650158.pdfrBuilding Permit
AME OF BUSINESS)
TONY F. 0TTRN3CHN2MM
MAILING "DRESS
2WA2 - 92nd Lve West
I
05
F. Ottenschnieder
same
F. ottenschnieder
same
L#3.b.V UL "6UUWLAAQ)
recorded in Vol
husb and wife
Morse kddition to the
o-.P plats$, pg 36
h Coun yj, Wash.
NEW DEMOLISH
ADD
E] ALTER RESIDENTIAL NUMBER OF
DWELLING
REPAIR N1 UNITS
PROF0_8En>USE
-,—To reside in as a home.
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 and state laws regu-
lating construction; aad 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!x Compensation Insurance.
NOTE: PERMIT LIMIT ONE YEAR
Z:�! 'Il'
'1' t e-
FILE
'ARD
SET B1
MNE
Required
11 YES
3
[] YES
BUILDING �
VALUATION
BUILDING PERMIT
2
FEE
PLUMBING
3
PERMIT FEE
IiiAT & GAS LINE
4
PERMIT FEE
DEMOLITION
5
PERMIT FEE
AMOUNT DUE
A=NTION
THIS PERMIT
AUTHORIZES
ONLY THE
WORK NOTED
INSPECTION
DEPARTMENT
CITY OF
EDMONDS
Pit 0-1107
PERMIT
NUMBER
650158
YES
ALL BUILDING SETBACKS
NOTE: TO EAVE LINES
4<
0 YES
0 NO 0
[UMBER 19
APPLICATION APPROVAL
This application is not a permit until
signed by the Director of Building Inspec-
tion, or his deputy; and fees are paid, and
receipt is aclmowledged in space provided.
FLECTOR'S SIGNATU
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