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710131.pdf�ti as - 4. . • ,} r .. , - Id s t ... •g+Y�' u.yeswL�.rawwui»n.iwe,..we+ow..ws..:..na.wr+.dlaosl+vawrm .... '-�. ., ., ,. ., ":......: , ..�. 1' .+....... ,�: LL w y POSTED ON MOLL MAP NOA PERMIT 710131BUILDING DEPARTMENT NUMBER Applicant { PERMIT APPLICATION Inside Heavy nines JOB ADDRESS NAME Aj. La BIDE YARD SETBAC 8T EET SETBACK REAR YARD SETBACK y XMILLNG ADDRESS USE ZONE LOT AREA VACANT BITE j CITY �o TELEPHONE NUMBER I I ❑ YES ❑. NO •� HEIGHT I BUILDING AREA I VARIANCE NUMBER .� NAME PLOT PLAN APPROVED ! ADDRE88 STREET G ST ......FT. DEFICIENCY THIS PROPERTY f rj CITY TELEPHONE NUMBER ESTINSTREET R/W ..._....... 1 f r •( • ..r COMP. PLAN ST, R/W ............FT. ............FT, It Y REMARKS t r NAME r - O ASS t7 ' 2.3 32 D L—y�) 0#!2 /!/ lj CHECKED BY } i CITY TELEPHON UMBER z J/ Q'%YI/J I7L� I %%S/'•.3.5 Gi METER SIZE SERVICE SIZE CLEARANCE CHECKED BY STA E L C' NUM ER' CITY LICENSE NU ER m �� F ! Legal Description of Properly (Show Below or Attach Four Copies) - B TYPE CONNECTION I VERIFIED BY _ tttrrr ': ' PERC. TEST I PERMIT NUMBER Q REMARKS � .l FIRE ZONE I TYPE OF CONSTRUCTION STREET IMPROVED _ I ❑ YES ❑ NO 11 SPECIAL INSPECTOR REQUIRED I OCCUPANCY GROUP - RESIDENTIAL ❑ LGASINE ❑ YES ❑ NO il ElNEW LINE PLAN CHECKED BY NON-RESIDENTIAL ❑ SIGN : ADD RETAINING 8 DEMOLISH WALL 0 El ALTER EXCAVATE FENCE ©�' OR FILL 4._....�c..........Ft') ,', (( •.• . REPAIR PRE -MOVE swim INSP. POOL NUMBER OF STORIES I NUMBER OF t ` - DWELLING UNITS NATURE OF WORK TO BE DONE Valuation Fee Receipt No, Plan Check No. ... . .......... . ... , Doti _ HUILDIN6 PROPOSED USE �4p PLVMHIN6 t` Q PLOT PLAN (Indicate Building setbacks, abutting streets) HEAT h GAB LINE - [ O G a FENCE • 1 9 SIGN 1 TRETAINING WALL N SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION I i' EXCAVATION OR FILL (, TOTAL AMOUNT DUE , I hereby acknowledge that I have read this application; that the In- 7t� formation given is correct; and that I am the owner, or the duly author. Izea agent of the owner. I agree to comply with city and state laws rogu• ATTENTION APPLICATION APPROVAL 1 ` latior construction; and In doing the week authorized thereby, no person will be employed In violation of the Labor Code of the State of Washington TILE PERMIT This application is not a permit until relating to Workmen's Compensation insurance. AUTHORIZES ONLY THE signed by the Building Official or his Dep- i NOTE: Permit Limit One Year (Except DEMOLITIONS which WORK NOTED nty; and fees are paid, and receipt is ac- - shall be completed In ninety days; MOVED -IN BUILDINGS shall be com• knowledged in Space provided, pleted In six months.) j . B16N TU WNE OR A6 NT) „ DA711;N.11 INSPECTION DEPARTMENT DIR OR'8 BIONATUso ') i iCJ'i o. CITY OF / J(IATOTE! A(rplicant Subject to Plan Check Fee EDMOND$ ATE PR 0-1107 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, FILM ;u =4 .rYl dk _ l;r i t tR v w< k > {iAsd+Sen{w ,9w Ku rox{ww ewrZnr.a u S Y -I 1 • ':%i{i '. '} f QU.t `;7r . , \ r y`•iM'�yr. w ,:1 { , t fir. _ ,.r , J, .:. s ,si -•J /�,-'. L w+ S'i > ` + ;� s !: } JJ.. ai .S pf !b. _ ! I.;,JA. ::, y�'�.(7...... 1Ah f1 :5i y r !` • t r 'a. 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