660586.pdfBUILDING DEPARTMENT I Applicant Fill
PERMIT APPLICATION Inside Heavy Lines
NAME (OR NAME OF BUSINESS)
N 4 � Tot- R P &�14AIAMI
—MULING ADDRESS
V 5 e4,,
cf/s or/
-.Mvy-W-5"nwm RIBANIER
SAME
4 OF
NEW
RESIDENTIAL
R
GAS
LINE
NON-RESIDENTIAL
SIGN
RETAINING
DEMOLISH
0
WALL
ElALTER
EXCAVATE
OR FILL
E31
FENCE
( X Ft.)
.......... ..........
REPAIR
PRE -MOVE
INSP.
1:1
swim
POOL
ES
NUMBER OF
oe-ou
DWELLING
UNITS
00
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0
EXISTING STREET R/W ............ FT -
COMP. PLAN ST. R/W ........... XT-
OF
[] YES
Plan Check No .....................
I N
BUILDING
U L
B G
N G
PLUMBING
P L MBI
G A LIN E
HEAT & GAS LINE
H E A T
F E
PENCE
N C
t
I N
SIGN
13 G
1 NJ N G A LL
TAI W
RETAINING WALL
IF
POOL
SWIMMING POOL
DEMOLITION
'I
PRE -MOVE INSPECTION
EXCAVATION OR FILL
. IOU T
OTAL AMOUNT DIUME
T VoTaL Al
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.
forma
I 'd a
IL
I h
unnge
ereb,
, gv
t 0,
as L
In-
I]h
or
go
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
rel Ing to Workmen's Compensation Insurance.
at I _hth
NOTE: Permit Limit One Year (Except DEMOLITIONS which
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shall he completed In ninety days; MOVED -IN BUILDINGS shall be com-
pleted in six months.)
SIG 1 VNER AG DATE SIGNE
T D
6
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LL W HIM
NOTE: Applicaiit Sitbject to Plan Check Fee
This Permit coven work to done on private property ONLY.
Any construction an the public domain (enrbs, sidewalks, driveways,
Marquees, etc.) will require separate permission.
ATTENTION
THIS PERMIT
AUTHORIZES
ONLY THE
WORR NOTED
INSPECTION
DEPARTMENT
CITY OF
EDMONDS
PR 6-1107
PEIIBIIT
NUMBER 660586
C] YES 0 NO
DEFICIENCY THIS PROPERTY
Valuation
STREET
[] YES
Fee
[] NO
APPLICATION APPROVAL
This application is not a permit until
signed by the Building Official or Ws Dep-
uty; and fees are paid, and receipt is ac-
knowledged in space provided.
FILE
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