700197.pdfBUILDING DEPARTMENT
PERMIT APPLICATION
NAME (OR NAME OF BUSINESS)
Per Tnge Dropping
MAX NO ADDRESS
2841 N. W. 70th
CITY T
Seattle
NAME
Ron Holmall
z
KROLL MAP NO.: PERMIT
Applictint Fill NUMBER 700197
Inside Heavy Lines JOB ADDRESS
I / PA/ -I Al , PO4/
g2
L PRUNE 14UM—BER USE ZM LOT AREA VA ANT SITE
1114 — /4? 1 1 LV YES C3 NO
SU 2-3735 klEIGHT I BUILDING AREA I VARIANCE NUA113ER
EXISTING STREET DEFICIENCYITHIS PROPERTY
Al
Driveway slopes not to
exceed
those
indicated on Standard
Drawing
#103.
ADDRESS
29VIA�IP 70
CHECKED BY
CITY
TELEPHONE NUMBER
METER, SIZE SERVICE SIZE I CLEAR
tANCE
CHECKED BY
STATE LICENSE NUMBER
CITY LICENSE NUMBER
REMAVUCS
Legal Description of Property (Show Below or Attach Four Copies)
See attached
TYPE CONNECTION
VERIFIED
YERC. TEST
PERMIT NUMBER
REMARKS
FIRE_WNff- TYPE OF rRUCTION
— �A I
STREET IMPROVED
I [] YES �<No
SPECIAL INSPECTOR REQUIRED
0 ES No
OCCUPANCY
GROUP
AS
0 NEW RESIDENTIAL LINE
NON-RESIDENTIAL El SIGN
0 ADD D RETAINING
F1DEMOLISH WALL
DALTER FENCE
EXCAVATE
OR FILL .......... x .......... Ft.)
REPAIR PRE -MOVE SWIM .
M INSP. POOL
PLAN CHECKED BY
REMARKS
awwov—
VWDeQ e0W
DWELLING
UNITS
I hereby acknowledge that I have read thin 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-
lating construction; and In doing the work authorized thereby, no Verson
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 DE51OLITIONS which
shall be completed In ninety days; MOVED -IN BUILDINGS shall be com-
pleted In six months.)
OWNER OR AGENT) DATE SIGNED
NOTE: Applicant Subject to Platt Check Fee
This Permit coven work to be done on private property ONLY.
Any construction on the public domain (curbs, sidewalks, driveways,
marquees. etc.) will require separate permission.
Fee
Plan Check No.
BUILDING
344W, 610
//g's 06
PLUMBING
40
HEAT & GAS LINE
PENCE
SIGN
RETAINING WALL
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
NTOTAL AMOUNT DUE
ATTENTION APPLICATION APPROVAL
This PERMIT This application Is not a perntit until
AUTHORIZES signed by the Building Official or his Dep-
ONLY THE
WORK NOTED uty; and fees are paid, and receipt Is ac-
knowledged in space provided.
INSPECTION DIRECTOR'S SIGNATUREJ
DEPARTMENT
CITY OF zl�e4zle
EDAIONDS DATV
PR 0-1101
FILE
MINE