700459.pdf1�08TED ON KROLL MAP NO.: PERMIT
NUMBER 700459
_N RTMENT
A." BUILD
I WG DEPA Applicant 1`111
Inside Heavy Lines J013 ADDRESS
PERMIT APPLICATION
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SIDE YARD SETBACIC STREET SETBACK REAR YARD SETBACK
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oMAILING ADDRESS
USE ZONE
LOT AREA VACANT SIT E
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NO
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CITY
ffLxPHONE NUMBE R
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YES 0
----------- i —WITILDINIGG _UtEk VARIANCE NUMBER
HEIGHT
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1: -, . . 1. Vp 0 0
ITLOT PLAN APPROVED
STREET RIW
Y FLffP_1i0NENUMBER EXISTING STREET RIW ............ FT. DEFICIENCY THIS PROPERTY
COMP. PLAN ST. R/W ............ FT. ............ FT. 0
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REMARKS W
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tPRE89-
I VTHTPC!KED BY
TEL HONIj NUMBER
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MPTER SIZE SERVICE SIZE CLEARANCE
CHECKED BY
X.VE LICENSE NUMBER
710
CITY LICZNbk� NUMBER
REMARKS
�gal--Uescriptkm of Property (Show slow or AttAXII iour u0ples)
TYPE CONNECTION
VERIFIED BY
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PURC. TEST
PEKMIT NUMBER
V
REMARKS
14
FIRE ZONE TYPE OF CONSTRUCTION STREET IMPROVED
1 0 YES I -TO
SPECIAL INSPECTOR REQUIRED
0 YES 0 NO
OCCUPANC Y GROUP
GAS
El RESIDENTIAL LINE
D NEW 1:1
ElNON-RESIDENTIAL SIGN
DADD RETAINING
[—] DEMOLISH ED WALL
12(ALTER EXCAVATE PENCE
F-1 OR FILL E] ( .......... X. rt
ElREPAIR PRE -MOVE SWIM
El INSP. POOL
PLAN CHECKED BY
REMARKS
NUMBER OF
DWELLING
UNITS la�L
PROPOSED UBE
PLOT PLAN (Indicate Building setbacks, abutting streets)
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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-
lzed 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
will be employed In violation of the Labor Code of the State of Washington
relating to Workmen's Compensation Insuran".
NOTE: Permit Limit One Year (nxcept DEMOLITIONS which
shall be completed In ninety V -IN BUILDINGS shall be com-
pleted "x months. ) :��)ays: I MO ED
3IG URE (OWNEP A DATE SIGNED
7 —,o 7v
NOTE: Applicant Subject to Plan Check Fee
This permit coven work to be done on private property ONLY.
Any construction art the public domain (curbs, sidewrOkso drivowaYst
marque,es, etc.) will require separate permission.
Valuation
Plan Check No.
BUILDING
PLUMBING
HEAT & GAS LINE
PENCE
SIGN
RETAINING WALL
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
li�XCAVATICN OR FILL
TOTAL AMOUNT DUE
00
Receipt No.
ATTENTION
APPLICATION APPROVAL
THIS PER511T
This application is not a permit until
AUTHORIZES
signed by the Building Official or his Dep-
ONLY THE
uty; and fees are paid, and receipt is ac-
WORK NOTED
knowledged in space provided.
INSPECTION
DIRECTOIV�58101��TPRE
DEPARTMENT
CITY C_
DATE-
ED510-NDS
PR 6-1101
FILE
Foundation -5
Plumbing (Partial)
(ROUgh)
Frame --Sew
Furnace & Fuel Lines
Final P7
RECORD OF INSPECTIONS
Date Passed
Drainage
Sewer
Parking ....
Landscaping
Fire Dept.