640134.pdfU
Fin
Lines
PERMIT
YES 0
,OT AREA VARIANCE NUMBER
ALL BUILDING SETBACKS lk
NOTE: TO EAVE LINES
ADDRESS Encroachment Permit PERMIT UMBER STREET GE.&DID ULMUX]rs
Required
M YES rl NO
NEW
DEMOLISH
ADD
I
ALTER
RESIDENTIAL
NUMBER OF
I
F� REPAIR
NON-RESIDENTIAL
DWELLING
I UNITS �/-
I hereby acknowledge that I have read this application; that the in-
formation given In 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 ragu.
luting 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 Inintrance.
NOTE: PERPT LIMIT ONE YEAR
51GNAT� DATE SIGNED
FILE
13 YES
MUL11
BUILDING
VALUATION
BUILDING PERMIT
2
FEE
PLUMBING
3
PERMIT FEE
HEAT & GAS LINE
4
PERMIT FEE
DEMOLITION
5
PERMIT PEE
a
AMOUNT DUE
ATTENTION
TIUS PERMIT
AUTHORIZES
ONLY THE
WORK NOTED
INSPECTION
DEPARTMENT
CITY OF
EDMONDS
PR 6-1107
L/��
[] YES . [3 NO
KRIELOG.. TOTAL FRE
I I Y_ 00 1
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 aelmowledged in space provided.
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