660411.pdfBUILDING DEPARTMENT Applicant Fin
PLERMIT APPLICATION
Inside Heavy Lines
NAM (OR NAME OF BUSINESS)
Sprouise Reitz
1-188 Sunset Ave,
CITY
Edmonds., Washinaton
JWD—RZSF
P!�:a k C-
ITELEPH
)'XA-XrL1r LA-W, 1AM- I-
E IJUENSE NUMBER CITY LICEN
.0 b s
rgv�.o e upplied by Build. Dept
L
'0
To install (1) Single faced sign on
canopy. 0, A. dimensions to be 4'11"
I nit
NEW
ADD
o
DEMOLISH
U SIGN
EJ- PENCE
ALTER
.11A.
RESIDENTIAL
NON-REsrDENTIAL
NUMBER OF
'.L'
ELLING
UNITS
I hereby acknowledge that I have read 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 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 WorktneWx Compensation Insurance.
NOTE: Permit Limit One Year I1111Pt DemolitIons which shall
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 an the public domain (curbs, sidewalks, driveways,
marquees, etc.) will require sepnrote permission.
[3 YES [3 NO
BUILDING
VALUATION
BUILDING P T
2
FEE
PLUMBING
3
PERMIT FEE
HEAT & GAS LINE
4
PERMIT FEE
SIGN PERMIT
5
FEE
DEMOLITION
6
PERMIT FEE
PLAN CHECK
71
FEE
8 1 AMOUNT DUE
ATTENTION
THIS PERIVIT
AUTHORIZES
ONLY THE
WORK NOTED
INSPECTION
DEPARTMENT
CITY OF
EDMONDS
PH 6-1107
NO.: BUILDING
PERMIT
660411
NUMBEII.
STREET SETBACK
REAR YARD SETBACK
—COT —A"A
VACANT SITE
0 YES 13 NO
BUILDING AREA
VARIANCE NUMBER
SIZE
CLEARANCE CHECKED BY
VERIFIED BY
PERMIT NUMBER
CONSTRUCTION STREET IMPROVED
13 YES [3 NO
QUIRED
GROUP
JOCCUPANCY
VALUATION
TOTAL Fes
$950.00
0 0
p
APPLICATION APPROVAL
This application is not a pernilt until
signed by the Director of Building Inspec-
tion, or his deputy; and fees are paid, and
receipt is acknowledged In space provided.
DIZ=TOR'SIMIGNATURE—