670422.pdf7'
BUILDING DEPARTMENT
PERMIT APPLICATION
NAME (Olt NAME OF BUflINE15ti)
EARL Do BETICH
MAILING ADDRESS
1123 9th. Ave. S
CITY Ednonds, Jash.
POSTED ON KROLL MAP N 0.:
Applicant Fill /C2 o (, 0
PERMIT
I NUMBER
'7n422
U
Inside Heavy Lines �J()BADDRESS
71—DE YARD SET-BAC STREET
SETBACK REAR YARD 5ETBA1
PR P-t-j581
I&- I L2
Description of Prop��iml_h__Ow Below1or Atu
spa -View Estates, Lot T-F 4
RESIDENTIAL
F-1
GAS
LINE
IDNEW
NON-RESIDENTIAL
F1
SIGN
ElADD
RETAINING
DDEMOLISH
WALL
ALTER
EXCAVATE
PENCE
Fx]
OR FILL
( .......... x .......... Ft.)
REPAIR
PRL-MOVE
INSP.
swim
POOL
NUM33ER OF
DWELLING
UNITS
— / I-) I I Pa"TES [3 NO
STIMZT R/W
EN38TING STREET R/W ��pr. . DEFICIENCY THIS PROPERTY
COMP. PLAN ST. R/W 4�� ... F-r.
.3/4 "
Ej YES wll�o
R I
Plan Check No .....................
-PROPOSED USE
Realripi-itial
BUILDING
0
PLOT PLAN (Indicate Building setbacks. abutting streets)
PLUMBING
HEAT & GAS LINE
PENCE
SIGN
N
RETAINING WALT
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
2 P L SWI
EXCAVATION OR FILL
TOTAL AMOUNT DUE
I hereby azknowledgo that I have read this application: that the In.
formation given to correct; and that I am the owner, or the duly author-
lzed agent of the owner. I agree to compjy with city and state laws regu- ATTENTION
lating COnAtrUCUOn; 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
relating to Workmen's Compensation Insurance. AUTHORIZES
ONLY THE
NOTE: Permit Limit One Year (Except DEMOLITIONS Nvhlch WORE. NOTED
shall be completed in ninety days; MOVED -IN' BUILDINGS shall be com-
pleted In six months.)
INSPECTION
UGNA (OWNER OR AGENT) VATN WUNNU
DEPARTMENT
CITY OF
EDMONDS
rM70TE": Applicant Sitbject to Plait Check Fee PH 6-1107
This Permit coven work to be done On private Property ONLY -
Any construction on the public domain (curbs, sidewalks, driveways,
marquees, et-,.) will require separate permission.
Valuation
13 YES
Fee
0
04
113 - o o 13TI%'
APPLICATION APPROVAL
This application Is not a permit until
signed by the Building Official or his Dep-
uty; and fees are paid, and receipt is ac-
knowlLdged in space provided.
v !17 A
FILE
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