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700021.pdfBUILDING DEPARTMENT Applicant Fill Inside Ifeavy IlAncs PERMIT APPLICATION NAME (OR NAN LE OF BUSINESS) Niel 4 MAILING ADDRESS j 0 CITY E PH NE NUMBER LE 0, TFr 9V7 NAME ON KROLL MAP NO.: PERMI 0( HESS LRD SETBACK STREET SETBACK I I I INE LOT AREA —7.0 1 CJYES BUILDING AREA VARIA 24 ADDRESS zzx cze;�= 10 406 MM14 �T STRERIVB/W CITY 'TELEPHONE NUM13ER EXISTING STREET R/W ............ FT - COMP. PLAN ST. REMARKS _EIW ... ..... XT- 0 NAME CITY TELEFTONE �NUMBER A METER SIZE STATE LICENSE NUMBER CITY ICENSE NUMBER Legal . Description of Property (Show Below or At h Four Copies) REMARKS L-4 V6f Edyk (1� to Unvok TYPE CONNECTION PERC. TEST REMARKS V TYPE OF CONST. :13 EXT F� GA C] YES 0 F� NEW RESIDENTIAL LINE PLAN CHECKE BY NON-ItESIDENTIAL SIGN AD" RETAINING REMARKS DEMOLISH WALL .0 ALTER EXCAVATE FENCE OR FILL ( .......... x . ........ Ft.) PRE'MOVE SWIM REPAIR INSP. Ej POOL WF STORIES NUMBER Gir DWELLING �L I T UNITS 7 NATURE OF WOYU�__TO 13E DONE - ;ddt*0it 0� 7 5*� Plan Check No ............ ... .... 4 ex4lm bNOl'!1 BUILDING [FROPOSED USE PLUMBING HEAT & GAS LINE PLOT PLAN (Indl to Building setbacks, abutting streets) r FENCE SIGN tRETAINING WALL N SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL 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 state laws regu- lating construction; nod In doing the work authorized thereby, no person will be employed in violation of the Labor Code of the State of Washington relating to Workmea'd Compensation Insuraw7a. NOTE: Pe rmit Limit One Year (Except DEMOLITIONS which shall be completed In ninety days; MOVED -IN BUILDINGS shall be com- pleted in six months.) ENT) DATE SIGNED A 7110161 NOTE: ApplicaW Snbject to Plan Check Fee This permit covers work to be done on private property ONLY. Any construct[ a on the public domain (curbs, sidewalks, drlvaw%Ys, 0 separate permIsslon. Marquees, etc.) will require TOTAL AMOUNT DUE AT=NTION THIS PERMIT AUTHORIZES ONLY THE WORK NOTED INSPECTION DEPARTMENT CITY OF EDDIONDS PH 6-1107 IN& 110,414'e- ya� DEFICIENCY THIS PROPERTY 0 � Al 10 YES 0 No Fee MM-Wi M i Z I 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- knowledged In space provided. — �Oj— 7 oD Film Y ­ 11., r) �h,*Ajb J C. -DEPARTMENT cant Flu BUILDING, AtI App" , PERMIT APPLIC ON inside Heavy Lines NAZE (OR NAME OF BUSINESS) - ]UILING �"DRESS CITY 'Xz�MONE NUMBER i� ; ",/ I -q,7 NAME W ADDRESS CITY IELEPHONE NUMBER I- �-�!mpj P�, 11, 6 1 -�' -15- :9 OSTED ON KROLL MAP NO.: PERMIT NUMBEIr 5—D ADDRESS -5 L G 442 A Q I - IDE YARD SETBACK STREET SETBACK -RE AR YARD SET / I 5 1*7 j USE ZONE T AREA VACANT SITE o YES 0 �NUAWER TE—IGHT BUILDIN A1SZA v - AnIANCE 04 PLOT PLAN APPROVED �-v /0 6- ,, It Vt d, 1p; i, .4:�2 STREL-r R/W EXISTING STREET R/W ............ FT. DEFICIENCY THIS PROPERTY COMP. PLAN ST. R/W ....... .... FT. ... ........ IV. 0 REMARKS TWY I i I UCIKffED REMARKS egal Description of Property (Show Below or Attach Four Copies) PP.11MTM WTTAITIER f) VERLFlEI> 13Y TYPE CONNECTION RESIDENT11 LL AS LINE EJ NEW WON -RESIDENTIAL SIGN RETAINING WALL DEMOLISH ALTER F EXCAVATE PENCE OR FILL ......... X .......... Ft.) REPAIR PRE -MOVE INSP. swim Pool. NUMBER Or STORIES NUMBER OF DWELLING UNITS NATURE OF WOITC TO BE DONE —fE—MARKS FIRE ZONE ­ 0 YES /V I [] YES :CTOR REQUIRED OCCUFANCYGROUP O�NO 3 BY PROVED, No Fee Receipt No. I � Plan Check No..� .... . .......... BUILDING 0 PROF6SED ; U13E PLUMBING PLOT P LAN (Indicate Building setbacks, abutting streets) HEAT dc GAS LINE FENCE SIGN t RETAINING WALL N SWIMMING POOL L. DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL TOTAL AMOUNT DUE 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 state laws regu. A17TENTION APPLICATION APPROVAL 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 THIS PER511T This application is not a permit until relating to Workmen's Compensation insurance. AUTHORIZES signed by the Building Official or his Dep- NOT E: Permit Limit one Year (Except DEIMOLITIONS which ONLY THE WORK NOTED uty; and fees are paid, and receipt is ac- shall be completed In ninety days; MOVEDAN BUILDINGS shall be com. knowledged in space provided. pleted in six months.) SIG�ATUTJ7P —(01,YNER OR AGENT) DATE SIGNED INSPECTION DEPARTMENT DIRLCTOR'S SIGNATURE CITY OF I EDAIONDS D ATE NOTE: Applicani Subject to Plan Check Fee Pit 0-1107 TWO Permit covers work to be done on private property ONLY. An, construction an the public domain (curbs, sidewalks, driveways, INSPECTOR marquees, etc.) will require separate permission.