700097.pdfP
POSTED ON KROLL MAP NO.: PERMIT
NUMBER
BUILDING DEPARTMENT Applicant FLU
Inside Heavy Lines JOB ADDRESS
PERMIT APPLICATION
NAME (OR NAME OF BUSINESS) /7
/0 50��
SIDE YARD SETBACK STREET SETBACK REAR YARD SETBACK
0 n pe a I ja
MAILITN_Gq
ADDRESS
— -6 *rL1 USE ZONE LOT AREA VAUANW SITE
CITY TELEPHONE NUMB 13 C'.' 10 YES 0 NO
Fgc4m,�A)Cls 72"57�r-S, HEIGHT BUILDING AREA, VARIANCE NUMBER
NAME
PLOT PLAN APPROVED
21 ADDRESS
STREET R/W
EXISTING STREET R/W ............ Fr. DEFICIENCY THIS PROPERTY
CITY LEPHONE NUM13OF COMP. PLAN ST. R/W ........... FT. ............ FT. 0
REMARKS
NAME
ADDRESF.
c4 9. 12 U) CHECKE By
CITY TELEPHONE UMBER
Famg)AMs _0713 METER SIZE SERVICE SIZE CLEARANCE CHECKED By
STATE LICENSE NUMBER CITY LICENSE NUMBER
REMARKS
Legal Description of Property (Show Below or Attach Four Copies)
0.4. J,17-6 q 7- TYPE CONNECTION VERIFIED BY
PERC. TEST PERMIT NUMBER
W
CA- A
1% 7 AjA_ 3 Ewm S REMARKS
-A
FIRE ZONE TYPE OF CONSTRUCTION STREET IMPROVED
1 13 YES 13 NO
SPECIAL IN13PECTOR REQUIRED OCCUPANCY GROUP
ALOM Fd- F-1 GA [3 YES 0 NO
L
F] NEW I%BIDENTIAL NB PLAN CHECKED BY
NON-RESIDEN:T�j El SIGN
RETAINING REMARKS
DEMOLISH WALL
ALTER EXCAVATE PENCE
OR FILL EF1 ( ........ . x .......... Ft.)
REPAIR PRE -MOVE swim
INSP. POOL
El D
NUMBER Or
DWELLING
UNITS
NATURE OF WORK TO BE DONE Valuation Fee Receipt No.
Plan Check
BUILDING
PROPOSED USE
PLUMBING
PLOT PLAN (Indicate Building setbacks, abutting streets) HEAT & GAS LINE
22
ft FENCE
SIGN 0
tRETAINING WALL
N
SWrMbUNG POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE .000
I hereby acknowledge that I have read this application; that the In. 6-
formation given to 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 ATTENTION APPLICATION APPROVAL
will be employed in violation of the Labor Code of the State of Washington THISPERMT This application Is not a pernilt until
relating to Workmen's Compensation Insurance. AUTHORIZES
ONLY THE signed by the Building Official or his Dep-
NOTE: Permit Limit One Year (Except DEMOLITIONS which uty; and fee3 are paid, and receipt -is ac-
WORK NOTED
shall be completed In ninety days; MOVFX-IN BUILDINGS shall be com- knowledged in space provided.
pleted in Oil months.)
A
BIG A RE (OW114E ENT) DATE SIGNED INSPECTION DLRECTOR'S SIGNATU
DEPARTMENT
CITY OF
ATE: Applicant Subject to Plan Check Fee EDMONDS
PR 6-1101
This Permit covers work to be done an private property ONLY.
Any construction an the public donuft (curbs, sidewalks, driveways, Fn
marquees, ate.) will require separate per"salon.
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