660407.pdfki
Z
DING DEPARTMENT
Inside Heavy Lines
MIT APPLICATION Applicant Fin
JOL.NAMM OF RUSIN
EBB,
B 14 1? 0�
6'el - L /+ w):? el v e
- *o 7
a 4 / '-/ - 2 �' "-* ,
14 ve / -2
h341(-
4-p 7-Y
NEW
n
I
[:] SIGN
NUMBER OF STO
ADD
I
DEMOLISH
I
[:] PENCE
I
I
ALTFa
RESIDENTIAL
NUMBER OF
REPAIR
NON-RESIDENTIAL
DWELLING
I 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 WorkmeWs Compensation Insurance.
(Except Demolitions which shall
NOTE: Permit Limit One Your be completed in ninety days.)
NOTE: Applicant Subject to Plan Check Fee
This Permit coven work to be done on private property ONLY.
Any construction on the public domain (curbs, sidewalks, driveways,
marquees, ete.) will require separate permission.
[3 YES
13 NO
C
I NO.:
PERMIT
NUMBER
=ALIWA�f
Ar"
BUILDING
1
VALUATION
BUILDING PERMIT
2
FEE
PLUMBING
3
PERMIT FEE
HEAT & GAS LINE
4
PERMIT FEE
SIGN PERMIT
5
FEE
DEMOLITION
PERMIT FEE
off"TIM.
8 1 AMOUNT DUE
ATTENTION
THIS PER30T
AUTHORIZES
ONLY THE
WORK NOTED
INSPECTION
DEPARTMENT
CITY OF
EDMONDS
PH 6-1107
660407
0 YES 0 NO
YES 0 NO
As'-'Ov
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.
OCTOWS SIGNAT
FILE
M
IT
IT,
I
IT
I Ik I I
ITT, .1 1
90 111 Pit.
Ito
Irr,
14 SIT T
14
I Will 11 1 T
NW�
1 4 1
.-IfZr V , V I,
I To k
.,.1 11,
Ir
1-4 1 1 4 . . . I . I .
TV, I
I
I
Ir 0. IT T I, it I
IT I "'Ir
I Irk, I., FI I Pr I'T r . I I
IT I
L I r I I I I I r, 4 1 1 1 1 1 1 IT rr
JAI r I I j L
TNT
e r kk /
rITT, I
el,o� k"
TI
t I r I jr
rI
ATM
It
IT, I, 1 4 1 r I
IT
10 IL I
'IsI
Ir
1. 1 il 'd Irk ITO.. I, I I
c t lu
I L I I r
I
I 1 ',4 IT.
I'd r -
I r I
W, Ir 44 q I I I � I
','A Al
I. pp P IN
FTI
Lr
ITT
IT , I , --I
Im � I I A , 1 .4 %. r ; I'. , I
Ar q
'r
t"k;
IT I T
ij
q I IT I
It . I
.1 1.5 1
4 tt � I I, I I
typ A� 7�,, 11 1 r, I L Of
T', r"V eff
I, — �f I I IF I IT, A
IN
1 4
'tk', I
II
TT TIT"t.
IT .1
jjJI -1 4 Irp r
T�I ,,
db. T; ZI
MIT
6zl �,*l ,lt� � ��k!i v IIT, I I 1 4 1 L I
.1 ' 3 1 1 kII I
k4 . I
IT
IT F4 I It
Id
Irk. I, Ir�
r T IT
lk
u I
4 �I3
Iz
Rf.d, I
'I q
I L I T I I I I I I I I I L 1
If' I L� I I I r 1 6 1 1 r I I I L I I :- e% I ; I frame
.'I Z4 Lt, 1. otk t, I Id
L %r
tj 'k
I —rrrkIII 'MMOOOVVIII�' I r
ITT
I r I.
I
TV