670411.pdf8
BUILDING DEPARTMENT I Applicant FIR
PERMIT APPLICATION inside Heavy Lines
"Ala.
A
D NEW
RESIDENTU
0
GAS
LINE
NON -RESIDE TIAL
F_1
SIGN
RETAINING
DEMOLISH
0
WALL
ALTER
EXCAVATE
OR FILL
FENCE
( x Ft.)
.......... ..........
REPAIR
PRE -MOVE
INSP.
swim
POOL
TUMBER OF STORIES
NUMBER OF
I DWELLING
UNITS
770
3NOWIA
�511111111
A/ /
No.: PERMIT
6-70411
VC 9
'r 01 1
;?,o
, I
/ —
0
BE ZONE
LOT AREA
VACA14W ULWO
1
1[3
YES
?-Y- — /_
W]1_0_�
DIGHT
BUILDING
AREA
VARIANCE NUMBER
04
�CT PLANA RO
'REET 6/W
KISTING STREET R/W ............ FT.
DEFICIMOY THIS PROPERTY
COMP. PLAN ST. R/W
............ FT.
1CMARKS
CHECKED BY
0 YES
Plan Check No ............. .. ....
BUILDING
PLUMBING
HEAT & GAS LINE
PENCE
SIGN
RETAINING WALL
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR F ILL
TOTAL AMOUNT DUE
I hereby arknowlcdgo that I have read this application; that the In-
formation given 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- ATTENTION
lating construction; and In doing the work authorized thereby, no person
will be omployed 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 Your (Except DEMOLITIONS which WORK NOTED
shall be completed in ninety days; MOVED -IN BUILDINGS shall be com.
d In mix months.)
INSPECTION
DATE SIGNED
DEPARTMENT
CITY OF
EDMONDS
NOTE: Applicant Sih1ject to Plan Check Fee PR 6-1107
This Permit covers work to be done an private property ONLY.
Any construction an the public domain (curbs, sidewalks, driveways,
marquee$, ate.) mill require separate permission.
[j YES
Fee
rol
1/15/. 1� I 3q 71
APPLICATION APPROVAL
This application is not a pernilt until
signed by the Buildhig Official or his Dep-
uty; and fees are paid, and receipt Is ac-
knowledged in space provided.
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