650143.pdf12th FL. N.
Heater Ex
8'.
7 120th NEO
11
vA.2-6o88
902 12th jf� No
Required
NEW
LJ
DEMOLISH
ADD I
I
ALTER
F11
RESIDENTIAL
LER OF
=L
I
REPAIR
NON-RESMENTIAL
D NO
I 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.
lzed 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 Workman's Compensation Insurance.
NOTE: PERMIT LIMIT ONE YEAR
Water Heater Exchange
PLOT PLAN CHECK &
FILE
4-19-65
NO
0 YES Ej NO
BUILDING
1
VALUATION
BUILDING PERMIT
2
FEE
PLUMBING
3
PERMIT FEE
HEAT & GAS LINE
41
PERMIT FZE
JTI=IT
V
6 1 AMOUNT DUE
ATTENTION
THIS PERMIT
AUTHORIZES
ONLY THE
WORK NOTED
INSPECTION
DEPARTMENT
CITY OF
EDMONDS
PH 6-1107
PERMIT 650143
NUMBER
[] YES C3 NO
BUILDING BET13ACKS
NOTE: ATLOLEAV30 LINES
E3 YES [3 NO
rag
3s00
APPLICATION APPROVAL
This application to 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.
Al
"PLIGATIO BUILDING PEOr C, Appl. NOS' 111171.!�=14.911 .......
QT': CITY OF EDMONDS %IkRng Deparhmmt Permit limit, one year
1.'� L ;.l ri P
1 1 4
�,�..C;"Y,%AMCATION is hereby made for a permit to construct the following work� in accordance with the accomo
I Ft Q
ed herewith for approval.
1plans and specifications. Two sets are submitt
d OA
;41 d
alter Offost
Parking
11, id,�':repair .......... .. .... �-� ...... ................................ ........ ........
Const, type. ........................... ... Use zone..:50/4vz ............ Fire zone ...........
..................
V
....... .......... .......... Loot ..... c?2.0 ........ Blk ....................... A dn ...................... 0
t
............ ... Area ... ........... Septic tank .. ....... .........................
.......... ..........
*bftck*s front ...... ....... .......... re side ... 1. side ....... V .. fl;L� ....... rear. F ...................
..) ...... e . ......... . Address. 123..6. `l.. Aj!n Cd ..... 7 .......... Tel. No.�
t
PP
def; ...... ........................................................ Address .......... ................. ...................... Tel. No,.... .....................
................ .......
Plans ................ ..................... Address, ..... ............................................. Tel, No.... 0
Remarks.' .....................................
.............. .................... .........................................................................
N r
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
I
elle above is a
correct t, a d agree to comply with all applicable Codes and State laws regulating this
work,
_4
Signed Owner/Agent. .. . ... ................ ..... Address .... .................. ....... 0.0 .......... DaMS;J._.kZ._,
PERMIT for the above work is hereby approved, subject tDthe above conditions, and tDoompliance with -the ape
prov ed plans and specifications, and Building Department notations thereon,
0 Jed
5r :1
.......... ... ... iWoo n:
Valuation .......... �.W ....... . Permit fee ....... 4..C) .......... Recd, by.
Wq
Wei ) t
Building Department, By ................... ............... A4.1 ... .................. Date ... ...... &Z'reo ...... .............
This Permit does not cover Plumbing, Sewer or Electrical insullations,
itt , a agree to c