740437.pdfyh ADDRESS 8 C] NO P RMIT NUMBER
J[N6 PT. OVAL D
C CITY T PHONE/NUMBER
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' r(� ING STREET R/W ....�a... DEFICIENCY THIS PROPERTY
NAME COMP. PLAN ST. R/W n/U .
L,ti rte— REMARKB Driveway slopes not to exceed those
AODR indicated on Standard Dwg. No. 103.
CHECKED Y
C CITY TELEPHONE NUMBER ''�r��//tt
V _ METER BILE I SERVICE SIZE I CLEARANCE I CHE D Bf�iT Y—
L♦
aluation
Vim,,
Fee Rceelpt No.
FIRETYPE
ON BTT IMO NO
OF CON�TRUCt'AREB
Pln Cheek N . ..............
n .......
�j
3 7�
t_.
SPECIAL INSPECTOR
❑ YES
• GUIRE,Dw,f!
WI O
I OCCUPANCY GROUP
— T I
�/
NEN
u RESIDENTIAL
�
GAS
LINE
PLAN CHC
E
D S LOCATED IN THE CITY
THIS SITE I
ADD
ALTER
REPAIR
°�
NUMB R 74043
SIGN
KING
(..........x........_n.)
am
POOL
/
I t.CA/ OHOULD BE CODED 3A04.SALES TAX
ARRB
BUILDING DEPARTMENT
AppllN.ntFill
f
HEAT & GAS LINE
PERMIT APPLICATION
Inside Heavy Linea
JOD
-
FENCE
nDDnEss
SIGN
N AM of auetxee >
RETAINING WALL
N
PERMISSIBLE 7.
ACTUAL
SWIMMING POOL
IAT COVERAGE
L LOT COVIAAOE 91
IL N S
PERMISSIBLE HEIGHT`
PRO SED
/
O
TUR
/ d
TOTAL AMOUNT DUE
ELEPHONE NUMB//NUMBERACTU
LOT A EA
TOTAL B D A .;A
formation given le correct; and that I am the owner, or the duly author-
t L�
REQUIRED YARDS
PROP SED ARDS
Ized agent of the owner. I agree to comply with city and .tate law. regu•
N /
APPLICATION APPROVAL
FRONT BIDE
REAR FRONT 81D
REAR
will be employed In violation of the Labor Code of the State of Wuhdngton
THIS PERMIT
5 `
.�
relating to Workmen'. Compensatlon Imuran".
AUTHOHIZES
signed by the Building Official Or his Dep -
LEO LOT VARIANCE OR CONDITIONA USE
NOTE: Permit Limit One Year (Except DEMOLITIONS which
yh ADDRESS 8 C] NO P RMIT NUMBER
J[N6 PT. OVAL D
C CITY T PHONE/NUMBER
< �11
' r(� ING STREET R/W ....�a... DEFICIENCY THIS PROPERTY
NAME COMP. PLAN ST. R/W n/U .
L,ti rte— REMARKB Driveway slopes not to exceed those
AODR indicated on Standard Dwg. No. 103.
CHECKED Y
C CITY TELEPHONE NUMBER ''�r��//tt
V _ METER BILE I SERVICE SIZE I CLEARANCE I CHE D Bf�iT Y—
L♦
•,"' ,u V • •' `V➢`
aluation
Vim,,
Fee Rceelpt No.
FIRETYPE
ON BTT IMO NO
OF CON�TRUCt'AREB
Pln Cheek N . ..............
n .......
�j
3 7�
1
SPECIAL INSPECTOR
❑ YES
• GUIRE,Dw,f!
WI O
I OCCUPANCY GROUP
— T I
�/
NEN
u RESIDENTIAL
�
GAS
LINE
PLAN CHC
E
D S LOCATED IN THE CITY
THIS SITE I
ADD
ALTER
REPAIR
NON-RESIDENTIAL
❑ DEMOLISH
❑ EXCAVATE
OR FILL
❑ PNIPTIOVE
0
ElWALL
F-1FENCE
❑
SIGN
KING
(..........x........_n.)
am
POOL
/
I t.CA/ OHOULD BE CODED 3A04.SALES TAX
ARRB
SU/c7�•-1,J� ,J� O�� S/JV I/✓.1i�+ e'Y/
(UMBER OF STORIES NUMBER OF
DWELLING
�( UNITS
tT�
PLOT PLAN (Indicate Building setback., abutting streets)
HEAT & GAS LINE
•,"' ,u V • •' `V➢`
aluation
Vim,,
Fee Rceelpt No.
r t:-%✓ , C�
Pln Cheek N . ..............
n .......
�j
3 7�
1
L
BUILDING
,
1
(O
4 PROPOSED USE
�a.
PLUMBING
tT�
PLOT PLAN (Indicate Building setback., abutting streets)
HEAT & GAS LINE
r itd
3)
FENCE
SIGN
RETAINING WALL
N
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
/ d
TOTAL AMOUNT DUE
I hereby acknowledge that I have rand this appllcallon; that the in -
formation given le correct; and that I am the owner, or the duly author-
Ized agent of the owner. I agree to comply with city and .tate law. regu•
ATTENTION
APPLICATION APPROVAL
lacing con.trvetlen; and In doing the work authorized thereby. no person
will be employed In violation of the Labor Code of the State of Wuhdngton
THIS PERMIT
This application is not a permit until
i
relating to Workmen'. Compensatlon Imuran".
AUTHOHIZES
signed by the Building Official Or his Dep -
NOTE: Permit Limit One Year (Except DEMOLITIONS which
ONLY TIE
uty; and fees are paid, and receipt i8 ac -
.hall be completed In ninety day.; MOVED -IN BUILDINGS shall he "m•
WORK NOTED
Imowledged is apace provided.
plcted In eta rponlhe,)
-
S1G TUIt t {VN OR �)
DAT 816 ED
INSPECTION
IRE R. BI ATU
DEPARTMENT
/
CITY OF
NOTE: Applicdn! uhject !o P/aD Check Fee
EDMO"S
ATE
— Q
775-2525
j�
This Permlt corers work to be done on prlvate property ONLY.
Any een.l ntrllnn on the public dmm�ln Icnrbe, sidewalk., drirew'.y.,
{
r,ri.r.•, .•1�.) .. bl rr�inl n• snn. r+N,• I-.rnd..lnn.
I FILE
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