20050189.pdfI
DATE RECEIVED
CITY OF EDMONDS.
CONSTRUCTION PERMIT APPLICATION
0 NER NAME/NAME OF BUSINES
MAILING ADDRESS /
C.>
CITY ZIP TELEPHONE
NAME
PERMIT EXPIRES �0 IC�.
PERMIT f ..
NUMBER
JOB 1 SUITE/APT#
ADDRESS
PLAT NAME/SUBDIVISION NO. LOT NO LID N0,
LID FEE S
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP Approved E3
RW Permit Required 17
Street Use Permit Required 0
EXISTING PROPOSED Inspection Requited O
Sidewalk Required 13
REQUIRED underground OCWICAPW.. INSPECTInN :IQli ,li