700239.pdfI a
BUILDING DEPARTMENT
Applicant Fill
POSTED ON KROLL MAP NO.;
PERMIT,
NUMBER
700239
PERMITAPPLICATION
Inside Heavy Lines
JOB ADDRESS
zffc/C2 4/—F(/
NAME (OR ME OF BUSINESS)
SIDE YARD SETBACK
STREET SETBACK REAR YARD BETBACH
AWAILJING
C4
A-D Els
_ _� V
7-Vlj
(7
USE ZONE
LOT AREA VACANT BITZ
YES 13 NO
Z
CITY
TELEPHONE NUUMBER
HEIGHT
BUILDING AREA VARIANCE NUAIMNIS
NAME
-FL—OTPLAN APPROVED
ADDRE 38
STREET R/W
jRTY
EXISTING STREET R/W ............ FT. DEFICIE NCY THIS PROPERTY
COMP. PLAN ST. R/W ............ FT. ............
CITY
REMARKS
NAME
CQ
ADDRESS
CHECKED
CITY TELEPHONE NUMBER
776
MET SIZE SERVICE SIZE CLEARANCE
CHECKED BY
C4
19
STATE[ LICENSE NUAIIJER
P,;Z,3 - 0 / - 7� 9
CITY LICENSE NUMBER
1, 3 U
REMARKS
I Legal Description of Property (8how Below or Attach Four Copies)
r-tj/ GAS
RESIDENTIAL LINE
NEW NON-RESIDENTIAL SIGN
DAu� RETAINING
ElDEMOLISH E] WALL
ALTER EXCAVATE PENCE
OR FILL ( .......... x .......... Ft.)
PRE -MOVE swim
REPAIR 1-1 INSP. Ej POOL
NUMBER OF
DWELLING
UNITS
0 YES LN NO
REMARKS
n i--, rl%ic� r7
Plan Check No .....................
BUILDING
PLUMBING
HEAT & GAS LINE
FENCE
SIGN
I
tRETAINING
N
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 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- ATTENTION
lating constructi0m; and in doing the work authorized thereby, no person
will be employed In violation of the Labor Code of the State of Washington TIUS PERMIT
relating to Workmen's Compensation Insurance. AUTHORIZES
I
format
'zed ag to he
ent
lating Coll
will be em
relatIn if to
ONLY THE
NOTE: Permit Limit One Year (Except DEMOLITIONS which WORK NOTED
I
L;ahall be completed In ninety days; MOVED -IN BUILDINGS shall be com-
pleted in six months.)
4� -1
11 DATE SIGNED INSPECTION
ER 0 GENT)
DEPARTMENT
CITY OF
EDAIONDS
NOTE: Applicant4ubject to Plan Check Fee PR 0-1107
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.
BY
Valuation
[] YES
Fee
29
No.
APPLICATION APPROVAL
This application is not a perinit until
signed by the Building Official or his Dep-
uty; and fees are paid, and receipt is ac-
lmowledged In space provided.
DIRECTOR'S I EIRNATURY) , A
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