670431.pdfBUILDING DEPARTMENT Applicant FIU
PERMIT APPLICATION Inside Heavy Lines
NAMIC (OR NAMN OF ISUOLNESS)
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— F310
PERMIT
NUMBER
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ON
STREET rrt,(W <4
... g ... FT. DEFICIENCY THIS PROPERTY
LAN ST. itm .4.q ... rr.
METER SIZE BIERV133ELISIZE I CLEARANCE c=CKMD BY
HONE NIff �EA
_T
MLEPHONE N ER L
or Attach Four Copies) I <��
L,_j't- 44 131C 0 / L c t0 I PERO. TEST
NEW
RESIDENTIAL
F, -I
GAS
LINE
El
IL
NO]
D
SIGN
Ajiv
MDEMOLISH
F-1
RETAINING
WALL
ALTER
M
EXCAVATE
OR FILL
D
PENCE
( x
.......... ..........
REPAIR
1:1
PRE -MOVE
INSP.
El
SWIM
POOL
iUMBER OF STORIES
NUMBER OF
Z
DWELLING
UNITS
rA—TURE OF WORK TO ISE DONE
A AX 01PLJ
41 e__
0 YES
Plan Check No ..................
BUILDING
PLUMBING
*_tt
ki
F -
$1
",14
HEAT & GAS LINE
FENCE
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 Is correct; and that I RM the owner. or the duty author-
ized agent of tile owner. I agree to comply with city and state laws r6gu-
ATMMON
construction; and In doing the work authorized thereby, no person
lating
will be employed in violation of the Labor Code of the state of Washington
THIS PERMIT
relating; to Workmen-s Compensation Insurance.
AUTHORUES
ONLY TM
NOTE: Permit Limit One Your (Except DEMOLITIONS which
WORK NOTED
shall be completed in ninety days; JKOVED-IN BUILDINGS shall be eom.
plated in six Months.)
118700�INIATI,1112 (OWNER OR AGENT) DAT19 SIGNED
INSPECTION
DEPARTMENT
CITY OF
EDMONDS
NOTE: Appli"nt Subject to Plan Check Fee
PR 6-1107
This permit covers work to be done on private property ONLY.
Any construction on the public domain (curbs, sidewalks, driveways,
marquees, etc.) will require neparate permitalon.
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the following WRII�,
er�t to cons=ct
approval.
If ION' is herebir made for a P mb.,kted hellll� for
Off -St I
APpdCA Two sets ar
.--A ecifications � 1 .11 .: ;,� � � .. 1�,,�,.�,-:,,,
p ing pla pailung
...............
...........
............ 7-
n. ........ .. ........ .............. ...........
n repair ... Fire
Work.. add ne ...... If ........ I--
...........
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This permit does not cover Plumbing, Sewer or Electrical installations'..:':�
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