640133.pdfBuilding Permit
NAME (OR NAME OF 13L
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(if ADDRESS
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CITY
NAME
ADDRESS
CITY
NAME
Wa-CA
ADDRESS
CITY
STATE LICENSE NUMI!
Z
0
cm
LOT BLO
I 1 .47
4_4
9 C��"
Fin PERMIT
Lines NUMBER
JOB ADDRESB
_',? lieA�t _5w�.
Ir2- 2_'
21
Required
n YES n NO
V_
NEW
Lj DEMOLISH
F-1
ADD I
I
I
F]
ALTER
El RESIDENTIAL
NUM13ER OF
I
REPAIR I
F-1 NON-RESIDENTIAL
DWELLING
I UNITS
YES
BUILDING
VALUATION
BUILDING PERMIT
2
FEE
PLUMBING
3
PERMIT FEE
HEAT & GAS LINE
4
PERMIT FEE
DEMO TION
1
PERMIT FEE
6 1 AMOUNT DUE
YES
ALL BUILDING SETBACKS
NOTE: TO EXVE LINES
I E] YES
OCCUPANCY GROUP
�r ee�e_ —
J-0
I hereby acknowledge that I have read thin application; that the In-
AT=NTION
APPLICATION APPROVAL
formation given Is 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-
THIS PERMIT
This application is not a permit until
lating construction; and in doing the work authorized thereby, no person
AUTHORIZES
signed by the Director of Building Inspec.
will be employed In violation Of the Labor Code of the State of Washington
ONLY THE
tion, or his deputy; and fees are paid, and
relating to Workmen's Compensation Insurance.
WORK NOTED
receipt is aelmowledged in space provided.
NOTE: PERMIT LIMIT ONE YEAR
UGN OR AGENT) NED
RE
INSPECTION
DEPARTMENT
DIIHMMECTOR' NATURE
_4T.qRE
CITY OF
DATE
EDMONDS
P1
"TC�aECVV A R07 I '
PR 6.1107
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