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BUILDING DEPARTMENT Applicant M
PERMIT APPLICA Inside Heavy Lines
NAME (OR D!4kME OF I
MAILING ADD_
T
9�A C7
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,7
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11MA
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FX e" - -!ro 8� g,
w or Attaxn Four copiej
17 )� / Ir 7
_3 41R,
N
C-
IrIl n
A-/ 7
NEW I
ElSIGN
NUMBER OF STOIRUI
I
ADD
DEMOLIS
I
El
ALTER
RESIDENTIAL
MB R 02'
NWFLEING
1:1
REPAIR
NON-RESIDENTIAL
'L
I UNITS
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 lawn regu.
IaUng construction; and In doing the work authorized thereby, no person
will be employed In violation of the Labor Code of the State of Washington
rGILting to Workman's Compensation Insurance.
(Except Demolitions which shall
NOTE: Permit Limij?One Year be completed In ninety days.)
W,
NOTE: Applicant Subject to Plan Check Fee
This Permit covers work to be done on private property ONLY.
Any construction on the public domain (curbs, sidewalks, driveways,
marquees, etc.) will require separate permission.
I
4 KROLL MAP NO.: BUILDING
PERU"
650332
NUMBER
Ej YES 0 NO
BUILDING
VALUATION
BUILDING PERMIT
2
FEE
PLUMBING
3
PERMIT FEE
HEAT & GAS LINE
4
PERMIT FEE
SIGN PERMIT
5
FEE
DEMOLITION
6
PERMIT FEE
PLAN CHECK
7
FEE
81 AMOUNT DUE
AT'MNTION
THIS PERMIT
AUTHORIZES
ONLY THE
WORK NOTED
INSPECTION
DEPARTMENT
CITY OF
EDMONDS
PH 6-1107
ITREET SETBACK
REAR YARD SETBACK
,OT AREA
VACANT SITE
E3 YES 13 NO
WILDING AREA
VARIANCE NUMBER
4
HZE
BY
ICLEARANCE
ICHECKED
VERIFIED 13Y
PERMIT NUMBER
ZONSTRUCTION STREET IMPROVED
13 YES 13 NO
JUIRED
JOCCUPANCY GROUP
VALUATION
TOTAL FEK
-2
J?_
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 acknowledged in space provided.
DIRECTOR'S SIGNATURE
DAVV
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