660355.pdfI
BUILDING DEPARTMENT I Applicant M
PERMIT APPLICATION inside Heavy Lines
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or
Im El I LJ SIGN
M NDWD I DEMOLISH I M PENCE
I" ALTER J_j RESIDENTIAL I NUMBER OF
F� REPAIR I M NON-RESIDENTIAL I UNITLSLING I
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.
Iz6d agent of the owner. I agree to comply with city and state laws regu.
laltur 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 Workman's Compensation Insurance.
IE,,,pl Demolitions which shall
NOTE: Permit Limit One Year be completed In ninety days.)
NOTE: Applicant Snbject to Plan Check Fee
This Permit covers work to be done on private property ONLY.
Any construction on the public domain (curb$. sidewalks, driveways,
moxquees, etc.) will rrquj" separate permission.
STED ON KROLL MAP NO.:
/ ( Z/" C,(j
3 ADDRESS
)-? a /q
YARD BETBACKI STRE
FE—ZONE LOT�
:a SUIT,
OT PIAAN A
_:�PP13PVED
0 YES
I I VALUATION
BUILDING PERMIT
2
FEE
PLUMBING
3
PERMIT FEE
HEAT & GAS LINE
4
PERMIT PEE
SIGN PERMIT
5
FEE
7
DEMOLITION
6
PERMIT FEE
PLAN CHECK
7
FEE
81 AMOUNT DUE
ATTENTION
THIS PERMIT
AUTHORIZES
ONLY THE
WORK NOTED
INSPECTION
DEPARTMENT
CITY OF
EDMONDS
PH 6-1107
PERMIT
NUMBER
":q:3
lj:*�
:%
,0355
�m SETBACK
arm
C] NO
!E NUMBER
D BY
4,
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APPLICAVON APPROVAL
This application is not a perralt until
signed by the Director of Building Inspec-
tion, or his deputy; and fees are paid, and
receipt is acknowledged in space provided.
MnV�nROR
FILE
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