690343.pdf__FF'BUILDING WARTMENT
PERMIT APPLICATION
17,(OR NAME or BUSINESS)
NAME
-e /-
0 NEW
ADD
ALTER
ElREPAIR
44
I
Applicant FW
inside Heavy lAnes
91 RESIDENTIAL
AE
USIGIN
ElNON-RESIDENTIAIJ
R
DEMOLISH
RETAINING
WALL
EXCAVATE
OR FILL
El
FENCE
( ........ x ....... . Ft.)
PRE -MOVE
INSP.
171
swim
POOL
DWELLING
UNITS
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 ot&ts laws r6gu-
luting construction; and In doing the work authorized thereby. no Person
will be employed In Violation Of the Labor Code Of the State Of Washington
roplating to Workmen's COMPC=&ttOn Insurance.
NOTE: Permit Limit One Your (Except DEM03UTION8 which
shcal be completed in ninety days; MOVED -IN DUUMINGS shoal be com-
pleted In Oil months.)
NOTE: Applimt Subject to Plan Cbeck Fee
This remit coven work to be done an Private Property ONLY -
Any ometructieu an the public domain (eurbs, ald6whiloul drivewayN,
marquess. o4e.) will require separate permission.
, irilo,
OBTFD GN KROLL MAP NO.:
Finn IT
NUMBER
313 ADDRESS
3 -7 L
L:� CK
IDE YARD SETBA TAREET SETBACK REAR YARD SEWBA
USE ZONE LOT VACANT Or=
AREA
[3 YES NO
iEIGHT BUILDING AREA VARIANCE NURTER
FL—OTPLAN APPROVED
STREET R/W
.)EFICIENcy THIS PROPERTY
EXISTING STREET n/W ... ........ FT. I
COMP. PLAN ST. R/W ...........
XT- ............ 13"T.
REMARKS
14
CHECKED BY
METER SIZE SERVICE SIZE
CLEARANCE CILECKE BY
Cd
TYPE CONNECTION
VERIFIED By
J
PERC. TEST
UMBER
PERMIT N PC
REMARKS
FIRE ZONE TYPE OF CONSTRUCTION STREET IM PROVED
0 YES 0 NO
SPECIAL INSPECTURR REQUIRED OCCUPANCY GROUP
13 YES [j NO
PLAN CHECKED BY
REMARKS
Valuation Fee
Plan Chock No .... ........... ....
BUILDING
PLUMBING
Af
HEAT & GAS LINE
FENCE
SIGN
RETAINING WALL
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE
3. - F0, �3
ATTENTION
APPLICATION APPROVAL
TIIIH PERMIT
This application is not a pern1it until
AUTHORIZES
aigned by the Building Official or his Dep-
ONLY THE
uty; and fees are paid, and receipt is ac-
WORK NOTED
knowledged in space provided.
IN31PECTION
—DIRECTOZY4 81011
DEPARTMENT
01TY OF
A
—D—ATEI-�"
EDMONDS
9 g �� 2
PR 6.1107
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