710071.pdf- _ -- ..........
POSTED ON KROLL MAP NO.: Y-1
PERMIT 71 UO I I
BUILDING DEPARTMENT Applicant Fill fC;+0�Q
PERMIT APPLICATION I Inside Heavy Lines
NAME !vR—NnMG Dr- auam-="r— _
FR4IVk F' L_/ FAR -
MAILING ADDRESS
g/0--/2221t AVEIV
CITY TELEPHONE NUMBER
E DNaAIPS 6- as
R HA M //,T6`Af 7 QH lV-5-ON
w AD RE88
CITY _[`TELEPHONE NUMBER
6
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® NEW
RESIDENTIAL
❑
GAS
LINE
❑
NON-RESIDENTIAL
❑
SIGN
ADD
RETAINING
❑
❑
DEMOLISH
ALTER
❑
E
EXCAVATE
ORFILL
PENCE
�
..........Ft.)
REPAIR
❑
PnE-
^❑
I 1
swill
INSP.
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POOL
;UMBER OF STORIES
NUMBER OF
DWELLING
UNITS
JATURE OF WORK -TO BE VONE 1
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 -
tied 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 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.)
IIGNATIJRJA (OWNER OR AGENT), , I DATE SIGNED
YES
S, 6y
SS,E,TI;ACK
I r 14.u�♦ O
E
NO
NUMBER
EXISTING STREET R/W �?L'...FT. DEFICIENCCYTHIS PROPERTY
COMP. PLAN ST. R/W aa-FT. 0.......F r.
REMARKS
Driveway slopes not to exceed those
indicated on Standard Drawing #103.
L 13 2-3 --7/
NOTE: Applicant Suhj ct to Plan Check Fee
This Permit covers work to be donn on private property ONLY.
Any construction on the public domain (curbs, sidewalks, driveways,
marquees, etc.) will require separate permission.
I:lCCEItBoS `0 `0
TYPE CONNECTION
Ell-
�
YES
NO
9PILNSPER
0YEgAN
APU
OCGROUP
I�`_T/
Valuation I Fee I Receipt No.
Plan Check No
BUILDING
PLUMBING
k3of
HEAT A GAS LINE
FENCE
SIGN
RETAINING WALL
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE I I All# e O 0
ATTENTION
THIS PERMIT
AUTHORIZES
ONLY THE
WOIUS NOTED
INSPECTION
DEPARTMENT
CITY OF
ED51ONDS
PR 11-1.107
APPLICATION APPROVAL "
This application is not a permit until
signed by the Building Official or his Dep-
uty; and fees are paid, and receipt is ac-
knowledged in space provided.
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RECEIVTM.
FEB 23 1971 `'`
CITY OF ED?�OND3
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RECORD OF INSPECTIONS
t•y.. _ y
Date Passed
y,
' - V{ Foundation
! .; I1 " Plumbing (Partial)
t ti ,, (Rough)
�N{
Frame —
_ Furnace & Fuel Lines
Final
�-
.�
r
RECORD`OF INSPECTIONS
Date Passed
Drainage
_ Sewer'f ,
Parking
g�. I
' `Landscaping t f
........ .... .. _. _._..._ __._ _ _._. _... 5,
Fire Dept.
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