670135.pdfBUILDING DEPARTMENT I Applicant Fill
PERMIT APPLICATION inside Heavy Uneal JOB ADDRESS
NAME (OR NAME OF BUSINESS)
FA
11
BE NUMBER I cill
7a of —Property (show Below o77
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NEW
RESIDENTIAL
ADD
NON-IMIDENTIAL
El
- DEMOLISH
aALTEI�
EXCAVATE
El
OR FILL
M REPAIR
—1
F
PRE -MOVE
INSP.
DWELLING
UNITS
, L - 6 Li W
EGAS
l
LINE
SIGN
RETAINING
WALL
PENCE
I.......... x .......... Ft.)
swim
POOL
EN38TING STREET R/W ............ FT.
COUP. PLAN ST. R/W ............ FT.
or
r] YES 13 NO
Plan Check No ......... ... .......
PERMIT
NUMBER 670135
tz;- :Dtz 1' 110
ACK REAR YARD BETBA40K
ANT SITE
[3 YES 13 NO
EA I VARIANCE NUMBFE—R
DEFICIENCY TMS PROPERTY
[] YES 13 NO
I BUILDING I a LL 1 3, nn I
PLUMBING
HEAT & GAS LINE
PENCE
t
N
SIGN
RETAINING WALL
I
SWIMMING POOL
I hereby acknowledge that I have read this application; that the In-
formauon 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-
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
relaUng to Workman's Compensation Insurance.
NOTE: Permit Limit One Year (Except DEMOLITIONS which
shall be completed in ninety days; AIOVED-IN BUILDINGS shall be com-
pleted In six months.)
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE 1 3.00 1
ATTIUNTION APPLICATION APPROVAL
TMS PERMIT This application is not a permit until
AUTHOR1[ZES
ONLY THE signed by the Building Official or Ids Dep-
WORK NOTED uty; and fees are paid, and receipt is ac-
knowledged in space provided.
, I
JATURE (OWNER OR AGENT) DATE SIGNED INSPECTION
DEPARTMENT
CITY OF
NOTE: Applicant Subject to Plan Cbech. Fce EDMONDS
PR 6-1107
This Permit covers work to be done an privnto property ONLY.'
Any construction on the public domain (curbs, sidewalks, driveways,
marquees# etc,) will require separate permission,
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