640283.pdfr777
9
EL66
Fin
Lines
I 1111,011zoldf
I -
// _: 5, / - � � - Z'-4
Required
n YES
NEW
9
EL66
Fin
Lines
I 1111,011zoldf
I -
// _: 5, / - � � - Z'-4
Required
n YES
NEW
LIL--Jt— DEMOLISH
1:1 ADD
I
I
FIALTER
F-1 RESIDENTIAL
NUMBEIR OF
I
F-1 REPAIR
F� NON-RESIDENTIAL
DWELLING
I UNITS
I hereby acknowledge that I have read this application; that the in-
formation given to 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 r3gu-
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
CHECK &
FILE
je�l yr,--16
[3 YES
[3 NO
BUILDING
I
VALUATION
BUILDING PERMIT
2
FEE
PLUMBING
3
PERMIT FEE
HEAT & GAS LINE
4
PERMIT FEE
DEMOLITION
1-1.MIT FEE
6
AMOUNT DUE
ATTENTION
THIS rERIMT
AUTHORIZES
ONLY THE
WORK NOTED
INSPECTION
DEPARTMENT
CITY OF
EDMONDS
PR 6-1107
PERMIT
NUMBER
7
640283
REAR YARD
VACANT SITE
13 YES
,OT AREA VARIANCE
$k
ALL BUILDING BET33ACKS
NOTE: TO EAVE LINES
al Z
Z
0 YES El No
;2,
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 aclmowledged In space provided.
WIT. Official-
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