650104.pdf............
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Building Permit Application I Inside Heavy Lines
NAME (OR NAME OF BUSINESS)
JOB "DRESS
A - Q - S i.,,t 8 c L E
161-
MATT-ING ADDRESS
SIDE YARD
Ell
--USE _ZONE
CITY
TELEPHONE riuxd�h;ft
9DM CA/ Q9
171
m
NAME
13UILDING Aifft,
_TA iv7 L-
HEIGHT
ADDRESS
CITY
TELEPHONE NUJU��
REMARKS
NAM
EncroMment Peru
Required
0 YES rl N1
TEJ[�EPHONE NUMBER
METER SIZE I BE
j_:�Oil,OIVOS SEAVi
0 YES
WORK TO BE DONE
CoA)s: —IRLLCT cou&R&D QL-C-hr,
BUILDING
I
VALUATION
BUILDING PERMIT
NUMBER OF STOWES
F1NEW DEMOLISH
2
FEE
PLUMBING
3
PERMIT FEE
ADD
—
HEAT & GAS LINE
ALTER RESIDENTIAL NUMBER OF
4
PERMIT FEE
EMOLITION
DWELLING
UNITS
REPAIR NON-RESIDENTIAL
5
PERMIT FEE
:514 A) D L C K
6
AMOUNT DUE
ATTENTION
I hereby acknowledge that I have read this application; that th In-
formation given In correct; and that I am the owner, or the duly alor.
lzed agent of the owner. I agree to comply with city and state laws regu-
THIS PERBUT
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 Workmen's Compensation Insurance.
WORK NOTED
NOTE: PERMIT LIMIT ONE YEAR
INSPECTION
SIGNATURE (OWNER OR AGENT) DATE SIGNED
DEPARTMENT
I
CL, 313 0 /6_�_
CITY OF
EDMONDS
PLOT PLAN CHECK APPROVE
Z,5�� :71)"
PR 6-1107
PERMIT
NUMBER 650104
0 YEB
ALL BUILDING SETBACKS
NOTE: TO E&VE LINES
or
I
NO 0
FB _ER
ow
i: CHECK
Z
00
PROVED
YES [3 NO
TOTAL
In
1 1. _<, 0 0 1
APPLICATION APPROVAL
This application is not a perntit until
signed by the Director of Building Inspec-
tion, or his deputy; and fees are paid, and
receipt is acknowledged in space provided.
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