750028.pdf' UBE PERMIT
BUILDING DEPARTMENT Appileant FillzO NUMBER 750028
PERMIT APPLICATION Ineldo Heavy Linos jon
ADDRESS 24305 -78th Place West
NAME IOR A Id
PERMI88 OLE /. ACT AL
fY\ACTat IMVGSTMFMTS—Imnarial Mortoace LOT COVERAGE LOT COVEiFAOE
I JeaTT I e r10 S11I 1141 vet
NAME
FRONT BIDE REAR FRONT HIDE - REAR
RIA NDITIONAL U8E
LOT NCE
EADDRESS
YE8 NO PkA'IT NUMBER
IPLANNlN6
DEPT. APPROVAL DATE:
O
CITY
TELEPHONE NUMBER
I tae
STREET R/\V
EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY
NAME..FT.
COMP. PLAN BT. R/W ............Fr. ..........
REMARKS
CC ADDRE88
U
DY
9ICHECKED
CITY
TELEPHONE NUMBER
z
V
I METER SIZE I SERVICE SIZE I CLEARANCE I CHECKED DY
k 2. Lake Ballinger
0
Valuation
Fee
Receipt No.
.,
COMPLIANCE INSPECTION
I-Inmag
I tae
Add
PERC. TEST
[p
6, PROPOSED USE
V
PLUMBING
REMARKS
W
O
V
aPLOT PLAN (Indleato Building setback., abutting streets)
HEAT & GAS LINE
V
C
FENCE
S
FIRE ZONE I TYPE
RETAINING WALL
SPECIAL INSPECTOR
N
El6AS[IYE8
0 NO
PLAN CHECKED BY
NEWNON-RESIDENTIAL
L...I.E.TIAL
SWIMMING POOL
El
SIGN
-
I
ADD
DEMOLITION
F]yEALL
REMARK9
PRE-161OVE INSPECTION
E]
DEMOLISH
KING
EXCAVATION OR FILL
ALTER
EXCAVATE❑
FENC
ompliance Ins a
tion
25.00
❑
x..........Fl.)
25.00
REPAIR
I hereby acknowledge that I have read this application; that the In-
OSplit
formatlon given is correct; and that I am the owner, or the duly author.
IN PMOVE
POOL
I.ed agent of the owner. I agree to comply with city and state laws regu-
NUMBER OF STORIES
NUMBERI
luting ....'ruction: and In doing the work authorised thereby, uo person
will be employed In Violation of the Labor Code of the State of Washington
NGF
This application is not a permit until
relating to Workmen's Compeneatloa Insurmce.
AUTHORIZES
signed by the Building Official or his Dep -
UN ELL
ONLY THE
WORK NOTED
uty; and fees are paid, and receipt is ac
—
YES ❑ NO
OF EDMOND5. LOCAL SAL[] lAA
SHOULD BE CODED 31.04.
i
I
I
NATURE OF WORK TO BE DONE
Valuation
Fee
Receipt No.
.,
COMPLIANCE INSPECTION
Plan Cheek No.
BUILDING
[p
6, PROPOSED USE
PLUMBING
V
aPLOT PLAN (Indleato Building setback., abutting streets)
HEAT & GAS LINE
C
FENCE
S
BION
RETAINING WALL
N
SWIMMING POOL
-
I
DEMOLITION
PRE-161OVE INSPECTION
EXCAVATION OR FILL
ompliance Ins a
tion
25.00
TOTAL A31OUNT DUE
25.00
I hereby acknowledge that I have read this application; that the In-
formatlon given is correct; and that I am the owner, or the duly author.
I.ed agent of the owner. I agree to comply with city and state laws regu-
ATTENTION
APPLICATION APPROVAL
luting ....'ruction: and In doing the work authorised thereby, uo person
will be employed In Violation of the Labor Code of the State of Washington
TIDE PERMIT
This application is not a permit until
relating to Workmen's Compeneatloa Insurmce.
AUTHORIZES
signed by the Building Official or his Dep -
NOTE: Permit Limit One Year (Except DEMOLITIONS which
ONLY THE
WORK NOTED
uty; and fees are paid, and receipt is ac
shall be completed In bluely days; MOVED -IN BUILDINGS shall be cum-
knowledged in space provided.
plctcd In Six month..)
81GNATV]LE (OIVN ER OR AGENT)
DATE SIGNED
INSPECTION
DI .11
TOR'S 3tiNATI� E• --•
Imperial Mortgage Co.I-24-75
DEPARTMENT
CITY OF
EDMO
DATE
NOTE: A(rplicmrt Subject to Plan Check Fee
775-2525
Tills Permit rovers work to be done on private properly ONLY.
Any construction on the public domain (curbs, sidewalks, driveways.
FILE
marquee., Ste.) w011 require separate permission.
"'""'-"' •" """" "' "" ""•'•'
1
Valuation
Fee
Receipt No.
i
-'. %""i- { /l.fii.: �- I (•I�iILf� l I O'i
t
_
i
Plan Check N
l�
� `
�-�-
PERMIT
NUMBER
BUILDING
BUILDING DEPARTMENTzoN
Applicant FIU
E
'1500 t�
yqn
PLUMBING
PERMIT APPLICATION I Instdo Heavy Lines
JOB
-
ADDRESS
PI Wes'I'
W PLOT PLAN (Indicate Building nethaeks, abutting streets)
BEAT & GAS LINE
;
i i
NAME (OR NAME OF BUSINESS)
2 )(/5-7i
��
j �
�:. _ ;
_ �:
' � .,
., ::.
...
...
� - :.
...
, � r'?, T. � �
. � � ,.
.. .
.:
..
,� :'
�; i
�
.,.
. _
��
;, ;
i :
.:
. ' ...
,.
... _.
��
� �
t�
.:
.� ..
...
�
1:'. ...... ...
.: �
.....
...
�
..... �
F Y
i
.. , �.. .. ..
.
... `... ....
f ..
., ,'
.: �,
(.i ;
I
'
� .-
'" ��.' ,
1'