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BUILDING DEPARTMENT Applicant Fill
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inside Heavy Lines
PERMIT APPLICATION
4
MCI
NEW
Pq Au�
ALTER
REPAIR
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or
El RESIDENTIAL
GAS
LINE
E]
JAL
NON-RESIDENTI
SIGN
RETAINING
WALL
ElDEMOLISH
FEXCAVATE
OR FILL
0
FENCE
( ......... x .......... Ft.)
PRE -MOVE
INSP.
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swim
POOL
DWELLING
UNITS
TE--D ON KROLL MAP NO.: PERMIT 6VO403
NUMBER
11,9 W
ADDRESS
8516 — 190'b S.W.
13 YARD SETBACK S EET SETBACK REAR YARD SETBACK
VACANT SITE
E ZONE LOT AREA
�Iyj L_ I 1 0 YES 0
i T71_1TrnTMn ATMA, I VAIUANCE Nu tE
VED
PLOT P
STRCXT It/W
EXISTING STREET R/W ............ FT- DEFICIENCY THIS PROPERTY
COMP. PLAN ST. R/W ............ FT. ............ FT. 0
REMARKS
Z
CHECKED BY
METER SIZE SERVICE SIZE CLEARANCE CHECKED BY
REMARKS
TYPE CONNECTION VERIFIED BY
PERC. TEST PERMIT NUMBER
REMARKS
FIRE ZONE TYPE OF CONSTRUCTION STREET IMPROVED
YES
-7-1 _:4L I
SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP
YES WITIS,
Plan Check No....
BUILDING
PLUMBING
HE, AT & GAS LINE
FENCE
SIGN
RETAINING WALL
N
SWIMMING POOL
DEMOLWION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
I hereby acknowledge that I have read thin application: that the In-
formation given in correct; and that I am the owner, or the duty 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's Compensation Insurance.
NOTE: Permit Limit One Year (Except DEMOLITIONS which
shall be completed in ninety days; MOVED -IN BUILDINGS shall be com-
pleted In six months.)
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NOTE: Applicant Subject to Plan Check Fee
This permit covers work to be done on private Property UINJ6x-
Any construction an the public domain (curbs, sidewalJon, driveways,
Marquees, etc.) win require separate permission.
Valuation Fee Receipt No.
A 7
TOTAL AMOUNT DUE
ATTENTION
APPLICATION APPROVAL
THIS PERMIT
This application Is not a permit until
AUTHORIZES
signed by the Building Official or his Dep-
ONLY THE
uty; and fees are paid, and receipt Is ac-
WORK NOTED
knowledged In space provided.
INSPECTION
DEPARTMENT
DIRECTOR'S, SIONAWY&F
CITY OF
DAXN/1
EDMONDS
rn 6-1107
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