700403.pdfU D 1,NG
BUILDING DEPARTMENT
POSTED ON KROLL MAP NO.; PERMIT
Applicant FLU
NUMBER 700403
PERMIT APPLICATION
Inside Heavy Lines
jog ADDRESS
4
-7 ?.0
A R
NAME (OR NAME OF BUSINESS)
c_
SIDE YARD SETBACK
STREET SETBACK
REAR YARD SETBACK
I
-m 5 1
1 ?_ 5 1
A
MAILING ADDRESS
Li G Aoj�
910 2hL
USE ZONE
LOT AREA
VACANT SITE
[3 YES [3 NO
Z
CITY
TELEPHONE NUMBER
HEIGHT
BUILDING AREA
VARIANCE NUMBER
/7-17WIX-P
7-9��_
I I
I
NAME
PLOT PLAN APPROVED
ADDRESS
STREET It/ IV
EXISTING STREET R/W DEFICIENCY7,
C CITY
ITY
TELEPHONE R—UMBER
THIS PROPERTY
NAME
zv
Cd ADDRE
CITY
Z
i
7'-/,-
I
e3l
AS 5
SLOIF65 gof To cyceep 'PVVY6�
ori SrD - 'D WC - 10 3
ss\dla�Fl_
'BA-Ci�%WX-467t— VALV15'
I'IIWF_, I TYPO OF CONS WCTION STREE
YES
RESIDENTIAL GAS 0 YES 0
NEW LINE CHECKED BY
ADD NON-RESIDENTIAL SIGN
RETAINING ARKS
El DEMOLISH WALL
ElALTER EXCAVATE PENCE -MrJJX5 R�.VT e - Fm -rb -BU
E] OR FILL ( .......... x Ft.)
REPAIR PRE -MOVE SWIM XPPP-tV0D V*.QQF--&C-7UVLq%.#
INSP. POOL
NUL113ER OF
DWELLING
UNITS
/ I I Valuation I Fee
PROPOSED USE
Q PLOT PLAN (Indicate Building si
A
70
A4 /.�70
Plan Check No .....................
BUILDING
PLUMBING
24;r
7
HEAT & GAS LINE
FENCE
SIGN
RETAINING WALL
I
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
I hereby acknowledge that I have read this application; that the In. TOTAL AMOUNT DUE
formation given to correct; and that I ami 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
will be employed In violation of the Labor Code of the State of Washington TIUS PERMIT
relating to Workmen's Compensation Insurance. AUTHORIZES
ONLY THE
NOTE: Permit Limit One Year (Except DEMOLITIONS which WORK NOTED
shall be completed In ninety days; MOVED -IN BUILDINGS shall be com-
pleted In six months.)
ILGNATURE (OWNER City, - AGENT) DATE SIGNED INSPECTION
DEPARTMENT
NOTE: Applicant Subject to Plan Check Fee
This Permit covers work to be done on private property ONLY.
Any construction on the public domain (curbso sidewalks* driveways,
marquees, etc.) will require separate permission.
CITY OF
EDIVIONDS
PR 0-1107
I ()
rc,
U
No.
1-1-9' j I i"6 f
13, IT
APPLICATION APPROVAL
This application is not a perrillt until
signed by the Building Official or his Dep-
uty; and fees are paid, and receipt Is ac-
knowledged in space provided.
DIRECTOR'S,VIGNATU)�F A —,
74
FILE
I
c