740275.pdfPlan Check No .....................
CITY OF
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BUILDING
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NOTE: Appliraut S/IGject to Plan Cheek Fee
DBE PERMIT
74(12-7J
DAT
F
L PROPOSED USE
Applicant FW ZONE NUMBER Lill
BUILDING DEPARTMENT
PERMIT APPLICATION Inside Heavy Linos
PLUMBING
ADDRESS
This Penult en— work to ba done on p'Ivute property ONLY.
NAME (OR NAME OF BUSINESS)
PEItAIIBBIDLE �"s ACTUAL J
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PLAN (Indicate Building setback., abutting streets)
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A LINO A DRESS
YERAlItltlIDLE HEIGHT YItOI'OBED HEIGHT O i
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FENCE
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CITY TELEPHONE NUMBER ACTUAL LOT AREA TOTAL BLDG. AREA
SIGN
REQUIRED YARDS PROPOSED YARDS
tRETAINING
NAME FRONT BIDE REAR FRONT SIDE REAR I j
LEGAL LOT VARIANCE OR CONDITIONAL USE
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ADDRESS YES NO PERMIT NUMBER )
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PLANNING Ems. APPROVAL DATE:
SWIMMING POOL
IC
CITY TELEPHONE NUMBER
STREET R/W ty !
EXISTING STREET R/W ..........-FT. DEFICIENCY THIS PROPERTY
PRE -MOVE INSPECTION
NAME
COMP. PLAN ST. R/W ............FT. ............FT. aWl
EXCAVATION OR FILL
REMARKS Z
Od
ADDRESS
e�`7iGzL?— Usk �LjfiNlfT 7�'� la
I CHECKED BY
Y4 TELEPHONE NUMBER
TOTAL AMOUNT DUE
CITY
1 hereby acknowledge that I have read this application; that the In.
o SIZE SERVICE SIZE CLEARANCE CHECKED BY
V
STATE LICENSE NUMBER CITY LICENSE NUMBERtd '
I I I
(red agent of the owner. I agree to comply wltb city and .tate laws res"ATTENTION
REMARKS
Legal Description of Property (Show Below or Attach Four Copies)
APPLICATION APPROVAL
TYPE CONNECTION BY
(VERIFIED
1
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 Compensatloa Insurance.
PERC. TEST PERMIT NUMBER C '�
a I
signed by the Building Official or his Dep -
REMARKS m
ONLY TILE
uty; and fees are paid, and receipt Is ac -
shall be completed In ninety days; MOVED -IN BUILDINGS shall be core.
{VORK NOTED
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plated In six month..)
V
J FIRE ZONE TYPE OF CONSTRUCTION STREET IMPROVED
INSPECTION
IN L R'S S10N TU
YES ❑ NO
I
DEPARTMENT
SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP
RESIDENTIAL El 6r18 ❑YES NO
I
'
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NEW LINE PLAN CHECKED BY THIS SITE IS LOCATED IN THE CITY
IDMLOCAL SALES TAX
NON-RESIDENTIAL SIGN
501
DADD RETAINING REMARKS SHOULD BE CODED 31.04.
❑ DEMOLISH W,AIt.L�L
ALTER AVATE ®
[:]ORCFILL jUVCx..J.-..Ft.)
❑REPAIR PRE-MOVESWIM
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E]POOL
NUMBER OF STORIES F
NUMBER
DWELLING
I
NITS
Plan Check No .....................
CITY OF
BUILDING
/
NOTE: Appliraut S/IGject to Plan Cheek Fee
EDhIONDS
DAT
F
L PROPOSED USE
775-2525
PLUMBING
This Penult en— work to ba done on p'Ivute property ONLY.
U
aPLOT
Any construction un ilia public dorsal. (curbs, eldewalk., drlveways,
marquee., etc.) x911 require separate permlaslon.
!
PLAN (Indicate Building setback., abutting streets)
HEAT d: GAS LINE
O
FENCE
a
SIGN
tRETAINING
WALL
N
SWIMMING POOL
_
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE
1 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 -
(red agent of the owner. I agree to comply wltb city and .tate laws res"ATTENTION
APPLICATION APPROVAL
lating conatruetlon; 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 Compensatloa Insurance.
AUTHORIZES
signed by the Building Official or his Dep -
NOTE: Permit Limit One Year (Except DEMOLITIONS which
ONLY TILE
uty; and fees are paid, and receipt Is ac -
shall be completed In ninety days; MOVED -IN BUILDINGS shall be core.
{VORK NOTED
Imowledged In space provided.
plated In six month..)
SIGNATURE (OWNER OR AGENT) DATE SIGNED
INSPECTION
IN L R'S S10N TU
I
DEPARTMENT
CITY OF
s.-..----'_._----
/
NOTE: Appliraut S/IGject to Plan Cheek Fee
EDhIONDS
DAT
775-2525
This Penult en— work to ba done on p'Ivute property ONLY.
Any construction un ilia public dorsal. (curbs, eldewalk., drlveways,
marquee., etc.) x911 require separate permlaslon.
FILE