710394.pdfto
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C.,
..e POSTED ON KROLL MAP NO,: PERMIT .1 So
l BUILDING DEPARTMENT Applicant Fill I I""`B� 710394 {o
PERMIT APPLICATION Inside Heavy Linos ,OB ADDRESS
•.k NAME (OR N E OF BUSINESS)YFW
+: &•C. �O�J �� SIDE YARDSETBACK STREET SETBACK REAR YARD SETBACK
MAILING ADDRESS
or 930� 04Ym>f'i ' YeQ)te •
U/B�E ZONE LOT AREA VACANT SITID •�
f G CITY 'TIELEP�g NE NUMBER C� •� / 2� I I ❑ YES ❑ NO
Lr m onZS 7l'Y- 803
HEIGHT BUILDING AREA VARIANCE NUMBER I
NAME o r. I r,'
ty PLOT PLAN APPROVED 1
oo.O f
ADDRESS (c '
STREET R/W 1
pi CITY TELEPHONE NUMBER EXISTING STREET R/W ............FT, DEFICIENCY THIS PROPERTY y
COMP. PLAN 8T. R/W ............FT. ... _.......
FT. -.
REMARKS
NAME
top
i el ADDRESS O 1
s/I O S CHECKED BY i,
CCIITY1/^r w' •� •�T�ELEEPHONE NUMBER
•
/ i/Y/V �OQYJ I /6 6)/yMETER SIZE
E SERVICE SIZE CLEARANCE CHECKED BY ,
1
8 STATE LICENSE NUMUNH CITY LICENSE NUMBER
38G :I
d C2 -D REMARKS I I I 1
Legal Description of Property (Show Below or Attach Four Copies) i
.v
RESIDENTIAL O LINE GAB ❑ YES ❑ NO
NEW PLAN CHECKED BY
NON-RESIDENTIAL ❑ SIGN
ADD ❑ RETAINING
NINE REMARKS
DEMOLISH
.3CE
.LTER ❑ ORCFILL AVATE ® c�..fa..s�O°kt.)
❑ REPAIR u N PPRE-MOVE SWIM n POOL
DWELLING
UNITS
s
T
N
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-
Ized agent of the owner. I agree to comply with city and state laws regu-
lating construction; and In doing the work authorized thereby, no parson
will be employed In violation of the Labor Code of the stale 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.)
WI I=
:;241/
NOTE: Applicant Sub#ct to Plan Check Fee
This Permit coven work to be done an private property ONLY,
Any construction on the public domain (curbs, sidewalks, driveways,
marquees, etc,) will require separate pevminlon,
G�
Plan Check No, ... _...............
BUILDING
PLUMBING
HEAT & GAB LINE
FENCE
SIGN
RETAINING WALL
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
, Q,M_ , 1)
ATTENTION
THIS PERMIT
AUTHORIZES
ONLY THE
WORK NOTED
INSPECTION
DEPARTMENT
CITY OF
ED51ONDS
Pit a-1107
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 aco, j
knowledged in space provided.
D I'OR'8 GNAT
DATE t"% y / -7 ///7
e Ps
BILE