660264.pdfPOSTED ON KROLL MAP NO.: BUILDING
BUILDING DEPARTMENT PERMIT
Applicant Fill NUMBER
PERMIT APPLICATION Inside Hemavy Lin JOB ADORES
/ /7
(OR NAME OF BUSINESS)
ETHLAND INVDSTMENT COMPANY
ADDREBB
_31 "Aurora Avenue
North
TELEPHONE NUMBER
ash.
t 6 4
ster L. Lindsey
d Leno ra Building
TELEPHONE NUMBER
4'tle, Wash IMA
3 2244
HANSEN CONSTRUCTION CO.
Aurora Avenue
North
TELEPHONE NUMBER
'C§'6attle, Wash.
Em 4-6223
�BER
CITY LICENSE NUMBER
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3 PERMIT FEE
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PERMIT FEE
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I hereby acknowledge that I have reaul 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 ngreo 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.
IE,,,pt Demolitions which shall
NOTE: Permit Limit One Year be completed In ninety days.)
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M,!Oe,7ER-QR AGP;N
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DATE SIGNED
NOTE: Applicant Subject to Plan C17eck Fee
This Permit covers work in be done on private property ONLY.
Any construction an the public domain (curbm, sidewalks, driveways,
marquees, etc.) will require separate perminnion.
DEMOLITION
6 PERMIT FEE
PLAN CHECK
7 FEE
8 AMOUNT DUE
AT=NTION
THIS PEUMIT
AUTHORIZES
ONLY THE
WORK NOTED
INSPECTION
DEPARTMENT
CITY OF
EDMONDS
PR 6-1107
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10 YES [3 NO
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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.
FILE
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