690369.pdfPOSTED ON KROLL MAP NO.:
PERMIT
BUILDING DEIARIMINI Applicant Fill
NUMBER 690369
Inside Heavy Lines
PERMIT APPLICATION
JOB ADDRESS
10 NAME (OR NAME OF BUSINESS)
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E31DIC YARD HL'I ACK STREET SETBACK
REAR YAlto/SETBACK
USE LOT AREA
VACANT SITE
CITY, TELEPHONE NUMBI"t
E"i
YES �26110
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04
HEIGHT BUILDING AREA
VARIANCE riUMBER
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sNAME
PLOT
DREBB
STIIEEIV/W
EXISTING STREET n/w ........ ... FT. DEFICIENCY THIS PROPERTY
ELLPHONE NUMBER
COMP. PLAN ST. R/W ............ 1, 1'. ............ IT.
REMARK13
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P
CHECKED BY
rT—y TELEPHONE NUMBER
METER SIZE SERVICE SIZE CLEARANCE
CHECKED BY
NSE NUMBER CITY LICENSE NUMBER
W(
REMARKS
-Vtkm of Property (Show Below or Attach Fell Copies)
TYPE CONNECTION
VERIFIED BY
7_�
PERO. TEST
PERMIT NUMBER
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REMARKS
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RESIDENTIAL
I
GAS
LINE
E] NEW
J
1
E]
NON-RESIDENTIAL
1.
E-1
SIGN
ADD
1:1
DEMOLISH
RETAINING
WALL
EXCAVATE
FENCE
ALTER
OR FILL
El
( x Ft.
RE, PAIR
PRE -MOVE
INSP.
.......... ..........
SWIM
POOL
NUMBER OF STORIES
NUMBER or
DWELLING
UNITS
24"
34�'
FIRE Zo TYPI-3 OF CCPSTRUCTION
STREET IMPROVED
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I
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El YES NO
CIAL INSPECTOR REQUIRED
OCCUPANfROUP
YES NO
PLAN CHEC BY
REh RKS 45��
I'E�ul-YIIOQII,
AJO'r
Valuation
Fee
Receipt No.
rian check No ..................... I
BUILDING
PLUM33ING
BEAT & GAS LINE
7a' t
N
I
FENCE
I
SIGN
RETAINING WALL
SWIMMING POOL
_j DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
I hereby acknowledge that I have read thin 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-
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
relating to Workmen'a Compensation Insurance.
NOTE: Permit Limit One Year (Except DEMOLITION'S which
shall be completed in ninety days; BIOVED-IN BUILDINGS shall be cam-
pleted In six months.) I
NOTE: Appkcant Subject to Plan Check Fee
,4 Tills permit covers work to be done on private property ONLY.
e,; Any construction on the public domain (curbs. sidewalks, driveways,
t marquees, etc.) will require separate permission.
11
TOTAL AMOUNT DUE
ATTENTION
Tills PrR5IIT
AUTHORIZES
ONLY THE
WORK NOTED
INSPECTION
EPARTBIENT
CITY OF
ED51ONDS
Pit 6-1107
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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.
�2 /—I I
FILE
Q,&T
RECORD OF INSPE TONS
Date Passed
po-q-
ounclation
Flumbing (Partial)
KLUUKU U1
D t Pa ed
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