670370.pdfI
,BUILDING DEPARTMENT Applicant FM
PERMIT APPLICATION Inside Heavy Lines
NAME OR OF BUSINESS)
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MAILIN(VADDREUS
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ECENSE NUMBER
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cription or Property (show Belov
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SIDENTIJ
F�
GAS
LINE
ADD
ElNON-IIESIDENTIAL
SIGN
0
r_1
RETAINING
WALL
DEMOLISH
MCCAVATE
PENCE
ALTER
OR FILL
( x Ft.)
0
PRE -MOVE
.......... . ........
SWIM
REPAIR
INSP.
POOL
FUMBER OF STORIES
NUMBER OF
DWELLING
UNITS
TATU E OF WO 0 BE DONE
C
F—A—DDRE813
- I a:3
)M YARD SETI
/V , M /�j
STREWN A/W .� 0
MIXISTING STREET R/W .�� ....... FT.
if
MIRI,
[3 YES M_11�0'
P a Check No ............ .. .....
BUILDING
B U
PLUMBING
P L
HEAT & GAS LINE
H E
11E
FENCE
I
I
SIGN
NJPlan
RETAINING WALL
WIMMNG POOL
S SW
D DEMOLITION
PR
PRE -MOVE INSPECTION
X
EXCAVATION OR FILL
To,
TOTAL AMOUNT DUE
I hereby acknowledge that I have read this application; that the In-
h are b y
formation given Is correct; and that I am the owner, or the duly author-
formation g IV a
I
ized agent of the owner. I agree to comply with city and state laws regu-
'zed age" 0 I
ATTENTION
U,
lattair construction; and in doing the work authorized thereby, no person
luting co net r
will be employed In violation of the Labor Code of the State of Washington
n
TIUS PERMIT
r I ng to Workmen's Compensation Insurance.
alll
AUTHOIUZES
NOTE: Permit Umit One Year (Except DE31OLITIONS which
- !
I
ONLY TIM
WORK NOTED
shall be completed In ninety days; MOVED -IN BUILDINGS shall be com.
PI
11
plated In mix months.) oe
IQNATUREXOWN��y OF AGENT) DATE SIGNED
S (IN
INSPECTION
�,
7,7-617
DEPARTMENT
CITY OF
EDMONDS
NOTE: Applicant Subject to Plan Check Fee
PR 6-1107
This Permit coven work to be done on private property ONLY.
Any construction on the public domain (curbso sidawalkst drivewayst
marquees, etc.) will require separate pmilsslon.
PERMIT
NUMBER
. r
670370
WRY "I
RE,IR YARD SETBACK
VACANT SUNIG
ffli;s 11 NO
VARIANCE NUMBER I Fk
DEFICIENCY THIS PROPERTY 0
Valuation
;;P 40-9,
Fee
7-57,6�
1 93,,�6 1 an:
APPLICATION APPROVAL
This application is not a permit until
signed by the Building Official or his Dep-
uty; and fees are paid, and receipt to ac-
knowledged in space provided.
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