700565.pdfPOSTEL) uN KROLL MA? NO.: PERMIT 7005i
BUILDING DEPARTMENT Applicant FRI NUMBER
PERMIT APPLICATION Inside Heavy Lines I 70—Ir—ADDRE88
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MAILING ADDRESS
1023 188th S. W.,
N I coo
ADDRESS
7848 159th P1, N, E,
CITY TELEPHONE NUMBER
Redmond., I 885-15Z7
or
RESIDENTIAL
GAS
LINE
F] NEW
NON-
SIGN
A-1
RETAINING
WALL
DEMOLISH
ALTER
EXCAVATE
OR FILL
FENCE
( .......... x .......... Ft.)
El REPAIR
PRE -MOVE
INSP.
SWIM
POOL
IUMBER OF STORIES
NUMBER or
DWELLING
UNITS
t
N
I
I hereby acknowledge that I have read this application: that the In-
formation given in correct; and that I am the owner, or the duly author-
Ized agent of the owner. I agree to comply with city and atatv 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 Compenantion. Insurance.
NOTE: Permit Limit One Year (Except DEMOLITIONS which
shall be Completed In ninety days; MOVED -IN BUILDINGS shall be com-
pleted In six months.)
NOTE: Applicant Subject to Plats Check Fee
This PeCrult Covers %Tork to be done on private property ONLY.
Any construction on the public domain (curbs, sidewalks. driveways,
marquees, etc.) will require separate per"snion.
EXISTING STREET R/W ............ FT.
COMP. PLAN ST. R/W ............ FT.
FIRE
[] YES [j NO
Plan Check No.
[] YES [3 NO
DEFICIENCY THIS PROPERTY
OF CONSTRUCTION
BUILDING
PLUMBING
HEAT & GAS LINE
PENCE
SIGN
RETAINING WALL
SWIMMING POOL
DMIOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE
ATTENTION
T1118 PERMIT
AUTHORIZES
ONLY TILE
WORK NOTED
INSPECTION
DEPARTMENT
CITY OF
EDIVIONDS
Pit 0-1107
C) YES [] NO
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Valuation I Fee I Receint No.
7.00
7,00 14-k?.j �
140
APPLICATION APPROVAL
This application is not a permit until
eigned by the Building Official or his Dep-
uty; and lees are paid, and receipt is ac-
knowledged in space provided.
DIRECTOR'S 81GNATURE
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RECORD OF INSPECTIONS
Dato Possed
Founrk�
,tion
Phimbiop Tartial)
(Rour7h)
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Furnace Fuel L in e
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7
"Tinal
7
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RECORD OF INSPECTIONS
Date Passed
Drainage
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Parking
Landscaping
Fire Dept,