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6403,94
PLAN FILE NUM13ER
NG
'in
Building Permit Application
PERMIT
,risidle"can'
NUMBER
NAME (OR NAME OF BUSINESS)
JOB ADDRESS
Donald E. Finnimay)
8613 194th P1.
S. W.
MAILING ADDRESS SIDE YARDX or
I SET 13ACK
-AR YARD
I RE
530 Bell Street
CITY 'TELEPHONE NUMBER
USE ZONE
MAP NUMBER
VACANT SITE
WMp-- 1pr. B-4444
MYEB NO
Q
,Rlmonds.
BUILDING AREA
LOT AREA
VARIANCE NUMBER
Ron HolmyM13.
15
ADDRESS
I
HEIGHT
L BUILDING SETBACKS
NOTE: ATL
EAVE LINES
CITY
TELEPHONE NUMBER
RE
,
EdmorLds, Wn.
Z/,�9,4
410
NAME
Donald E, Finnigan
ADDRESS
Encroachment Permit
PERMIT NUMBE�KBTREET GRADE CHECK
530 Bell StTeet
Required
C] YES [-] NO
CITY TELEPHONE NUMBER
METER SIZE SERVICE SIZE CLEARANCE CHECF[ED BY
Edmonds, 17n. Pr, B-4444
I
STATE LICENSE NUMBER CITY LICENSE NUMBER
RE
223 01 0709800
ot�
LOT BLOCK TRACT
3 1 1 Maplewood Court
Lot 30 Maplewood Court, according to
TYPE CONNECTION
VE Y
n1at thereof recorded in volume 22 of
PERO. TEST
PERMITREER
Plats- pare 51), renords of Snoliondsh
FIRE ZONE TYPE OF CONSTRUCTION I STRF ET IMPROVED
I
Qniin+.y, Washinp:toh,
It/va/.7
le�Es [] NO
z
0
SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP
YES ffl_9�0
�T;l
PLAN CHECKED BY
02
WORK TO 13L DONE
NO. OF BLOGS. PERIBLOG. TOTAL FKK
z
BUILDING
VALUATION
BUILDING PERMIT
NUMBER OF STORIE
NEW DEMOLISH
2 FEE
fT ry
I
PLUMBING
ADD 2
3 PERMIT FEE
jr*
F] ALTER U %ER OF
I ALI RESIDENTIAL N
4 HEAT & GAS LINE
PERMIT FEE
D No
REPAIR NON-RESIDENTIAL UNITS
1:1 1:1 1
DEMOLITION
5 PERMIT FEE
PROPOSED USE
,Residanoe
6 AMOUNT DUE
I hereby acknowledge that I have read this application; that the in-
ATMNTION
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 regii.
THIS PERMIT
This application is not a perinit until
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
AUTHORIZES
ONLY THE
signed by the Director of Building Inspec.
relating to Workmen's Compensation Insurance.
WORK NOTED
tion, or his deputy; and fees are paid, and
PERMIT LIMIT ONE YEAR
receipt is acknowledged in space provided.
SIGNATURE (OWNER OR AGENT) DAT SIGNED
INSPECTION
DIRECTOR'S B;eWA.TURE
LNOTE:
A�7�d g. 1 1
5�6 4
DEPARTMENT
I
-05
�2
CITY OF
DATE
A
I I M
PLOT PLAN CHECK & APPROVEE�, EDMONDS
Z� I PR 6-1107
FILE
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