640300.pdf4 1
Building Permit ApEll!c!aEt!
NAME (OR NAME OF BUSINESS)
—1p0eldlex -2?
MAILING ADDRESS
1 :? c'
ITY
L=
Ze.$' /r.- , 45
S-3) E
7
Cxv. Ar7l a
7— �2
Applicant Fill
Inside Heavy Lines
JOB AD?RES8
SIDE YARD
I
7
MPHONE N. MBI�ft USE ZONE
-:,7, 93-s-59 'T- / -)�
/7 k -14
1 TELEPHONE] NUMBER
9 �107-e'
M
NEW DEMOLISH
ElADD
El ALTER RESIDENTIA1. NUMBER OF
DWELLING
REPAIR NON-RESI UNITS
I hereby acknowledge that I have read thin application; that the In-
formation given In correct; and that I am the owner, or the duly author -
lied agent of the owner. I agree to comply with city and state laws rega-
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.
[INOTE-, PERMIT LIMIT ONE YEAR
FILE
Required
.rq
[] YES
[3 NO
BUILDING
I
VALUATION
BUILDING PERMIT
2
FEE
PLUMBING
3
PERMIT FEE
HEAT & GAS LINE
4
PERMIT FEE
DEMOLITION
5
PERMIT FEE
6
AMOUNT DUE
AT=NTION
THIS PERMIT
AUTHORIZES
ONLY THE
WORK NOTED
INSPECTION
DEPARTMENT
CITY OF
EDMONDS
PR 0-1107
PERMIT
NUMBER
0 1111!F— I El YES
ALL BUILDING BET13ACES
NOTE: TO EAVE LINES
I
0 NO
ON
E] YES [3 NO
6 0 e lop�j I
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.
DIRECTOXV-8,SIGNATURM
DATE
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