680454.pdfPOST13D ON KROLL M 0. PERMIT
680454
BUILDING DEPARTMENT Applicant FM NUM13ER
PERMIT APPLICATION Inside Heavy Linua JOB ADDRESS
NAME (OR NAME OF BUSINESS) q 1-7 2, i�, cZ 0 9 S�%Tf
ISIDE D S0TB, kCK 5TRNN'K BE CF4 AR YARD 13ETRACK
'I ::�_ V.'rN u,� AS / S_ ' )n_)i A,.-., a
MAILING ADDRESS ZONE LUr An VACANT IJITM
T,N 04
XYES NO
CITY ana
i TE"RELONE NUM M_ �
FP/Y I; /FW BUILDING AREA VARIANCE3 NUMBER
NAME
11 T AN PROVED
ADDREHO
ST=B/w
U G STREEYr R/W ............ FT. DEFICIENCY THIS PROPERTY
CITY TELEPHONE NUM13ER COMP. PLAN ST. R/W ............ IT. ... 0 .... FT.
-E—UARKS
NAM
0�/Vl Driveway slopes not to exceed hnse
indicated on standard Drawing #103. 0
ADDRESS Z
CICZD BY
CITY TELEPHONE NUMBER
I
MBER METER SIZE I SERVICE SIZE I CLEARANCE=
STATE LICENSE R—UMBER 5/� t
CITY LICENSE NU
I Legal Descrintion of Proverty (Show Below or Attach Four Copies)
�1411114
4 .
NEW
RESIDENTIAL
GAS
LINE
ADD
NON-RESIDENTIAL
RETAINING
WALL
DEMOLISH
EXCAVATE
PENCE
ALTER
OR FILL
( X Ft.)
REPAIR
1:1
PRE -MOVE
El
........ . ..........
SWIM
POOL
INSP.
NUMBER OF
�7
DWELLING
I
UNITS
E] YES
Mn Check No ........
I
BUILDING
PLUMBING
HEAT & GAS LINE
PENCE!
t
SIGN
N
RETAINING WALL
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE
In'
I hereby acknowledge that I have read thin application; that the In.
I r
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-
ATMNTION
on
lating construction; and In doing the work authorized thereby, no person
J]h
on
will be employed in violation of the Labor Code of the State of Washington
THIS PER5HT
relating to Workmen's Compensation Inzuranca.
AUTHORIZES
v
NOTE: Permit Limit One Year (Except DEMOLITIONS which
ONLY THE
WORK NOTED
shall be completed in ninety days; MOVED -IN BUILDINGS shall be com-
pleted In six months.)
ZER OR AGENT) DATE SIGNED
INSPECTION
DEPARTMENT
OITY OF
EDDIONDS
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 (curb@, sidewalks, driveways,
marquees# etc.) will require separate permission.
I
YES El NO
Valuation I Fee I Receipt No.
0
I � ?, &0 1 (L� vil
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-
Imowledged in space provided.
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