710451.pdfNUMBER OYv
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ON KROLL MAP NO.!
BUILDING DEPARTMENT Applicant Fill
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PERMIT APPLICATION Inside Ilea`,' Lines JOB
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ADDliESS
2361 5-79th Ave
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NAME (OR NAME OF BUSINESS)
Dick Wagger
81DE YARD SETBACK I STREET SETBACK
YARD SETBACKWMAILING
ADDRESS
ZREAR
14709 28th N. E.
UBE ZONE LOT AREA T SITffi
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I ❑ YES ❑ NO
C
CITY
TELEPHONE NUMBER
Seattle I Wn
HEIGHT... I BUILDING AREA I VARIANCE NUMBER N
NAME -
PLOT PLAN APPROVED
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F ADDRESS
STREET R/W
EXISTING STREET R/W ...........
FT. - DEFICIENCY THIS PROPERTY
TELEPHO
CITY NE NUMBER
COMP. PLAN 8T. R/W ............FT.
.........FT•
CyLf
REMARKS
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NAME
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Advance plumbing & Heating Inc
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ADDRESS
12Q9 N E. 125th St
BY
OITY TELEPHONE NUMBER
(CHECKED
F.
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Seattl@. Wn Em 4-1960
METER SIZE SERVICE SIZE
CLEARANCE
CHECKED BY
8TATE LICEN E NUMBER - CITY LICENSE NUMBER
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D16Q66 _w
REMARKS
Legal]Description of Property (Show Below or Attach Four Copies)
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-
TYPE CONNECTION _
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VERIFIED BY
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PERMIT NUMBER
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PERC. TEST
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REMARKS
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7
FIRE ZONE TYPE OF CONSTRUCTION STREET IMPROVED
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❑ YES ❑ NO
,
,
SPECIAL INSPECTOR REQUIRED
OCCUPANCY GROUP
❑YES ❑ NO
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❑:
RESIDENTIAL
❑ GAB
LINE
® NEW
PLAN CHECKED BY
ElNON-RESIDENTIAL
❑ BICN -
ADD RETAINING..._
REMARKS
ElDEMOLISH
;r WALL
ALTER
EXCAVATE
El FENCE
❑ ORFILL(......... .x.......... Ft.)
REPAIR ❑ PRE -MOVE SWIM
INSP. POOL
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NUMBER OF STORIES
NUMBER OF
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DWELLING
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UNITS 4
NATU E OF WORK TO BE DONE
Valuation
Fee
Receipt No.
Plumbing installed in new apt
Plan Check No ...................
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BUILDING
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�PROPOSED
USE
PLUMBING
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PLOT PLAN (Indicate Building setbacks, abutting streets)
HEAT A GAS LINE
FENCE
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SIGN
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RETAINING WALL
N
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SWIMMING POOL
1rt1 i J
DEMOLITION
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PRE -MOVE INSPECTION
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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-
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 Workman's Compensation Insurance.
AUTHORIZES
signed by the Building Official or his Dep-
NOTE: Permit Limit One Year (Except DEMOLITIONS which
ONLY THE
WORK NOTED
ut and fid and receipt is ae-
y, ees are pap
shall be completed In ninety days; MOVED -IN BUILDINGS shall be com.
knowledged in space provided.
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pleled In el onths.)
81GNAT RE ( WNERAGENT) DATE IGNED
INSPECTION
DEPARTMENT
D OA'8 8I T
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CITY OF
EDDIOND$
DATE
NOTE: Applicant Subject to Plan Check Fee
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PR 6-1107
This Permit covers work to be done on private property ONLY.
Any construction on the public domain (curbs, aldewalks, driveways,
FILE
marquees, etc.) will require separate permission.
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Drainage ---_-----��
Sewer ----�-----
PeNng -----
Landscaping
Fire Dept.
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