650258.pdfA
PLAN FILE NUMBER
BUILDING
PERMIT 650258
M' ft
"cant
Applicant Flu
avyFIU
He L n 0 11
Applicationi Inside Heavy Lines
NUMBER
IUSINESS)
JO ADDRESS
I
SIDE YARD
SET BACK
REAR YARD
ITTI
TELEPHONE NUAIJS�
L
USE ZONE
P NUMBER VACANT 131TN
YES 0
BUILDING A
VARIANCE N
HEIGffT
ALL BUILDING SETBACKS
NOTE:
TO EAVE LINES
Ewa—,
Required
ri YES rl NO
[] YES
[3 YES [3 No
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W TPJ3]S VVV1,
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41060 r 13 L 0 G a.
PERIBLOG.
TOTAL FRE
BUILDI4G
IS
VALUATION
BUILDI ITG PERMIT
NEW
DEMOLISH
NUMBER OF STORIES
2
FEE
PLUMBING
3
e2-
ADD
PERMIT FEE
HEAT &GAS LINE
ALTER
I
RESIDENTIAL
NUMB R OF
ELErJNG
DWFL
4
PERMIT FEE
R PAIR
E
NON-RESIDENTIAL
UNITS
5
ITION
DEMOL_
PERMIT FEE
—PR—OPOBED USE
t
6
AMOUNT DUE
1 A�l
- —7
I hereby acknowledge
that I have read this application; that th in-
ATTENTION
APPLICATION APPROVAL
formation given to cor
ect: and that I ftra the owner, or the duly au Or-
ized agent of the owne%
I agree to Comply with city and state laws regu-
THIS PERNUT
This application is not a permit until
luting ronstruction: aid
in doing the work authorized thereby, no person
AUTIIOIUZE8
signed by the Director of Building Inspec.
will be employed in vlo
ation Of the Labor Code of the State of Washington
ONLY THE
tion, or his deputy; and fees are paid, and
relating to WorkmerVa
Compensation Insurance.
WORK NOTED
receipt is acknowledged in space provided.
NOTE: PERMIT
LIMIT ONE YEAR
—NATURE
3IGNATU (vwNE)R
OR AGENT) ATE SIGNED
z
INSPECTION
DEPARTMENT
DIRECTTIMS BIG
CITY OF
DATIR�
EDMONDS
LOT E&N CHECK &
XPPRO7D/
PR 6-1107
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