650487.pdf.... ...... ..... .
BUILDING DEPARTMENT
PERMIT APPLICATION
Applicant FM
Inside Heavy Lines
OSTED ON KROLL MAP NO.:
BUILDING
PERMIT 650487
NUMBER
JOB ADDREL313
NAME (OR NAME OF BUSINESS)
e;'6-0 le C' E- 'F, Al / P /V 1,C
SIDE YARD SETBACK
STREET SETBACK
REAR YARD SETBACK
MAILING ADDRESS
U ZONE
LOT AREA
VACANT SITE
0 YES 0 NO
CITY
TEEEPHONE NUMBER
HEIGHT
ffUILDING AREA
VARIANCE NUMBER
NAME
PLOT PLAN APPROVED
ADDRESS
REMARKS
CITY
TELEPHONE NUMBER
NAME
ZIA Al
REMARKS
ADDRESS
METER SIZE SERVICE SIZE CLEARANCE CHECKED BY
Cd
CITY
TELEPHONE NUMBER
STATE LICENSE NUMBER
CITY LICENSE NUMBER
TYPE CONNECTION
VERIFIED BY
Leg on of Property (Show Below or Attach ur Copies)
PERC. TEST
PERMIT NUMBER
Z
FIRE ZONE TYPE OF CONSTRUCTION STREET IMPROVED
0 YES [3 NO
W
SPECIAL INSPECTOR REQUn;LEb---
YES [3 NO
OCCUPANCY GROUP
W
Q
PLAN CHECKED BY
BUILDING
WORK TO HE DONE VALUATION Z
BUILDING PERMIT
-.19A 41 9415t91f!A 2 FEE
PLUMBING
3 PERMIT FEE
HEAT & GAS ZANE
PERMIT FEE
NUMBER OF STORIES
NEW SIGN SIGN PERMIT
ADD MOLI FENCE 5 FEE
0 DEMOLITION
ALTER 2kRESIDENTIAL NUMBER OF 6 PERMIT FEE
DWELLING — PLAN CHECK
REPAIR NON-RESIDENTIAL I UNITS 7 FEE
8 1- AMOUNT DUE L
I hereby acknowledge that I have read this application; that the In-
formation given to correct; and that I am the owner, or the duly author- ATTENTION APPLICATION APPROVAL
ized agent of the owner. I agree to comply with city and state laws regu- TIUS PERNUT This application is not a permit until
lating construction; and In doing the work authorized thereby, no person AUTHORIZES signed by the Director of Building Inspec-
will be employed In violation of the Labor Code of the State of Washington ONLY THE
relating to Workmen's Compensation Insurance. WORK NOTED tion, or his deputy; and fees are paid, and
IE,,,pl Demolitions which Ahall receipt is acknowledged In space provided.
NOTE: Permit Limit One Year be completed in ninety days.)
UGNATURE (LER OR AGENT) DATE MOAN INSPECTION — DIT TOR'S 810 . NATURE
DEPARTMENT
A
CITY OF
EDMONDS DATE 1Z
JVOTE: Applicant Sitbject to Plan Check Fee Pit 6.1107
/
This Permit covers work to be done on private property ONTY. 7
Any Construction on the public domain (curbs, sidewalks, drivewaYm. FILE
marquees, etc.) will require separate permission.
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