640453.pdfr�
luilding, PermitAl
NAME (OR NAME OF BUSIN
MAILING JLDDRE135
oI"4�e.
I
NAME
ADDRESS
CITY
NAME
ADDRESS
7-7_.�7=77�7 1-7 .. !-�,7777r,
PLAN FILE NUMBER
BUILDING
PERMIT OT3
rication ,.`id`,P'H`e`xnv'y T in e i I NUMBER
JOB ADDRESS
SIDE YARD ET BACK REAn YARD
TELEPHONE NUMBba USE ZONE MAP NUMBER VACANT SITE,
7-J., 13 YES 0 NO
LOT ARE VARIANCE NUMBER,
AREA
BUMDINU A
HEIGHT ALL 13UMDING BEIMACKS
NOTE: TO EAVE LINES
TELEPHONE NUMBER REMARKS
Encroatchment Perralt PERMIT NUMBER STREET GRADE CHECK
Required
0 YES Cl NO
. I A
CITY
LEPHGNE NUMBER
METER SIZE SERVICE SIZEI CLEARANCE CHECKED HYL,
STATE LICENBEI NUMBER
CITY MCENSE NUMBER.
REMARKS
LOT BLOCK ITRACT
".RJ7MD BY
PERC. TEST NUMBER:
FIRE ZONE, T YPIP OF CONSTILUCTION: STREET, IMPROVED
bxEs��
SPECIAL INSPECTOR REQUIRED
0 CUPANCY OROUF
C
[3 YES, O:No
PLAN CHECKED.HY
—VO—RK TO BE DONE
NO. Of BLDGA.
PKRIBLOG.
TO TAL FKK'L:-"
BUILDING'
VALUATION
tm�
BUILDING PERMIT.
2
FEE
�2
NEW
F] DEMOLISH
NUMBER OF STORIE
PLUAMING
PERMIT FEE
ADD
4
HEAT L& GAS LINE
PERMIT FEE
ALTER
RESIDENTIAL
NUMBER OF
REPAI R
'�NO]WRESIDENTIAL
DWELLING
I�NITS�j
DEMOLITION
PERMIT FEE
PROPOSED USE
6
AMOUNT DUE
I h oreby, L acknowledge that I have read this application; that the In-
ATMNTION
APPLICATION APPROVALL
4
formation given is iorieat;'and that I am the owner, or the duly author-
I
''I I
"
ized agent of the owner. I agreeto comply with city and state laws regu-
I I
THIS PERBUT
L I , . I ��L . �
' - '
'
This'Rpplieetion is not a permit until
lating cotistriction; and In doing the work authorized thereby. no parson
AUTHORIZES
signed Lby the Director. Of Building inskii.
will.be employAd'M violation of the Labor Code of the State of Washington
ONLY THE
relating to Workmen's Compensation Insurance.
WORK NOTED
tion, or his deputy; and'fees are paid, and.
.
receipt is acknowledged In space pr6vid e
NOTE: PERMIT LIMIT ONE,YEAR
INSPECTION
SIGNATURE (OWNER Ft AGENT)
R , 4
"/;
DATE SIGNE
DIRECTOR'S. SIGNATURE
1- 1
olei
:04
DEPARTMENT
L
�Z'/
CITY OF
NZ....
o"
EDMONDS
PLOT PLAN -CHEC"rAPPROVED
Pa 6.1101
9
INSPECTOR
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