660037.pdf7
POSTED ON KROLL MAP NO.: BUILDING
PEFWT
ILDING DEPARTMENT
"can' NU11BER660037
Inside Heavy Lines
RMIT APPLICATION
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Legal Description Of
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NUMBER OF STO�
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SIGN
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ADD
DEMOLI SH
I El PENCE
ALTER
RESIDENTIAL
NUMBER OF
REPAIR
NON-RESIDENTIAL
DWELLING
UNITS
I hereby acknowledge that I have read this application; 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 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 Compennation Insurance.
E Demolitions which shall
NOTE: Permit Limit One Year to'c'Opa'Pleted in ninety days.)
Applicant Subject to Plan Check Fee
This Permit covers work to be done on private property ONLY.
Any eonstruction on the public domain (curbs, sidewalks, driveways,
marquees, etc.) will requirr separate permission.
M.,
YES
PLAN CHECKED 13Y
BUILDING
VALUATION
BUILDING PERMT
2 FEE
PLUMBING
3 PERMIT FEE
BEAT & GAS LINE
4 PERMIT FEE
SIGN PERMIT
5 FED
DEMOLITION
6 PERMIT FEE
PLAN CHECK
7 FEE
8 AMOUNT DUE
ATTENTION
THIS PERMIT
AUTHORIZES
ONLY THE
WORK NOTED
INSPECTION
DEPARTMENT
CITY OF
EDMONDS
PR 6-1107
13r � 4
WCCtC—,,::7—
[:J NO
UMBER
ow
[3 NO
APPLICATION APPROVAL
This application is not a permit until
signed by the Director of Building Inspec-
tton, or his deputy; and fees are paid, and
receipt is aclmowledged in space provided.
FILE