670245.pdfI
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POSTED ON KROLL MAP NO-; PERMIT
BUILDING DEPARTMENT AnnUCant Fill I mnmm 670245
PERMIT APPLICATION Inside Heavy Lines I JOB ADDRESS
NAME (OR NAME OF BUSINESS) e-44"L� a_v_e_
1,11erry Manufacturing Coinpany SIDE YARD SETBACK I STREET BET13AULL I
P. 0. Box
Edinonds. Wash.
View PlLunbing
17926 Hwy
mo
RESIDENTIAL
NEW
NON-RESIDENTIAL
0
DEMOLISH
ALTER
EXCAVATE
0
OR FILL
D
REPAIR
PRE -MOVE
INSP.
DWELLING
UNITS
lavatories.
PR B-1101
EGAS
l
LINE
DSIGN
RETAINING
WALL
FENCE
( ........ X .......... Ft.)
swim
F-1
POOL
t
N
I
I hereby acknowledge that I have read this application; that the In-
formation given is correct; and that I am the owner, or the duly author-
tzed agent of the owner. I &Use to comply with city and state laws regu.
ULting construction; and in doing the work authorized thereby, no Person
will be employed in violation of the Labor Code of the State of Washington
relating to Worimm's Compensation Insurance.
NOTE: Permit Limit One Year (Except DEMOLITIONS which
shall be Completed in nicety days; MOVED -IN BUILDINGS shall be com-
pleted In six months.)
I
t
NOTE: APPlica"t Subject to Plan Chcch Fec
Twit Permit covers work to be done on privets property ONLY.
Any construction on the public domain (curbs, sidewalks, driveways,
marquees, etc.) will require separate permission.
EXISTING STREET R/W ....... .... FT.
COUP. PLAN ST. R/W ............ FT.
E3 YES
Plan Check No...
NO
BUILDING
PLUMBING
BEAT & GAS LINE
FENCE
SIGN
13 YES
a
au,
DEFICIENCY THIS PROPERTY
Valuation
[3 YES
Fee
13 NO
I
No.
RETAINING WALL
SWIMMING POOL
DEMOLITION -EEN-1
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE
ATTENTION APPLICATION APPROVAL
THIS PERMIT This application is not a permit until
AUTHORIZES
ONLY THE signed by the Building Official or his Dep-
WORK NOTED uty; and fees are paid, and receipt is ac-
knowledged in space provided.
INSPECTION D OWS SIGN'ATjj1RE
DEPARTMENT
CITY OF
EDMONDS DATE
PIZ 0.1107
4
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