700430.pdfOLL MAP NO.:
POSTED ON KR PERMIT
Pos ED ON KRC
-7 00430
00430
BUILDING DEPARTMEN
BU'L D I N
Applicant Fill
NUMBER
- -
PERMIT APPLICATI01 N
PR I
Ide vy ]:OR
Ing H:
JOB �"DRESB
O'S ADD E
NAME (OK 14AMJU 17�uc -
SIDE; YARD 8 5TBACK
Y
-
STREET SETBACK
REAR YARD SETBACK
R -YARD SET ACK
7N.B
Atlantic - Richfield
FLL_9A_tLJNG
r
ADDRESS
AD
Z
U ZONE
LOT AREA
'ANT SITE
VACANT BMa
2 _ _
2326 - 6th Avenue
'NUMBER
(2
(20
.0
0 YES E3 NO
a
CITY
LTY
HENRONE
H C;
EIGHT
NU—ILDINGAREX
.M R
VARIANCE l4UJ1dJJZ1&
C.
eattleg Wn.
S Be ttl
Adv. Cc
Vernon. Wn.
EXISTING STREET R/W ............ rT.
COMP. PLAN ST. R/W ............ FT-
TYPE OF
RESIDENTIAL
GAS C] YES (3 NO
LINE PLAN CHECKED BY
NEW
I
El
NON -REBID
SIGN
RETAINING REMARKS
WALL
ElDEMOLISH
El ALTER
E]
EXCAVATE
OR FILL
FENCE
( ......... A .......... Ft.)
REPAIR
1:1
PRE -MOVE
INSP.
swim
POOL
,JUMBER OF STORIES
NUMBER OF
DWELLING
UNITS
DEFICIENCY THI13 PROPERTY
[3 YES [I No
Replace xicnzieu, ,,3,p:n w:LTn jLrivx e-Lau*
Plan Check N(,,*,,**** ..............
BUILDING
1
PROPOSED USE
PLUMBING
& GAS LINE
PLOT PLAN (Indicate Building setbacks, abutting streets)
HEAT
PENCE
SIGN
5-0 0
tRETAINING
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
APPLICATION APPROVAL
lating construction; and In doing the work authorized thereby, no person
will be employed In violation Of the Labor Coda of the State of Washington
THIS PERMIT
This application to not a permit until
relating to WorkmeWs Compensation Insurance.
AUTHORIZES
signed by the Building official or his Dep-
NOTE: Permit Limit One Year (Except DEMOLITIONS which
ONLY THE
WORK NOTED
uty; and fees are paid, and receipt Is ac-
be completed in ninety days; MOVED -IN BUILDINGS shall be eom-
knowledged in space provided.
shall
pleted lrjgtx montahs.)
SIGNA E (0 R OR AGENT) DATE SIOVED
INSP ECTION
DIRECTORIS IONATU
11
DEPARTMENT
CITY OF
DATE A7_
EDMONDS
NOTE: APPlicant Subject to Plan Check Fee
PR 6-1107
TWO Permit covers work to be done an private property ONLY.
Any construction on the public domain (curbs, sidewalks, driveways,
ram
marquees, etc.) will require separate permIssiOn.
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