670423.pdfBUILDING DEPARTMENT Applicant Fill
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PERMIT APPLICATION
1 NAME (OR NAME OF BUSINESS)
�KOBCVZ_r C' coopeR
AILING "DRESS
M
[14 S 2-o4 PL T(A)
C
CITY 'ELEPHONE NUMB"
r=DM0t%)M I `P-Q to '�)Y -L<)
or
0
0
NEW
RESIDENTIAL
I
El
GAS
LINE
NON-RESIDENTIAL
F�
ADD
SIGN
RETAINING
E]
F-1
WALL
DEMOLISH
EXCAVATE
PENCE
ALTER
F
OR FILL
( x Ft.)
E]
REPAIR
El
PRE -MOVE
INSP.
1:1
.......... ..........
swim
POOL
IUMBER OF STORIES
NUMB R OF
DWELLING
0
UNITS
PERMIT
NUMBER
q / / / - ;]L 0
(3 YES
'7n423
J
,TBACIC
NO
[BER
EXISTING STREET R/W ............ FT. DEFICIENCY THIS PROPERTY
COMP. PLAN ST. R/W ............ FT. .......... 1".
[] YES [3 NO
or
9ACV�- P00SG__
Plan Cbeck No .....................
FR—OPOSED USE
CALZ IsTo iQ tAGE-
BUILDING
PLOT PLAN (Indicate Building setbacks, abutting streets)
PLUMBING
ft
_(_T
4Q
HEAT & GAS LINE
PENCE
t
SIGN
N
RETAINING WALL
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL A31OUNT DUE
I hereby acknowledge that I have read this application; that the in.
formation given to correct; and that I am the owner, or the duly author.
ized agent of tha 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 the Labor Code of the State of Washington
THIS PERMIT
relating to Workmen's Compensation Insurance.
AUTHORIZES
NOU4 err Limit One Year (Except DE31OLITIONS which
T
ONLY THE
WORJE NOTED
she" cc n rinetyy;da�ys:E7 BUILDINGS shall be com-
pTleted
in 0 B.)
SIGN;ArT (C DATE SIGNED
INSPECTION
DEPARTMENT
CITY OF
EDMONDS
NOTE: Applic414 Subject to Plan Check Fee
PR 6-1107
This Permit coven wofIL to be done on private property ONLY.
Any construction on the public domain (curbs. sidewalks, driveways,
marquees, etc.) will require separate pemiission.
am
[] YES 13 NO
Fee
ka
Z
1A
No.
I 3,o a I 3cf9 � 1 1
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-
Imowledged in space provided.
6-5--
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