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POSTED ON KROLL MAP NO.:
PERMIT
710231
BUILDING
DEPARTMENT
Applicant Fiu
I NUMBER
PERMIT APPLICATION I InVdo Heavy Linos
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YES ❑ NO
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PLOT PLAN APPROVED
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STREET R/W
EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY
COMP. PLAN ST. R/N ............FT. ............FT. yny
REMARKS y
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O I i
PERO. TEST I PERMIT NUMBER C
W REMARKS
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aFIRE ZONE TYPE OF CONSTRUCTION STREET IMPROVED ` 1
(] YES ❑ NO 1
SPECIAL INSPECTOR REQUIRED (OCCUPANCY GROUP
❑ D GAS ❑ YES ❑ NO i
NEW
RESIDENTIAL LINE PLAN CHECKED BY
Ij
DNON-RESIDENTIAL D SIGN
DADD D D RETAINING REMARKS
DEMOLISH
DALTER D ORIZLL EXCAVATE D FENCE ..........Ft.)
❑ REPAIR ❑ PRE-WIM
IN P. I I P POOL
NUMBER OF STORIES I NUMBER OF
DWELLING
UNITS '
NATURE OF WORK TO BE DONE Valuation Fee Receipt No. I
Plan Check No ..................... �
O `1 O BUILDING -
- v
P O ED SJE
G PLUMBING
A i
W PLOT PLAN (Indicate Building setbacks, abutting streets) HEAT R GAB LINE
FENCE
i
SIGN
t —
RETAINING WALL
BWIMMIN6 POOL
I
DEMOLITION I
i
PRE -MOVE INSPECTION
EXCAVATION OR FILL
t
TOTAL AMOUNT DUE
I hereby acknowledge that I have read this application; that the In- (p /
formation given Is correct; and that I am the owner, or the duly author-
ized agent of the owner. I agree to comply with city and state laws regu- ATTENTION APPLICATION APPROVAL
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 THIS PERMIT This application is not a permit until
relating to Workmen's Compensation Insurance. AUTHORIZES Signed by the Building Official or his Dep-
ONLY THE ut and fees are aid and receipt is ac-
NOTE: Peewit !- It I(71{n'e Vy� 0rr (((Except DE\IOLIT10N8 ahlch WORK NOTED y, p p
shall L'4 completed In weep pays/ I)kp xbf BUILDINGS shall be com. knowledged in space provided.
olete n Ix months.) I'! / '1 f 'I
(OWNEF O E ) E 816N — INSPECTION DIR TOR'S ATU
DEPARTMENT �
Had, I/ I CITY OF
ED51ONDS DATE"I MEMN"Mm �y
DTE: Applicant Subject to Plats Cbec ee PR daloz
This Permit covers work to be done on private properly ONLY.
Any construction on the public domain (curbs, sldow•nllcs, driveways,
marquees, etc.) will require separate permission.
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