650216.pdf1--Building Permit Application
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MAILING "JOHNks'
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SIDE YARD
CITY TELEPHONE NUMB
USE^ZONE
NAME
BUILDING ARE&
ADDRESS
HEIGHT
CITY 11
TELEPHONE NUMBER
REMARKS
NAME
1AW -
ADDRESS
v-,v
Encroachment Permit
Required
n YES 0 NO
CITY
TELEPHONE NUMB'
METER SIZE SERVIC
71 1-e
V
t
I
STATE LICENSE NUMBER
ITY LICENSE NUMBER
REMARKS
LOT BLOCK TRACT
TYPE CONNECTION
PERC. TEST
FIRE ZONE TYPE 0
SPECIAL INSPECTOR R
[3 YES NO
PLAN CHECKED By
WORIV TO BE. VV147J/U
BUILDING
VALUATION
2
BUILDING PERMIT
FEE
EaNEW
DEMOLISH
NUMBER OF STO
PLUMBING
ADD
I
3
PERMIT FEE
4
HEAT & GAS LINE
PERMIT FEE
ALTER
REPAIR
RESIDENTIAL
NON-RES]
NUMBER OF
DWELLING
UNITS
5
DEMOLITION
PERMIT FEE
PROI
6
AMOUNT DUE
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 agree to comply with city and state lawn 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's Compensation Insurance.
AT'IMNTION
TIUS PERMIT
AUTHORIZES
ONLY THE
WORK NOTED
NOTE: PERMIT LIMIT/z/" YEAR
INSPECTION
DATE SIGNED
DEPARTMENT
CITY OF
I
EDMONDS
PLOT P PPROVED
I
I PR 6-1107
FILE
BET
0 YES
ALL BUILDING SETBACKS
NOTE: TO EAVE LINES
C3 NO
r] YES E3 NO
I
I I Z � , 1� I
APPLICATION APPROVAL
This application is not a perinit until
signed by the Director of Building Inspec-
tion, or his deputy; and fees are paid, and
receipt is acknowledged in space provided.
Z
tin
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Appl. No.
APPLIOATIOk BUILDING PERMIT ....... ...
y�ar
OF EDMONDS Building Department Permit limit, one
is the following work, in accordance with the accom,
hereby made for a permit to construct
and specifications. Two sets am submitted herewith for approval.
alter Off -St.
n repair .� ............. ...... ell . ..... ............................................................................... Parkin ......... . ...........
d 9
.................... . Const. type ... ........................ Use zone ....... C=J ......... Fire zone .................. . ....... .
. ............. ...................... Blk ........................ Addn .......................................
.............. 0:��
.....................................
Irontage........................................ JIM& .............. . ........................... Septic tank- ..........................................................
cksfront ........................... r. side ............................. 1. side .............................. rear ...............................
.......................... Address. ... ... ................... d ... �. No ....................
li W. 11 ....... ... ...
OfBuilder ................................................................... Address ................................................... Tel. No .............................
Plansby ................................................................. Address ................................................... Tel. No .............................
------ ....... ...........................
Remarks ......
pz
The above is a correct statement, and I agree to comply with all applicabb 2es and State laws regulating this
work.
......... Address .................................
Signed Owner/Agent ......... .... ... ..... ........................... ........... Date�::�
PERMIT for the above work is hereby approved, subject to the above conditions, and to compliance with the ap,
proved plans and specifications, and Building Department notations thereon.
Valuation .................................................... Permit fee ........ .................. Recd.
Building Department, By .............. ..... ....... ..................... ................... Date....
...... 4.1 ...........................
INSPECTION RECORD
.......................................
Fdn, OK ............................................ Frame, OK .................................................... Final, OK.
WIN
This Permit does not cover Plumbing, Sewer or Electrical installations.
a