650364.pdf3
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NAME (OR NAME OF BUSINESS)
J. Tho son Res.
I NG ADDRESS
30-3, �
30,h 7Jest
'NUMBXR
CITY
l.ELEPHONT
Fdmonds
NAME
ADDRESS
CITY
TELEPHONE NUMBER
NAME
Viewlands 'Tuel Company,
Inc.
R
ADDRESS
10535 Greonwood Aje. North
CITY
rELEPHONZ
sc eTa.t Ll e -,ton
92
NUMBER
7TA LIEN,Ashin�
�Vm ...
I CITY LI UFNL
Legal Description Of Property (Show Below or Attach Four Copies)
E. 22, W. 24n.-' of
al- of South . P L
ILh L I
Z S.E
quar-er of S.E. quarter of "-rs-
Of "" U
of __-Saectio I lb. Township 2'( Nortn tlarlge
2_�!
I t thereof
U 4 vast ,11,i efcep�t the South 75'
ae
SIDE YARD
71REA 5x—N �SITE
USE ZONE A
0 YES E] NO rZ
HEIGHT A VMuANcE NUMBER
—FL—OTPLAN APPROVED
REM$RKS
KS
M
TwErm-1
E CONNECTION VratLra�u �x
tC. TEST PERMIT NUMBER
0 YES 0 NO
WORK TO BE DONE
Install Oil ful'nace; 7bbl tanl�,
pipinC.
T
wirinG and controls.
PL MBING
PERMIT FEE
0
HEAT & GAS LINE
4
PERMIT FEE
r
NEW
Q SIGN
NUMBER OF STOIFUES
SIGN PERMIT
5
FEE
ADD DEMOLISH
FENCE
NUMBER OF
6
DEMOLITION
PERMIT FEE
02
ALTER
El RESIDENTIAL
DWELLING
71FEE
PLAN CHECK
REPAIR
El NON-RESIDENTIAL
UNITS
PROPOSED u8t;
81
AMOUNT DUE
I hereby acknowledge that I have read this RPPllcmtl0n: 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; 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.
(Except Demolitions which shall
NOTE: Permit Limit One Year be completed in ninety days.)
9-10-6s /
NOTE: Applicant Subject to Plats Cbeck- Fee
This permit covers work to be done on private property ONLY.
Any construction on the public domain (curbs, sidewalks, drivewRys,
marquees, etc.) will require separate permission.
0 YES
[3 NO
rs
Z
Z
r2l
AI'MNTION APPLICATION APPROVAL
THIS PERMIT This application Is not a permit until
AUTHOR1[ZE8 signed by the Director of Building Inspee-
ONLY THE
WORK NOTED tion, or his deputy; and fees are paid, and
receipt Is acknowledged In space provided.
INSPECTION DI TOR`�%,S NALTURE
DEPARTMENT
CITY OF D TE_
]/7iT
EDIMONDS
Pn 0-1107
MLE
I
I
7777
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