700162.pdf)STED ON KROLL M" NO-: PERMIT -7
NUMBIIIR 00 162
BUILDING EPARTMENT APPUCMt Fill
Inside Heavy Unes JOB ADDRESS
PERMIT APPLICATION
NAME (OR NAME OF BUSINESS) Lro C)
_9D SETBACK
SIDE YARD SETBAUK ST EAR
REET SETBACK REAR Y
E "Do Pap
WDO %
USE ZONE LOT AREA VACANT SITE
[3 YES 13 NO
CITY ER 9, S'. — \ lzi__ I . W_ZT7;;WSr" I
HEIGHT BUILDING ARE
U 45- ez aa-77� *7.3-
NAME
PLOT PLAN APPROVED
ADDRESS
STREET RIW
04 EET R/W ............ FT. DEFICIENCY THIS PROPERTY
EXISTING STR
WELEPHUNZ �U=D�"
CITY
COMP. PLAN ST. RIW ............ FT. ............ 1".
REMARKS
NAME
N ADDRE33
CIMCKED BY
................... EL.EI1HONE NUMBER
CITY
Z METER SIZE SERVICE SIZE CLEARANCE ICHECKED BY
ep P
CITY LICENSE NUMBER
REMARKS
Legal Description of Property ttinow Below or Attach Four copies)
TYPE CONNECTION VERIFIED BY
Z
C�. U-15--p 0% \1 PERO. TEST PERMIT NUMBER
REMARKS
12
FIRE ZONE TYPE OF CONSTRUCTION STREET IMPROVED
[3 YES [3 No
SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP
L4 S %,k
GAS 0 YES [3 NO
RESIDENTIAL LINE PLAN CHECKED BY
NEW 1 11
NON-RESIDENTIA SIGN
ADD RETAINING REMARKS
DEMOLISH - WALL
E] ALTER EXCAVATE FENCE
OR FILL ........ . x .......... Ft.)
REPAIR PRE -MOVE SWIM
El INSP. E] POOL
NUMBER OF STORIES NUMBER OF
DWELLING
UNITS
NATURE OF WORK To BE DONE Valuation Fee Receipt No.
eL-e &, Plan Check No .....................
Z
BUILDING
PROPOSED USE PLUMBING
Q PLOT PLAN (Indicate Building setbacks, abutting streets) HEAT & GAS LINE &10
FENCE
SIGN
RETAINING WALL
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE
I hereby acknowledge that I have read this application; that the In-
formation given In 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- ATTENTION 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 Wasbington THIS FERMIT This application is not a permit until
totaling to Workmen's Compensation Insurance. AUTHORIZES
ONLY THE signed by the Building Official or his Dep
Perm i it One Your (Except DEMOLITIONS which WORK NOTED uty; and fees are paid, and receipt is ac-
ff�' nT knowledged in space provided.
9 1 e compl In nety days; MOVED -IN BUILDINGS shall be com-
le In six anthe
M — INSPECTION
BIG ATaR OR AGENT) DATE SIGNED DEPARTMENT DIRECTOR'S SIONATURre j#
CITY OF
A0 —DATW
NOTE: APP i"nt Subject to Plan Check Fee EDMONDS
This Permit covers work to be done an private property ONLY.
Any construction on the public domain (curbs, sidewaiks, driveways, FILE
marquees, etc.) will require separate permission.
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