabor Code of the State of Washington
relating to Workmon's Compensation Inourance.
NOTE: Perinit Limit One Your (Except DEMOLITIONS which
&hall be completed In nicety days; MOVXD-ILN BUILDINGS shall be com.
ploted in six months.)
y
NOTE: Applicant4moobject to P14n Check Fee
Two Permit covers week to be dons an private property ONLY.
Any eonsiruction on am public domain (earbs, sidewalks, driveowaYs,
marquess, Ste.) will require sepwoU permission.
[I YES 13 NO
Plan Check No....
14-kv, �$ 4 �R e I
BEAT & GAS LIKE
PENCE
SIGN
RETAINING WALL
SWIMMING POOL
DEMOLITION
PRE,MOVE INSPEAMON
EXCAVATION OR PILL
TOTAL AMOUNT DUE
ATTFZMON
THIS PERMIT
AUTHORIZES
ONLY THE
WORK NOTED
INSPECTION
DEPARTMENT
CUT OF
EDMONM
PH 6-1107
YES
DErICjWCy THIS PROPERTr
Valuation
I
13 YES 0 NO
Fee
2
No.
I A - " P'Af/k
APPLICATION APPROVAL
This application is not a permit until
signed by tile Building Official or his Dep-
uty; and fees are paid, and receipt in ac-
knowledged in space provided.
.1
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