660354.pdf%
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7
POSTED ON KROLL MAP NO-: BUILDING
BUILDING DEPARTMENT
'EMIT
INUMBER 660354
Applicant FM
Inside Heavy Lines
PERMIT APPLICATION
NAME (OR NJAME OF BUSINESS)
j21/j.4 ak ci RodcA
4VA16 d5s OF, ewixe_x!
SIDE YARD SETBACK
STREET SETBACK REAn YARD SETBACK
MAILING ADDRESS
LOT AREA VACANT BrIM
CITY TELEPHONE NUM BER
13 YES [3 NO
r,:— -2
HEIGHT
BUILDING AREA VARIANCE NUMBER
NAME
PLOT PLAN APPROVED
J,
% q
_KD_DKESS
REMARKS
CITY LEPHONE NUMBER
NAME
REMARKS
DRESS
METER SIZE SERVICE SIZE CLEARANCE CHECKZD BY
CITY TELEPHONE NUMBER
8
RE &ARKS
0
STATE LICENSE NUMBER CITY LICENSE NU ER
TYPE CONNECTION
VER[FIED BY
Legal Description of Property (Show Below or Attach Few Copies)
Tin+ 6�r meadowdale a, C,
PERC. TEST
PERMIT NUMBER
cA
FIRE ZONE TYP E or CONSTRUCTION STREET IMPROVED
E3 YES [3 NO
SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP
94
YES [3 NO
PLAN CHECKED BY
VALUATION TOTAL FXX
WORK TO BE DON E
BUILDING
VALUATION
Z
Enckse_
BUILDING PERMIT
j,
FEE
t,
PLUMBING
3 PERMIT FEE
HEAT & GAS LINE
PERMIT FEE
NEW N NUMBER OF STORIES
SIG
SIGN PERMIT
A
ADD DEM[ OLISH FENCE
5 FEE
ALTER e___�I.ESIDENTIAL NUMBER OF
DEMOLITION
6 PERMIT FEE
DWELLING
PLAN CHECK
NO: UNITS
7 FEB
AMOUNT
8 DUE
. ......
I hereby acknowledge that I have read this application; that the in -
ATTENTION
APPLICATION APPROVAL
foromilon given Is correct; and that I am the owner, or the duty author -
lead agent of the owner. I agree to comply with city and state laws regu-
THIS PEIUdIT
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 Workman's Compensation Insurance.
WORK NOTED
tion, or his deputy; and fees are paid, and
(Except Demolitions which shall
NOTE: Permit Limit One Year
receipt is aelmowledged In space provided.
be completed In ninety days.)
URE 1H I AGE T) DATE SIGNED
INSPECTION
on's 5!10G a
DEPARTMENT
CITY OF
EDMONDS
NOTE: Applicant Sitbica to Plan Check Fee
—
27
Pit 6.1107
This Permit covers work to be done on private property ONLY.
Any construction m the public domain (curbog sidewalks, drivewaynt
FILE
marquess. etc.) wilt require separate permission.
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