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'LAN FILE NUM13ER BUILUMU
PERMIT 640467
Applicant Fitl
ng Permit A ication Inside Heavy Lines
Build! POO
NUMBEF
I
NAME (on NAME 0FRUSINESS)
JOB ADDRES51
�; /��/ / .4 47eA-17
;/L
V
MAILANU A.UJUISNbb
SIDE YARD BET BACK REAR YARD
—CITY
IrAujNPHONE NUMBI!;R
ON
USE Z E
MAP NUMBER
VACANT SITE
NO
NAME
BUILDING AREA
LOT AREA.,9
VARIANCE NUMBER
/71AI-77e-
I I
41
ADDRESS
HEIGHT
ALL BUILDING SETBACKS
NOTE:
N
TO EAVE LINES
CITY TECEPHONE VUMBERR
MR —ARKS
4�,
NAME
ef:!
99
ADZ&
Encroachment Permit PERMT17 NUMBER STREET GRADE CHECK
Required
rj YES n NO
i-ELEPRONE NUMBER
METER SIZE SERVICE SIZE
LEARANCE CHECKED BY
SE NUMBER
CITY LICE1413E INUM"Ekt
REMARKS
LOT BLOCK TRACT
c
RC. TEST PERMI� NUX�ER
C] YES
BUILDING
VALUATION
BUILDING PERMIT
2
FEE
ErNEW
DEMOLISH
NUM13ER OF STORIES
PLUMBING
ADD
3
PERMIT FEE
4
HEAT & GAS LINE
PERMIT FEE
ALTER
REPAIR
n77RESIDENTIAL
NON-]
NUM13ER or
DWELLING
UNITS
5
DEMOLITION
PERMIT FEE
PRO USE
,��D
V
6
AMOUNT DUE
I hereby acknowledge tb_,�Ki have read 49,�Xapplleatlon; that the In-
formation given Is correct; and that I am the owner, or the duly allthor-
ATTENTION
Ized agent of the owner. I agree to comply with city and state laws regu.
THIS PERMIT
lating construction; and in doing the work authorized thereby, no person
AUTHORIZES
will be employed In violation of the Labor Code of the State of Washington
ONLY THE
relating to Workmeu*s Compensation Insurance.
WORK NOTED
NOTE: PERMIT LIMIT ONE YEAR
INSPECTION
DEPARTMENT
CITY OF
EDMONDS
PR 6-1107
DATE SIGNED
PLOT PLAX CHE9�r.0eAPPR6VED
FILE
f
OF 011.005.
di�Es 13 NO
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.
D)IRECTT
.9,:,V,j7IGNATURE
M
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