650029 (2).pdf--- --- . ........
Permit
J�
NAME (Oft NAME OF BUSINESS) JOB ADDRESS
-b &,)' A -- C / :2- e, —
ftkoo t
-�LaNG ADDRESS SIDE YARD_ SET BACK ,
E
=17)
-rZZ; --6 -7�
TELF USE,,)ZON MAP NUMBER
jPHONE NUMBER
0&.� J� - ') 6 6 0
I A 15
7 4
NA
0
8-
ST
LC
Z
C5
I
0 Cc)
� 0 t$
r 7
I 1- -4/ 0 C—
NEW
DEMOLISH
ADD
1
-
ALTER
RESIDENTLILL
NUMBER OF
0
REPAIR
NON-RESIDENTIAL I
DWELLING
UNITS
I hereby acknowledge that I have read this application; that the in.
formation given In 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 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!a Compensation Insurance.
NOTE: PERMIT LIMIT ONE YEAR
I
FILE
&J
ALL BUILDING SETBACKS
NOTE: TO EAVE LINES
REMAJWS
PWI-01
p
Encroachment Permlt,�" PERMIT NUMBER STREET GRADE CH=Kld
Required -
a YES [3 NO
METER 13IZE CLEARANCE CHECKIC BY
SERVICE SIZE
REMARKS
TYPE CONNECTION
VERIFIED BY
PERO. TEST
PERMIT NUMBER
FIRE ZONE TY rION STj �TIMFMOVED
0 YES [3 NO
SPECIAL INSPECTOR REQUIRE[D OCCUPANCY GROUP
YES NO
PLAN CHECKED BY
NO. OF ELDGM. PWRIBLEG. TOTAL 1109
BUILDING
VALUATION
-07-/
BUILDING PERMIT
2 FEE
PLUMBING
3 PERMIT FEE
HEAT & GAS LINE
4 PERMIT FEE
DEMOLITION
5 PERMIT FEE
6 AMOUNT DUE
ATTENTION
APPLICATION APPROVAL
THISPERMT
This application is not a permit until
AUTHORIZES
signed by the Director of Building Inspee-
ONLY THE
WORK NOTED
tion, or his deputy; and fees are paid, and
receipt to acknowledged in space provided.
INSPECTION
'S 81 NATURE
DEPARTMENT
,WRECTOR
CITY OF
EDMONDS
ATE
PR 0-1107
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