750319.pdf� I
BUILDING DEPARTMENT ONE NUMBS 750310
Applicant Fill —
PERMIT APPLICATION I Inside Heavy ImeB ,DB 71 Q,__�
ADDRESS
c F Kran
NAME (OR NAME OF BUSINEE;A
/ /
PE RMIHBIHLE
LOT COVERAGE
35 G
ACTUAL
I.OT COVERAGE `hom^
SrI\
MAILING ADDRESS
7. �rtttT_3
7 4 22 nl Y�—LL—r `
PERNIII38IBLE HEIGHT r
C
ACTUAL LOT AREA
PROPOSED HE'OR
TOTAL BLDG. /CITY/REQUIRED
CITY
YARDS
PROPO E YARDS
WW
LEGAL LOT VARIANCE OR CONDITIONAL USE
ADDRESS
Id YES [I NO PERMIT NUMBER
taw Ptn Vac 68th So.GAS
PLANNI7r DE 'pROVA DA
CITY
TELEPHONE NUMBEfi
I
STREET"/V�� //LL
EXISTING STREET R/V6/.2/!2/0/�nI5, DEFICIENCY PROPERTY
NAME
/^tTHIS
COMP. PLAN ST. R/Vh:...(5f::,FT. ..`J......FT.
San Juan Pool Corporation
C ADDRESS
0
S� 735 N. E. 198th
C CITY TELEPHONE NUMBER
F
Seattle 363-5151
I LLJ—U L7U—LJ I
Legal Dc.criptlon of Property (Show Below or Attach Four Copies)
Meadowdale Beach
0
Rik 000—D-02
w Th Ptn Lot 146 Ly WlY Co. Road
a
wt- fr R T.n
`t ISI
O.K. to connect into sanitary sewer
wl
SD lot and less N. 192.24 ft thof
FIRE ZONE TYPE OF CONSTRUCTION STREET IMPROVED
..T� ij�aa l� �cB ❑ xo
taw Ptn Vac 68th So.GAS
SPECIAL INSPECTOR REQUIRED
OCCUPANCY GROUP
I
RESIDENTIAL
YES
YO
❑PLAN
!/
I
L1 NEN
INE
CHECKED
THIS SITE IS LOCATED IN THE CITY
I i
NON-RESIDENTIAL❑
BION
.
OF LOCAL SALES TAX
ADD
RETAINING
7w
RA KS
OUEDMONDS.
SHLD BE CODED 31.04.
ElDEMOLISH WALL
❑
2-�
EXCAVATE❑ FENCE
/
700 e- /��SI%LA/
��
ALTER F-1OR FILL L.......... .......... Ft.)
'
SWIM
UREPAIR E] ❑ INSPPOOL
&,7)
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L
NUMBER ORSTORIES NUM 1F
6t) At� �rr,Xl
DWELLING
uCLACO95
I
6T
GJUNITS
(
NATURE OF WORK TO BE DONE
Valuation
Fee
Receipt No.
Install private swimming pool
Plan Check Na.. ..................
BUILDING
PROPOSED USE
PLUMBING
l
O
PLOT PLAN Indlcnto SUIW Ind eclbaclte, nnut[ing alrcete)
HEAT & GAS LINE
FENCE
i
['L
e:r
SIGN
RETAINING WALL
SWIMMING POOL
/ /�. Uu
DEMOLITION
/
/- x Is rj,4
PRE -MOVE INSPECTION
f�✓tr-1J�J
,
EXCAVATION OR FILL
-
I�
'��/•
171 f
TOTAL AMOUNT DUE
I hereby acknowledge that I have read this application; that the In-
t
formation given Is correct; and that I ame the owner, or the duly author-
Ized agent of the owner. I agree to comply with city and state law. 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 Weahmgton
TIHH 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 TILE
WORK NOTED
utyc and fees are paid, and receipt is ac-
_ —'---
.hall ba completed In ninety day.; MOVED -IN BUILDINGS shall be cam-
knowledged in space provided.
pleted In six months.)
BION U _(OWNER Olt AGENT) DATE SIGNED
INSPECTION
DIRECT BIG TUBE
/��/ ^ l ,/
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DEPARTMENT
z �4//�J `DC7 ✓ 7 ] -S
CITY OF
EDhiONDB
DAT
—
NOTE: Applicant Subject to Place Check Fee
775.2525
Tld. Permit coverswork to be done on private properly ONLY.
Any const "lethal an las public domain (rurbe, sidewalks, drlyeway.,
FILE
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