670272.pdf------ . .......
ON KROLL MAP NO
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POST
NUMBER 670272
BUILDING
DEPARTMENT
Applicant FIR
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PERMITAPPLICATION
inside Heavy Lines
J013 ADDRESS
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114
NAM OR NAME OF BUISINJI;
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SIDE YARD SETBACK STICNU_ SETBACK
TBAC
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88
USE ZO
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SITE
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I TELEPHONE NUMBER
12--TES El NO
or
15_�
HEIGHT
/ 1--1040r
STREET R/W
EXISTING STREET R/W
COMP. PLAN ST. R/W ............ FT.
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DEFICIENcyj�1,8 PROPERTY
YES [:] NO
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[3 YES U-Na—
GAS PLAN CHECKED BY
ErNEW RESIDENTIAL 1:3 REMARKS
NON-RESIDENTIAJIJ El
El�w — RETAINING
ElDEMOLISH 0 WALL
ALTER EXCAVATE FENCE
El OR FILL 1:1 ( ........ . x .......... Ft.)
REPAIR PRE -MOVE swim
INSP. 1:1 POOL
NUMBER Oil 13TORIE13 NUMBER OF
DWELLING
UNITS
NATURE OF WORK TO BE DONE
Valuation Fee Receipt No.
Plan Check No .....................
PROPOSEDIJ13E BUILDING
PLOT PLAN (Indicate Building setbacks, abutting streets) PLUMBING
0 HEAT & GAS LINE
FENCE
t SIGN
N
RETAINING WALL
SWIMMING POOL
Free
*60
0/ 6
DEMOLITION
PRE -MOVE INSPECT 0
EXCAVATION OR FILL
TOTAL AMOUNT DUE
I hereb7 acknowledge that I have read this application; that the In-
formation oven Is 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- ATTEN"XION APPLICATION APPROVAL
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 This application Is not a permit until
relating to Workmen's Compensation Imuranee. AUTHORIZES signed by the Building official or his Dep-
ONLY TIM,
NOTE: Permit Limit one Your (Except DE31OLITIONS which WORK NOTED uty; and fees are paid, and receipt Is ac-
shall be completed in ninety days; MOVED -IN BUILDINGS shall be com- knowledged in space provided.
pleted In six months.) INSPECTION IREC R. NAT
ATURE R)WNE AGENT) DATE SIGNED
DEPARTMENT
CITY OF DATE
EDMONDS
NOTE: Applicant Sitbiect to Plan Check FCC PR 6-1107 67
This Permit Cove" work to be done on private property ONLY.
Any construction on tile public domain (curbs, sidewalks. driveways, FILE
marqufts, etc.) will require separate permission.
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