710104.pdf( �S
BUILDING DEPARTMENT yppl
PERMIT APPLICATION Inside l
NAME
MAILING ADDRE88
.Box 75 1%77-)'1 W&fot.7'
CITY TELEPHONE
NAME
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CITY - TELEPHONE
NAME
all U ADDRESS
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STATE LICENSE NUMBER CITY LICEN
- Legal Description of Property (Show Below or Attach Fol
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LiLLaoP 1410 y
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POSTED ON KROLL MAP NO.: PERMIT 710104ant
Fill
y I NUMBER
envy Meg
JOB 2RESS I
O C/V
BIDE YARD SETBACK
ST SETBACK
REAR YARD SETBACK
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LOT AREA
VACANT SITE
YES NO
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VUMBER
.207
HEI6 T
(BUILDING A11EA I
ARIANCE NUMBER,
-
PLOT PLAN APPROVED
TUMBER
STREET R/W ,ram
EXISTING STREET R/W . DEFICIENCY PROPERTY
^^THIS
COMP. PLAN ST. R/W ..p...FT. IT.
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REMARKS
Driveway slopes not to exceed those indicate
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on Standard Drawing #103,
C BY
!(UNDER
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METERSIZE I SERVICE SIZE I CLEARANCE
I C LE 15 BY�
C NUMBER
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REMARKS
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TYPE CONNECTION
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PERC. TEST
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REMARKS
FIRE Zgpi!' I TYPE O�N6TRUC;rION STREET IMP`RlOVED
YES pINO
SPECIAL INSPECTOR REQUIRED
IOCCUPANCY GROUP 7
KNEW
RESIDENTIAL
❑ LINE GAS
❑ YES -So NO
PLAN
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❑ NON-RESIDENTIAL
❑
CHEC B`Y�
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SIGN
❑ ADD
❑ DEMOLISH
ElWALL
RETAINING
REMARKS
XF
*3T4 OLYMPIC ME4
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❑
ALTER EXCAVATE FENCE
❑ OR FILL ❑ (........
s..... .....Ft.)
swim
❑
..
REPAIR ❑
NPbiOVE
I. ❑ POOL
;- ..
NUb[BER OF BTORIE.S
NUMBER OF
DWELLING
UNITS
NATURE OF WORK TO HEWN^E
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Valuatlon
Fee
Receipt No.
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Plan Check No._................
BUILDING
6-0
1
PROPOSED
PROP08ED USE
PLUMBING
HEAT k GAS LINE
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PLOT PLAN (Indicate Building setbacks, abutting streets)
FENCE
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SIGN
1
RETAINING WALL
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SWIMMING POOL
DEMOLITION
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PRE -MOVE INSPECTION
EXCAVATION OR FILL
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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-
-
Iced agent of the owner. I agree to comply with city and stale laws regu•
lating construction; and In doing the work authorized thereby, no
ATTENTION
APPLICATION APPROVAL
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i
person
will be employed In violation of the Labor Code of the Slate of Washington
Workmen's
THIS PERMIT
This application is not a permit until
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relating to Compensation Insurance.
AUTIIORIZE8
signed by the Building Official or his Dep-
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NOTE: Permit Limit One Year (Except DEMOLITIONS which
ONLY THE
WORK NOTED
Uty; and fees are paid, and receipt is ac-
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shall be completed In ninety days; MOVED -IN BUILDINGS shall be com-
ItnOWledged in apace provided.
pleted In six months.)
HG ATU1tED (OWNER G�EN)
I DATE SIGNED
INSPEC., D PARTMENT ON
DiRECTOIt'S Si ATURE
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NOTE: Applicant Subject to Plan Check Fee
This Permit coven work to be done on private property ONLY.
Any construction on the public domain (curbs, sidewalks, driveways,
marquees, etc.) will require separate permission.
CITY OF
ED51ONDS DATE �f 7
PR 8-1101 ..3 — '�" ✓� r
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