700249.pdfPOSTED ON KROLL MAP NO.: PERMIT
NUMBER
00249
BUILDING DEPARTMENT Applicant Fill - 7
Inside Heavy Lines JOB ADDRESS
PERMIT APPLICATION 18817 89 10-lest
NAME (OR NAMNOF BUSINESS)
TBACK
.�4 SIDE YARD SETBACK STREET 81STJJACK REAR YARD BE
Klaus Hann
MAILING ADDRESS
USE ZONE LOW AISZA VACANT SITE
1023 180 S. W.
CITY TELEP [3 YES NO
Lynnwood 1743-6655 HEIGHT BUILDING AREA VARIANCE NUMBER —
NAME I--- — —
PLOT PLAN APPROVED
ADDRESS
STREET R/W DEFICIENCY THIS PROPERTY
..... EXISTING STREET R/W ............ FT.
CITY TELEPHONE NUMBE COMP. PLAN ST. R/W ............ FT. ............ Tv.
REMARKS
NAME
M I Co. I -an,
A
;M 159th Pl. 1-1. CHECKED BY
CITY TE EPHONE NUMBER
z Redmond 885-1527 METER SIZE SERVICE SIZE CLEARANCE ICRECKED BY
STATE �TCENSE NUMBER uITY LICENSE NUMBER
43599 r Attach Four Copies) REMARKS
Legal Description or Property (Show Below 0
TYPE CONNECTION VERIFIED BY
Z
PEIIC. TEST PERMIT NUMBER
REMARKS
FIRE ZONE TYPE OF CONSTRUCTION STREET IMPROVED
13 YES NO
SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP
GAS 0 YES [] NO
NEW F11 RESIDENTIAL LINE PLAN CHECKED BY
1 1:1 NON-RESIDELTIAL SIGN
DRETAINING REMARKS
DDEMOLISH WALL a��
ALTER EXCAVATE FENCE —4 (\ 0 C)
1:1 OR FILL ( .......... x .......... Ft.)
REPAIR PRE -MOVE swim
E] INSP. POOL
NUMBER Or STORIES NUMBER OF
DWELLING
UNITS
NATTIRF. OF WORK TO HE DONE Valuation Fee Receipt No.
Electric Furnace
Plan Check No .....................
BUILDING
PLUMBING
HEAT & GAS LINE
FENCE
SIGN
RETAINING WALL
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE
,n * that the
I hereby acknowledge that I have read this application; that the
In -
In-
he duly aut"or-
formation given In correct; and that I am the owner, or the duly author-
tat" laws regu-
ized agent of the owner. I agree to comply with city and state laws regu-
ATTENTION
reby, no person
lating construction; and in doing the work authorized thereby, no person
of Washington
will be employed In violation of the Labor Code of the State of Washington
THIS PERMIT
relating to Workmen -a Compensation Insurance.
AUTHORIZES
ONLY THE
NOTE: Permit Limit One Year (Except DEMOLITIONS which
WORK NOTED
shall be completed In ninety days; MOVED -IN BUILi)INGS shall be com-
pleted In six months.)
RE (OWN W-01F—AGENT)
DATE SIGNED
INSPECTION
DEPARTMENT
:1rQAT
CITY OF
EDMONDS
NOTE: Applicant Subject to Plan Check Fee
PR 6.1101;
This Permit covers work to be done on private property ONLY.
Any construction on the public domain (curbs, sidewalks, driveways,
marquees, etc.) wilt require separate Permission.
7.00
APPLICATION APPROVAL
This application Is not a permit until
signed by tile Building official or his Dep-
uty; and fees are paid, and receipt is ac-
Imowledged in space provided.
DIRECTOWS 81VNATURR
'96
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