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B U I L D I G DEPARTMENT Applicant Fill
PERmi APPLICATION Inside IleaYy Linos
NAME (Olt AME OF DUSINEBS)
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1,
.OLL MAP NO.:
PERMIT
NUMBER
710391
Sr.
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�[r,ion f-
,NNEL/ USE ZONE I LOT AREA YACANT BITB
C` I(GGTEYHONE NUMDI - ^-^•.T ❑
YES NO Z
113UILDING AREA I VARIANCE NUMBER
ADDRESS
F STREET R1W
V
EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY
a] CITY TELEPHONE NUMDER I COMP. PLAN ST. R/W ............FT. ............FT.
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0110
[(eofVIEW-
1 ADDRESS
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U ST E LI ENSE NUA
3
1 LegMI Des riptlon of P
S
or
RESIDENTIAL
❑
GAS
LINE
NON-RESIDENTIAL
❑
SIGN
DEMOLISH
❑
RETAINING
EXCAVATE
FENCE
OR FILL
(.......... x.......... Ft.)
PRE -MOVE
swim
INSP.
POOL
1IE8
NUMBER OF
DWELLING
I
UNITS
K TO BE DONE
--.1 1 _ X 14�'i IY' 17.,?
l0 C
M70
PERMIT NUMBER y
Mr
TYPE OF CO (STREET IMPROVED
[] YES ❑ NO
0 YES
Plan Check No.
BUILDING
PLUMBING
HEAT A GAS LINE
FENCE
SIGN
RETAINING WALL
N
1
SWIMMING Pool -
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE
hereby
acknowledge that I have read this a.ppllcation; that the in-
o
given to correct; and that I am the owner, or the duly author-
t of the owner. I agree to comply with city and state laws regu- ATTENTION
c
netructlon; and in doing the work authorized thereby, no person
employed
In violation of the Labor Code of the State of Washington THIS PERMIT
to Workmen's Compensation Insurance. AUTHORIZES
ONLY THE
LNE
: Permit Limit One Year (Except DE51OLITIONS which WORK NOTED
e
completed in Wooly days; MOVED -IN BUILDINGS shall be com-
t
six months.)INSPECTION
RE (OWNER OR: DATE SIGNED DEPARTMENT
2AGNT) �J
I CITY OF
EDMONDS
NOTE: Applicant Subject to Plan Check Fee
PR 6-1107
Thl
Permit covers work to be done on private property ONLY.
Any
construction on the public domain (curbs, sidewalks, driveways,
marquees, etc.) will require separate permission.
THIS SITE IS LOCATED I" 7N E
RY OF EDMON
TAX SHOULD BE COD&D 3 i
Fee
IN'00I
No.
APPLICATION APPROVAL
This application is not a permit until
signed by the Building Official or his Dep-
uty; and fees are paid, and receipt is ac-
knowledged in apace provided.
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( i RECORD OF INSPECTIONS v: '
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i Date Passed
r Foundation
< ( Plumbing (Partial) x,
(Rough) 7
Frame a.
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Furnace & Fuel Lines
Final
RECORD OF:INSPECTIOI�S .} ,
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e r iry , j 1, L Date Passed f
7JiQ Ge�4�J'' Drainages , f,,•
Sewer t R h
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Parking
Lardsc � ir►g"
, Fire Dept.
., -,° lb.
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