640127.pdfwj�. .
Permit
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I NUMBEI
PLAN FILM NUMBER
L A N r
BUILDING
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ItInes
PERMIT
64012-1
Lines
NUMBER
E S
JOB ADDRESS
OBID
EA
YARD
SIDE YARD
E
SET BACK
REAR YARD
'A Y
3F-R
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NUMBER
I�RTE
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NO
BUILDING A�REA
LOT AREA
VA ER
;W
EIGHT ALL BUILDING SETBACKS
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NOTE:
TO EAVE LINES
FO-RF REMARKS
W 33 M R B
6 Ll
11 HECK I
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Requ,1; N
ADDRESS Encroachment
rl Y I
Required ;r.
rl YES
1570
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NUMBER/ w
PERO. IT
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ZONE T 0
I WMEXI IMPAWYED
L L) 0 YES 0 No
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DEMOLISH
E]
ADD
E
ALTER
RESIDENTIAL
NUMBER OF
F
REPAIR
F�
NON-RES]
DWELLING
UNITS
I hereby acknowledge that I have read this application; that the in-
formation given 15 correct; and that I am the owner, or the duly author-
Ized agent of the owner. I agree to comply with city and state laws regu-
lating construction; and In doing the work authorized thereby, no person
will be employed In violation of the Labor Code of the State of Washington
relating to Workmen's Compensation insurance.
NOTE: PERMIT LIMIT ONE YEAR
FILE
0 YES
BUILDING
I
VALUATION
BUILDI r4o, PERMIT
2
FEE
PLUMBING
3
PERMIT FEE
HEAT & GAS LINE
4
PERMIT PEE
DEMOLITION
5
PERMIT FEE
6
AMOUNT DUE
ATTENTION
THIS PERMIT
AUTHORIZES
ONLY T13E
WORK NOTED
INSPECTION
DEPARTMENT
CITY OF
EDMONDS
PR 6.1107
I
I I t4l 7 .5-6 �
APPLICATION APPROVAL
This application is not a permit until
signed by the Director of Building Inspec-
tion, or his deputy; and fees are paid, and
receipt Is acknowledged In space provided.
UDI—RE TO ' BIG ATURE
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