650411.pdfI
BUILDING DEPARTMENT I Applicatit M
PERMIT APPLICATION Inside Heavy Lines
Ze LA
MA6& 90-Iff/
PRESS
71ro 4`0
CITY TELEPHONE NUMBN
NAME
ADDRESS
CITY TELEPHONE NUMBE
"'Aw �)A- I- J".4 �w C.
ADDRESS
qi?/'/- qV
017r TELEPHONE NUMBM
"T LI&N E NUMBEN CITY LICENSE NUMBI
Legal Description of Property (Show Below or Attach Four Copies)
IQ
WORK TO BE DONE
NUMBER OF STO
NEW SIGN
91 ADD I DEMOLISH FENCE
a
ALTER RESIDENTIAL NUMBER OF
DWELLING
REPAIR NON -RE UNITS
I hereby acknowledge that I have read this applicatlon; that the in-
formation given In 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-
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 Umit One Your be completed In ninety days.)
SIGNATURE (OWN R OR AGENT) DATE SION7E
/0///
NOTE: Applicant Subject to Plan Cbeck Fee
This Permit covers work to be done an private PmPcrtY ONLY -
Any construction on the public domain (curbs, sidewalks, driveways,
marquees, etc.) Will reqtam separate permission.
[3 YES [3 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=NTION
THIS PERMIT
AUTHORIZES
ONLY THE
WORK NOTED
INSPECTION
DEPARTMENT
CITY OF
EDMONDS
PH 6-1107
PERMIT
NUM33ER
a,.� a_t,4_e ";,4.
0
13 YES 0 NO
VA-IUANCE NUMBER
Z
W
CHECKED 33Y
STREET UIPROVED,
[3 YES 13 No
3,,q
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 aelmowledged in space provided.
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