650107.pdfIml
ppliCUtion Ipplicant I
Perm" naide Heavy Lines
PLAN FILE NUMBER
BUILDIN4
PERMIT
NUMBER
OF 77138)
JOB ADDRESS
SIDE YAP
SET BACK
/.!>
7�
(nj�nVV" NUMBER
NE
us �Po
M" NUMBER
Required
TELEPHONE NUMB 0 YES 0 NO
METER SIZE I SEE
V.;
TYPE CONNECTION
PERC. TEST
FIRE ZONE TYPE 0
-3
SPECIAL INSPECTOR R
fro
0 YES
PLAN CHECKED By
WORK TO SIM DONE
BUILDING
VALUATION
L4 2
BUILDING PERMIT
14 UMBER OF S ES
El NEW Lj Dimorasi
2
FEE
PLUMBING
I
3
PERMIT FEE
4
HEAT & GAS LINE
PERMIT FEE
EIIALTER RESIDENTIAL NUMBER or
DWELLING
WREPAIR I NON-RESIDENTrAL U�FITS
DEMOLITION
5
PERMIT FEE
USE
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-
Ized. agent of the Owner. I &me to comply with city and "to laws roffu-
TH18 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 Workmen's Compensation Insurance.
WORK NOTED
NOTE: PERMIT LIMIT ONE YEAR
DATE SI ED
INSPECTION
7
DEPARTMENT
_;7
CITY OF
EDMONDS
PLoTPLXN APPROVED
CIC
/ I/
PH 6-1107
F74W5
I
650107
E3 YES
ALL BUILDING SETBACKS
NOTE: TO EAVE LINES
WIN 0
0 YES [3 NO
q.
-4/1 do
APPLICATION APPROVAL
This application is not a pemiit until
signed by the Director of Building Inspec-
tion, or his deputy; and fees are paid, and
receipt Is aelmowledged in space proN
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