670062.pdfBUILDING
DEPARTMENT
F
Applicant Fill
POSTED ox xROM MAP
P 0
NO.:
PERMIT
NUMBER 67()Ub,�_
PERMIT
NAME (OR N
APPLICATION
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MAILING ADDRESS
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'NAME
ADDRESS
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USE ZONE
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LOT AREA,
VAC a
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MBER
HEIGHT
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BUILDING AP
VARIANCE NUMBER
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004
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STIM R/W
ET R/W .... ....... FT. DEFICIENCY THIS PROPERTY
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13 YES
RESIDENTIAL
f-1
GAS
LINE
NEW
NON-RESIDEN TAL
SIGN
RETAINING
DEMOLISH
WALL
EXCAVATE
PENCE
ALTER
OR FILL
( x Ft.)
.......... ..........
REPAII
PRE -MOVE
INSP.
SWIM
POOL
[UMBER OF
TORIES
NU
F 14E
DWELLING
UNITS
rATURE.OF
7ORK TO 13E DONE
TYPE OF CONSM
!CTOR REQUIRED
WO-0—
Plan Check No ...................
PROPOSED USE
BUILDING
PLUMBING
PLOT PLAN
ndicate Building setbacks, abutting streets)
HEAT & GAS LINE
PENCE
t
SIGN
RETAINING WALL
SWIM NO POOL
OLrTION
PRE -MOVE INSPECTION
EXCAVATION OR PILL
TOTAL AMOUNT DUE
I hereby
owledge 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 th,
lating construct
owner. I agree to Comply With City and state laws regu-
DM; and In doing the work authorized thereby, no person
ATTEbMON
will be employed
In violation of the Labor Code of the State of Washington
THIS PERMIT
relating to WorlmaWs
Compensation Insurance.
AUTHORUES
NOTE: Pori
iit Limit One Year (Except DEMOLITIONS which
ONLY THE
WORK NOTED
&hall be complet
A in ninety days' . MOVED -IN BUILDINGS shall be mm.
pleted In six M01ths.)
INSPECTION
DEPARTMENT
CITY OF
EDMONDS
IIG TURE (0
E R AG NT
LAPPlicant
DATE IGNED
74NOT44:
Subject to Plan Check Fee
Pit 6-1107
This Perfult cover$ VvOrlc W M uuuu — P"v"v
Any constra�tlon on the public domain (curb@, sidewalks, driveways,
mgrauees. etc.) Will require separate pennisslon.
Valuation
Ile
13 NO
APPLICATION APPRO"L
This application is not a pernilt until
signed by the Building official or his Dep-
uty; and fees are paid, and receipt is ac-
imowledged in space provided.
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