670045.pdf%
POSTED ON KROL PERMIT
BUILDING
DEPARTMENT Applicant FMM
NUMBEIt
670045
PERMIT
Ines
Inside Heavy Lines
APPLICATION
JOB ADDRESS
NAME (OR NAME OF BUSINESS)
Z-7
JNUMB&R
SIDE YARD SETBACK STREET SET13ACK
'REAR YARD SETBACK
MAILING ADDRESS
-7
Tte F,47r- t-c-1
USE ZONE AREA
VACANT SITE
CITY
TE"PHONE 'R
[3 YES 140'
B11111,1)][Na AREA.
I VARIANCE NUMBER 11
STREET IR/W
EXISTING STREET R/W ............ FT- DEFICIENCY THIS PROPERTY
COUP. PLAN ST. R/W ............ FT- ........ ... 1".
A Z, ZY '0_./
FIRE ZONE TYPE OF
"_
12�A
SPECIAL INSPECTOR RE(
4�
13 YES Q,NO
AV / 1111 1
PLAN CHECKED BY
t_
GAS
NEW RESIDENTIAL LINE
REMARKS_,
NON -RESIDE 0 SIGN
ADD RETAINING
ElDEMOLISH WALL
EXCAVATE PENCE
ALTER
r7 OR FULL ( x rnt.)
.......... ..........
PRE -MOVE swim
REPAIR r7 INSP. POOL
NUMBER OF STORIES
NUMBER OF
DWELLING
UNITS
NATURE OF WORK TO BE DONE
0
Plan Check No .....................
PROP USE If
BUILDING
PLUMBING
,Aetuacits, abutting streets)
P PLOT PLAN rdlcate Bulidir
J
HEAT & GAS LINE
/4
41ID'I
FENCE
t
N
SIGN
&X0
RETAINING WALL
SWIMMING POOL
DEMOLITION
$
PRE -MOVE INSPECTION
Zy 47
EXCAVATION OR FILL
9 7 'i-o- M-,o-IJ.
1;, c-
f I
TOTAL AMOUNT DUE
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-
ATTENTION
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
THIS PERMIT
relating to Workmen's Compensation Insurance.
AUTHOIUZES
NOTE: Permit Limit One Year (Except DENIOLITIONS which
ONLY THE
WORK NOTED
shall be completed In ninety days; MOVED -IN BUILDINGS shall be com-
pleted in six months.)
lIGNATURE (QWNER_Q GENT)
DATE SIGNED
INS PECTION
DEPARTMENT
CITY OF
EDMONDS
Applicant Subject to Plat; Check- Fee
PR 6-1107
This Pernilt covers work to be done art private property ONLY.
Any construction an the public domain (curbs, sidewalks, driveways,
marquees, etc.) will require separate permission.
— ------------
I [] YES
r GROUP
I
Fee
A.)
Z
APPLICATION APPROVAL
This application is not a perinit until
signed by the Building Official or his Dep-
uty; and fees are paid, and receipt Is ac-
knowledged in space provided.
DIRECTOWS SIGNATUR�;
MATE
FILE
, Is