640263.pdf... . ....... ... .
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PLAN FILE NUMBER
BUILDING
64U263
10— Applicant Fill
Building Permit Applkati n
PERMIT
Inside Heavy Lines
NUMBER
NAME (OR NAME OF BUSINESS)
JOB
L
7.-57-
Sr Z5 4<-,)
,7
MAILING ADDRESS
SIDE YARD
SET BACK REAR YARD
CITY
TELEPHONE NUMBER
USE ZONE
MAP NUMBER
VACANT SITE
QM8 Al
Roe 6 - &12;_ r7
0 YES [3 NO
NAME
BUILDING AMEA
LOT AREA
VARIANCE NUMBER
X—D151
HEIGHT
L BUILDING 13ETBACHS
NOTE: TO EAVE LINES
CITY TELEPHONE NUMBER
NAM
ADDRESS
Encroachment Permit
PERMIT NUMBER STREET GRADE CHECKI
Required
0 YES 0 NO
14
CITY TELEPHONE NUMBER
METER SIZE SERVICE SIZE CLEARANCE CHECKED BY
STATE LICENSE NUMBER CITY LICENSE NUMBER
RXS
LOT BLOCK TRACT
its Q_,qf1V IjACTC.. Qiyj;11oA1
TYPE CONNECTION
VERIFIED BY
aecog)DJN�:ko pfiz
V
PERC. TEST
PERMIT 14UMBER
FIR13 ZONE TYPE OF CONSTRUCTION STREET IMPROVED
Of 0-A-F-50 P-96,F
NO
[3 YES
0
SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP
Elyode�mijtl Cou oq TV
oF
[] YES [:] NO
PLAN CHECKED BY
WORK TO BE DONE
NO. OF BLOGS. PER/BLOG. TOTAL FEE Z
BUILDING
I VALUATION
NUMBER OF STORIE
BUILDING PERMIT
2 FEE
'a
4
1 1
NEW DEMOLISH
El
PLUMBING
1
I
3 PERMIT FEE
ADD
ALTER r"%j RESIDENTIAL NUMBER OF
HEAT & GAS LINE
4 PERMIT FEE
DWELLING
REPAIR NON-RESIDENTIAL UNITS
DEMOLITION
5 PERMIT FEE
PROPOSED USE
6 AMOUNT DUE
I hereby acknowledge that I have read this application: that the In-
ATTENTION
APPLICATION APPROVAL
formation given is correct: End that I am the owner, or the duly author-
ized
agent of the owner. I agree to comply with city and state laws regu-
THIS PERMIT
This application Is not a permit until
lating construction; Bad In doing the work authorized thereby, no person
the State Washington
AUTHORIZES
igned by the Director of Building Ins
S pec-
will be employed in violation of the Labor Code of of
ONLY TILE
relating to Workmen's Compensation Insurance.
WORK NOTED
tion, or his deputy; and fees are paid, and
NOTE: PERMIT LIMIT ONE YEAR
receipt is acknowledged In space provided.
SIGNATURE (OWNER OR AGENT) DA E SIGNED
INSPECTION
DIRE RE
DEPARTMENT
_5;ORYBIGNATU
LL aw L�.&
CITY OF
F V
EDMONDS
DATE
PLOT PLAN CHECK & APPRO�
�7//
PR 6-1107
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