660487.pdfA
POSTED ON KROLL MAP NO.:
BUILDING
PERMIT 0487
BUILDING DEPARTMENT AppHeant F in
NUMBER
Inside Heavy Lines
PERMIT APPLICATION
JOB ADDRESS 7 MAX W
NA24B (OR NAMIG OF BUSINESS)
SIDE YARD SETBACK
STREET SETBACK
REAR YARD SETBACK
—CANT
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oel, Cie,
USE ZONE
LuT AREA
TA S—ITE
NO
TELEPHONE NUMBER
BUILD ING AREA
VARIANCE NUMBER
tlwwHEIGHT
PLOT PLAN APFROVED 04
. V1T1&,f
ADDRESS
CITY T LEPRONE NUMBER
NAME
REMARKS
lowew&-
METER SIZE SERVICE SIZE CLEARANCE CWISD BX
CITY NUMBER
STATE LICENSE NUMBER CITY LICENSE NUMISE"
TYPE CONNECTION :VE7PJF71E
2—Z--3
Legal Description of Property (Enow ijeiow or Attach Four Copies) PERMIT ER
PERC. TEST ERMIT
ell
U NEW
4
Q ADD
CQ
ALTER
F-1 REPAIR
E3 " SIGN
DEMOLISH FENCE
g�_RESIDENTIAL NUMBER OF
DWELLING
F� NON 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 Workmen's Compensation Insurance.
(Except Demolitions which shall
NOTE: Permit Limit One Year be Completed In ninety clays.)
D
5IGNATUREj&&WPER 0 AGENT) DATESIGNE
to Plait Check Fee
Thin Pertfilt coven work it) b(f done on private prolcriy
Any contitruction an the public d0conlO (curbs, iddewalkii, drIvewors,
"Inriluees, etc.) %%III require sepurute pernils"lon.
0 YES
I
TYPE
M1
FE&L,
ksui�IVIU
VALUATION
Z
BUILDING PERMIT
2
FEE
PLUMBING
3
1-4RIdIT FEE
HEAT & GAS LINE
4
PERMIT FEE
1�7 e
SIGN PERMIT
5
FEE
DEMOLITION
6
PERMIT FEE
PLAN CHECK
7
FEE
S
AMOUNT DUE
ATTENTION APPLICATION APPROVAL
THIS PERMIT
This application is not a permit until
A IIOIUZES
UT
signed by the Director of Building Inspec-
ONLY THE
tion, or his deputy; and fees are paid, and
WORK NOTED
receipt is acknowledged in space provided.
INSPECTION
DIRECTOR'S SIGN RE
DEPARTMENT
CITY OF
__5A_TE
EDMONDS
Pit 6-1107
FILE