690037.pdf0
POSTED ON KROLL MAP NO.: PERMIT
BUILDING DEPARTMENT Applicant FM I I NUMBER 69o03
PERMIT APPLICATION 'Biddo. Heavy Linea joB ADDRESS
NAME (OR NAME OF BUSINESS) 7 bt.
SIDE YARD SETBACK STREET SETBACK REAR YfT SETBA.CK
MAILING ADDRESS 7
USE ZONE LOT AREA VACANT SITE
5U0 7 -5-z"'441 W_4vx - 6
CITY TELEPHONE NUMBER g -5 4? 1- 1 [] YES ko
HEIGHT BUILDING AREA VARIANOID NUMBER
NAME
PLOT PLAN APPROVED
ADDRESS
STREET R/W
CITY TELEPHONE NUMBER EXISTING STREET R/W DEFICIENCY THI13 PROPERTY
COMP. PLAN ST. R/W ....... .... FT. ....... FT.
REMARKS
NAM
C4 P r
ADDRESS
CHECKED BY
CITY TEZMPHONE NUMBE-B,
8 METER SIZE SERVICE SIZE CLEARANCE CHECKED BY
STATE LICENSE NUMBE CITY LICENSE 14UMBEkt
'I
1120 -3 7 7_45y REMARKS
Legal Des ription of Pr rty (Show Below or Attach Four Copies)
01 70
TYPE CONNECTION VERIFIED BY
PERC. TEST PERMIT NUMBER
REMARKS
FIRE E OF CONSTRUCTION STREET IMPROVED
TYP A.1 0 YES [3 NO
SPECIAL INSPECTOR REQUIRED JOCCUPANCY GROUP
GAS (:] YES W440 L7�
NEW RESIDENTL&L LINE PLAN CHECKED BY
NON-RESIDENTIA.L SIGN
RETAINING REMARKS -
DEMOLISH WALL
ALTER EXCAVATE PENCE
OR FILL ( ........ . x . ........ Ft.)
REPAIR PRE -MOVE SWIM
F1 INSP. POOL I
DWELLING
UNITS
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 laws regu-
launif construction; and In doing the work authorized thereby, no person
will be employed In violation of the Labor Code of the State of Washington
relating to Workman's Compensation Insurance.
NOTE: Permit Limit One Year (Except DE51OLITIONS which
shall be completed in ninety days; MOVED -IN BUILDINGS shall be oom.
pleted In six months.)
NOTE: Applicant Subject to Plan Check Fee
This Permit coven work to be dons on private property ONLY.
AnY construction on the public donuLtu (curbs, sidewalks, driveways.
rogrquem, etc.) will require separste permbislon.
Plan Check No ........
BUILDING
9,
PLUMBING
HEAT & GAS LINE
PENCE
SIGN
I
RETAInima. WALL
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPEC TION
EXCAVATION OR FILL
TOTAL AMOUNT DUE I I
ATTENTION APPLICATION APPROVAL &-00
THIS PERMIT This application Is not a permit until
AUTHORIZES
ONLY THE signed by the Building Official or Ids Dep-
WORK NOTED uty; and fees are paid, and receipt is ac-
knowledged in space provided.
INSPECTION DIRECTOR'S SIGNAT��
DEPARTMENT
CITY OF DATI&�
EDMONDS
PR 6-1107
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