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ADDRESS
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YES
CITY
TELEPHONE
NUMBER
METER 81
SW-1veNki;57 K/As-/4
I-A-,15-
STATE LICENSE NUMUNIt
Ci E
ISE NUMBER
MARK
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LOT BLoCK TRACT
WL6 I of LO�C nu� C'-e �_()A-s
—id
TYPE COD
-2- r7 " C_ (C
NEW LJ DEMOLISH
ADD 1-1 1
ALTER RESIDENTIAL rld ER OF
W'E ING
E I
IT
r REPAIR F� NON-RESIDENTIAL UNIT
I hereby acknowledge that I have read this applicat n; that the In-
formation given Is correct; and that I am the owner, or a duly author-
Ized agent of the owner. I agree to comply with city and late laws regu.
lating eo� traction; and In doing the work authorized th reby, no person
will be employed in violation of the Labor Code of the State of Washington.
relating to WorkmeWs Compensation Insurance.
NOTE: PERMIT LIMIT ONE YEAR
OWIA
0 YES
FEIM
It
BUILDING
VALUATION
BUILDING PERMIT
2
FEE
PLUMBING
3
PERMIT I=
HEAT & GAS LINE
4
PERMIT FEE
DEMOLITION
5
PERMIT FEE
6
AMOUNT DUE
ATTENTION
THIS PERM[IT
AUTHORIZEB
ONLY THE
WORK NOTED
INSPECTION
DEPARTMENT
CITY OF
EDMONDS
PR 0-1107
BUILDING
PERMIT
NUMBER A4014A
1�%EAR YARD
VACANT 151'119
[3 NO
_,OT AREA CMNCE NUMBER
ALL 13UILMING SETBACKS
NOTE: TO EAVE LINES
MMER STREET GRADE CHECK
A CHEiQ[FD 33Y
VE D Y
PERMIJ."71IR
rION 13TREIDT IMPROVED
0 YES NO
OCCUPANCY GROUP
)GIs.
PERMLOG.
TOTAL FER
r16
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.
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APPU
CATION & (711ILOING PERMIT Appl. No. Z.V (/ ................
OF EDMONDS Building Department Permit limit� one year
j
with the accom-
APPuCATION is hereby made for a permit to construct the following work, in accordance
panying plans and specifications. Wo sets are submitted herewith for approval.
Off'st.
e new alter
A' �En
..... .... .. .... ... ................................................... Parking ......................
ai
Work repair .......
se zone ..... V�re
U
Occupancy ................................ Const. type ........................ .......................
)9e .................. ......... .
............ ..... �n .....................................
Address
...... ...... Septic tank, .... ............................................
P. Lot frontage ........................................ Area-
f ron . ...... 5.4 ......... r. side .......... ............ 1. side .............................. rear ....
.... ............................
Bldg. set -backs
d
........................................... .....................
Address. ........ Tel. No .......
......... 4 .......
Owner..��-
4
Builder..
aj .... ... ....... Address ..... e l. N n
.......... /�
Plans by ..... ...................... Address .................................................... Tel. No .............................
.......................................
.......................
2
......................
est 20 ft of Lot.23,, All of Lot 24., and East 20 ft. of Lot 25'
W
J,
k
Bloc 84, City of Ednionds
........................
ie
The above is a correct statement, and I agree to comply with �iil applicable Codes and State li gulatixiglhii
work.
-91:� ..... ..... Address ............................................ Date.3�zol
Signed Owner/Ag
to compliance with the ap,
PERMIT for the above work is hereby approved, subject to the above conditions, and
proved plans and specifications, and Building Department notations thereon.
M
f -) J5 ......... Recd. by.. . ............
Valuatibn � ......... ............. Permit fee. ...... .... ...
BuildingDepartment, By .............................. .......... ...... . ... t ........ Date ..... . . . ...... ...... ..............
This Permit does -not cover Plumbing, Sewer or Electrical installations.
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