670299.pdfL
POSTED ON KROLL MAP NO.; PERMIT
,,,"BVILDING DEPARTMENT I NUMBER
Applicant Fill
IfERMIT APPLICATION Inside Heavy Lines JOB ADDRESS 4
NAMM (OR NAMED OF BUSINESS)
-7 —7 e�
t F
Vy
Line,,
CK
k:5, E7 DI A\ _'E SIDE YARD SETBACK STREET SEA4A
NUUUNG ADDRESS
USE,ZONE LOT AREA
,GITT TELEPHONE NUWB—XR—
k//Vl HEIGHT BUILDING AR39A
EXISTING STREET R/W ............ FT.
COMP. PLAN ST. R/W ............ FT.
ption of Property (linow Below or Almcn z-our Uoples)
PERO. TEST
4 4'6 A 7'
REMARKS
40
FIRE ZONE TYPE
Tjlr ,,�-lre-elcpco
SPECIAL I
0 YES 0 NO
W
PLAN CHECKED BY
GAS
RESIDENTIAL LINE
REMARKW
NEW
ElNON-R SIGN
ADD
RETAINING
WALL
El
DEMOLISH
ALTER EXCAVATE PENCE
OR FILL X Ft.)
.7
.......... ..........
�REPAIR PRE -MOVE swim
INSP. POOL
NUMBER OF STORIES NUMBER OF
Li k
DWELLING
UNITS
NATURE OF WORK TO BE DONE
7
4 A 7� r2-Z-7C TA-1 / C- /ZE/1 T
Plan Check No .....................
PROPOSED USE
BUILDING
PLOT PLAN (Indicate Building setbacks, abutting streets)
PLUMBING
HEAT & GAS LINE
PENCE
SIGN
RETAINING WALL
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE
I hereby acknowledge that I have read this application; that the In-
formation given In correct; and that I am the owner, or the duly author-
lzed agent of the owner. I agree to -comply with city and state laws regu-
ATTENTION
lating construction; and in doing the work authorized thereby, no person
will be employed in Violation of thi'Llibor Code of the State of Washington
THIS PERMIT
relating to Workman's Compensation. Insurance.
AUTHORIZES
I
NOTEk"Jit, L1Mff\0pe Year DEMOLITIONS
ONLY THE
(Except which
WORK NOTED
shall be comple ed JA ttlfiety)d4s; _MOVED -IN BUILDINGS shall be com-
pleted In six months.)
SIGNATURE (OWNER OR AGENT) DATEBIGNED
INSPECTION
J.
DEPARTMENT
CITY OF
EDMONDS
NOTE: Applicant Subiccl to Plan Cbeck Fce
PH 6-1107
This Permit covers work to be done on private property ONLY.
Any construction on the public domain (curbs, sidewalks, driveways,
marquess, etc.) will require separate permission.
.............. -------
--------
YES 13 NO
DEFICIENCY THIS PROPERTY
Valuation
M
C] YES
IOUP ,
Fee
e-P
A
E I
sk
[3 No -
APPLICATION APPROV A
This application is not a permit until
signed by the Building Official or his Dep- I , 6�
uty; and fees are paid, and receipt Is ac-
knowledged in space provided.
DIRECTorra SIGNTT-URE V
INSPECTOR
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