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BUILDING DEPARTMENT
PERMIT APPLICATION
Applicant M
Inside Heavy Lines
POSTED ON KROLL MAP NO-: PERMIT
I NUMBER
6-70204
JOB ADDRESS
NA4M (OR NAME OF ueufEss)
1
SIDE YARD BET13ACK
M-1 a
13TICUL"r SETBACK
1-4
REAR YARD SETBACK
MAILING ADDRESS
11rC12 F,) 4/
USE ZONE
O-q g q
LIVE
I
VACANT SITE
vfre� C3 NO
CM
TELEPffO—NE NUMBER
0. � - � q,) 0
HEIGHT
I BUILDING AREA
I VARIJ4LNCE NUMBER
a
NUMBER
TBILAM-Huriju RU—MBER
0
0
149. Ll�, 40 q__:q e)
J&)ZRE
TIOWTIN!, ET R/W
m T
COUP. PLAN ST. R/W6-��
C 0
7
........... ST. DEFICIENCY THIS PROPERTY
... FT.
0
REMARKS
R
__,E
In
Z
'ADIMEou
ME T
METER SIZE SERV)ZE
SIZE CLEARANCE
CHrf= 13Y
Ea
WAULdak-HONE NUMBER
130"
M MA
ARKS
STATE I-TUENHE NUMIUM
,1,2 3 o
CITY LICENSE NUMBE
TYP�E CONNECTION
VE BY
Le escriptl
-4 -Icl
r_eer�c:y — oaoZZe4k0WA4
-h Four
f Pr rt (an i3alow or Attach Four Copies)
X(4-,
-70N
PERO. TES7
E-Y&SIDENTIAL
GAS
LINE
E]
NON-RESIDENTIAL
SIGN
RETAINING
ElDEMOLISH
WALL
EXCAVATE
PENCE
ALTER
F� OR FILL
I x .......... Ft.)
REPAIR
PRE -MOVE
F� INSP.
..........
SWIM
POOL
NUMBER OF
DWELUING
UNITS
9
[3 YES
13 YES &1�0_
PLAN CHECKI;O BY
RE -
Iasued ox approval of is*ptic tank
kawt deaiga. May 18, 1967
Plan Check No .....................
PROPOSED USE
BUILDING
PLOT PLAN (Indicate Building etbaCkS. abutting streCtS) PLUMBING
HEAT & GAS LINE
PENCE
t SIGN
N
RETAINING WALL
I'l _4�
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE
I hereby acknowledge Mat I have read tbls application; Mat the In-
formation given to 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 constructlon; 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 Workman's Compensation Insurance. AUTHORIZES
ONLY THE
NOTE: Permit Limit One Year (Except DEmoLITIONS which WORK NOTED
shall be completed in ninety days; 1VIOVED-IN BUILDINGS shall be eom-
pleted. In six months.)
INSPECTION
3IGN7A/RE (OWNER OR AGENT) ATE IGNED DEPARTMENT
CITY OF
EDMONDS
NOTE: Applicad��Subject to Plan Check- Fee PH 6-1107
This permit coven work to be done on private property ONLY.
Any construction on the Public donudn (curb@, sidewalks, driveways,
nuLrquoes, etc.) win require separate permission.
Valuation
Fee
APPLICATION APPROVAL
No.
This application is not a permit until
signed by the Building Official or his Dep-
uty; and fees are paid, and receipt is ac-
knowledged in space provided.
b
57�/ 91�
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