650026 (2).pdfPermit
75A�MEOF 13UI
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Applicant Fill
inside Heavy Lir
1�
/0-
0100
Required
M YES
NEW
Li D2rwoLjSH
d
ADD
ALTER
R&SIDENTIAL
NUMBER OF
DWELLING
REPAIR
Fl I�
UNITS
NO
0 YES E] NO
I hereby acknowledge that I have read this application; that the In-
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 End a late laws regu-
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
SIGNATURE (OWNER OR AGENT) DATE SIGNED
I z(2- �Z - - - 1 -1
otoom
;BUILDING
PERMIT
N I
UMBER 65570026�
0 YEE;
ALL BUILDING SETBACKS
NOTE: TO HAVE LINES
0 NO
a
Z
N
0 YES [3 NO
NO. OF BLOCS.
PERIBLDG..
TOTAL PIKE
BUILDING
1
VALUATION
2
BUILDING PERMIT
FEE
PLUMBING
3
PERMIT FEE
HEAT & GAS LINE
4
PERMIT FEE
5
PERMIT FEE
6
AMOUNT DUE
4xz."
ATTENTION
APPLICATION APPROVAL
THIS PERMT
This application is not a permit until
AUTHORIZES
ONLY THE
WORK NOTED
signed by the Director of Building Inspec-
tion, or his deputy; and fees are paid, and
receipt is acknowledged in space provided.
INSPECTION
CTOR' GNATURE
DEPARTMENT
/IPY7 V
CITY OF
EDMONDS
7
ATE
7
PH 6-1107
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