700074.pdfAq
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rubl�u UN ROLL MAP NO..' NUMBER -700 -74
PERMIT 0
Ilk BUILDING DEPARTMENT Applicant Fill I — -_
PERMIT APPLICATION Inside Ileavy Line,; juB ADDRE88
I MA�CLP IA" WAMM nW "1191NMR91 -1 �7 `7 -2 S.
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ADDRES
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ADDREI
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Igal, Description of Property (Show Below or Attach Four
E-1- S-1- S4- �
S A. S,
GAS
NEW RESIDENTIAL F-1 LINE
TIAL
14 NON-RESIDEN j 0 SIGN
ElADD RETAINING
DEMOLISH WALL
ALTER EXCAVATE FENCE
OR FILL ( .......... x .......... Ft.)
El REPAIR PRE -MOVE swill
INSP. POOL
4UMBER OF STORIES NUMBER OF
DWELLING
7_ � UNITS
UAV�OF WORK TO BE DONE
71—M73—YARD SETBACK
STR1jNT HNIDAUK
11EAR YARD HNT�A�1�
ZS
USE ZONE
LOT AREA
VAQANT SITE
YES NO
I MTTT.11TN(Z h1tP;A
I VARIANCE: NUAIIJNI
E30STING , STREET R/W ............ FT. DEFICIENCY THIS PROPERTY
COMP. PLAN ST. R/`W ............ E. ............ FT.
REMARKS
OF
[3 YES [] NO
Plan Check No .....................
BUILDING
PLUMBING 17 AC
BE AT & GAS LINE
FENCE
SIGN
tRETAINING WALL
N
SWIMMING POOL
DEMOLITION
PRE-ISIOVE INSPECTION
EXCAVATION OR FILL
I hereby achnowledgo 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; and In doloc: 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: I%IOVED-IN BUILDINGS shall be com-
pleted In six months.)
-2 ? 6
NOTE: Applicant Subject to Plan Check, Fee
Thin Permit coven %vork to he done on private property ONLY.
Any construction on the public domain (curbas sidewalks, drivewayso
marquees, etc.) will require separate permission.
TOTAL A31OUNT DUE
ArM NTION
THIS PERMIT
AUTHomzEs
ONLY THE
WORK NOTED
INSPECTION
DEPARTMENT
CITY OF
ED31ONDS
PR 6-1107
BY
[] YES It NO
Valuation I Fee
APPLICATION APPROVAL
No.
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.
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FILE:
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Fire' Dept.
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