700066.pdfk
Wo M
POSTED ON I OLL MAP NO.: PERMIT
POSTrD 0" K
-700C
BUILDING DEPARTMENT
c nt F1
a
Applicant Fin,
Ap
7M PU
INUMBER
PERMIT APPLICA TION
Inside Heavy Lines
nB,d eavy
joR �ADDRuss
A�D
Jo -3 RLS8
NAME (OR NAME OF BUSINESS)
]LIn
SIDE YARD SZT13ACICJ STREET SETBACK
R EAR YARL
]_��DRFSS
1A
MAIYN2
A
Sr Z E
USE ZUNNN
VACANT SI7
(3 YES
CITY
-- ---------
Mu a
N_
;:Z 6
�y 60" V 7 6
HEI r
— , OR
BUILDING AREA
VARIANCE
7;
C ce.� A.; '12 1(2�
DRESS
CITY
EW
r
or
NO
EXISTING STREET R/W ............ FT. DEFICIENCY THIS PROPERTY
OOMP. PLAN ST. R/W ............ FT. . ............ IV.
4r, U
-FE—RMIT NUMBER r4i
4 AF -J A d9 49 / r 0 N IVO �pr
RC. TE13T
IVA 6 gF _�q 6� ':F /V
a C)
Z 13TREET IMPROVED
W FIRE Z2_NX-1 TYPE OF CONSTRUCTION
:111�' 1 02T., — �- 1 0 YES NO
SPECIAL& INEIPECTOR REQUIRED OCUUVANCY.9ROUP
CA E3 YES
L
NEW El RESIDENTIAL Ll E PLAN CHLCKED'BY
NON-RESIDENTIAL 0 SIGN
AVV RETAINING REMARKS
E] DEMOLISH E] WALL
ALTER EXCAVATE FENCE To
R OR FILL El ( ......... A ......... Ft.)
D REPAIR PRE -MOVE SWIM
1:1 INSP. POOL
NUMBER OF STORIES NUMBER OF
DWELLING
UNITS
mn np. nnwr. � I Valuation Fee Receipt
'27 6.4 - ell *4 A 0
"V re t;
PLOT PLAN (Indicate I
Plan Check 210 .....................
3 P DING
C-A A/ 40 d0
- !�-4 r, . W -
PLUMBING
HEAT & GAS LINE
FENCE
SIGN
RETAINING WALL
N
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
n
EXCAVATION OR FILL
JN
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-
lzed agent of the owner. I agree to comply with city and state lawn 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 Workmea'a Compensation Insurance.
NOTE: Permit Limit One Year (Except DEIMOLITIONS which
shall be completed in ninety days; BIOVED-IN BUILDINGS shall be com-
pleted in six months.)
FIG—NA,rURE (OWNER Oft AGENT) DATE SIGNED
NOTE: Applicant Subject to Plan Check Fee
_ihfis Permit covers work to be done on private property ONLY.
Any comtruction an the public domain (curbs, sidewalks, drlvcw&Yllt
marquees, etc.) will reqn1ra separate permission.
01D I . ob
TOTAL AMOUNT DUE
ITOTAL A3'OUN
AT=NTION APPLICATION APPROVAL
T tj E
ItIii PERMIT This application is not a permit until
A T
UTHORIZES signed by the Building official or his Dep-
G. ONLY THE
L
V
WORIL NOTED uty; and fees are paid, and receipt is ac-
I knowledged in space provided.
INS CT
INSPECTION DIRECTOR'S SIGNATUaE
L P
'P RTM
DEPARTMENT
CI Y 4
CITY OF DATE
FD
EDBIONDS
o
PR 0-1107
FILE
Id 11
L I
If
'd I
yd
L6 I I 't
L
I
i -A-�v
4.
r4
K
Lr
If:
IC
If
If
t
If I
Ifl -
Idilf
LL
ff.f-
I p
1. rr p I.,
I �� 4 VI .4, d
w 6,r It ;
9f
d
.11
I f
14 14 0
'Ir
I I I P
p
I
Of. I
If
I 'k 4 1 1 1
5,
0 1 t4 1 11 Id
k
— — -- I If — - I I —
If
j"'AN 4 1 1
r
F
tW4' f
af, I
RECORD OF INSPECTIONS
If
4 1
rL Dat
e PaGsed
P4 ;r
f p Foundation
Plumbing (Partial)
f
4 (Rough)
Frame
Furnace & Fuel Lines�-
4� lots/
Final
t
I 1 4
W d I I I I
. . . I . I I . I I I
d
I
Lf of
If
"Ifd I
LM 'I
4
RECORD OF, INSPECTIONS4
p Date'Passed'
I, I
Drainage,.
Sewer
Parking
Landsc.aping
1 1. 1
Fire Dopt,
j
t