670450.pdfV.
POSTED ON KROLL MAP NO.: PERMIT
BUILDING DEPARTMINI
B U 'L D I N
Applicant FBI
Applicant
NUMBER
670450
PERMIT APPLICATION
PE RM
av
de c _y Lines
Inside Heavy Lines
I
JOB ADDRESS
(Olt NAME OF BUSINESS)
1
0
7=1
FNAMID
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SIDE YARDeSETBACK STREET SETBACK
REAR YARD SETj
M AILI NO ADDRESS
—USE
71/2,0 22 of
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ZONE LOT AREA
VACANT SITE
CITY
C
PHONE NUMBER
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CITES EVC
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;PUON
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HEIGHT BUILDING AREA
VARIANCE NUMB
I NAME
E)aWTING'STREET R/W ............ FT. DEFICIENCY THIS PROPERTY
COMP. PLAN ST. R/W ............ IT. ....... .... 3".
E VIER
1414 eE
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or
FA
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13 YES
DNEW
RESIDENTIAL
GAS
LINE
NON-RESIDENTL"ILL
s I C,-;
RETAINING
DEMOLISH
WALL
ALTER
EXCAVATE
OR FULL
FENCE
( X Ft.)
.......... ..........
REPAIR
PRE -MOVE
INSP.
swim
POOL
EB
NUMBER vir
DWELLING
UNITS
TATURE OF WORK TO BE DONE
ADh r<
F77,
01V 611R.46�C_
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Plan Check No .....................
PROPO519D Outs
jq' RdIV 7�
PARK* IS'
BUILDING
PLOT PLAN (Inuicate Building Setbacks, abutting streets)
PLUMBING
HEAT & GAS LINE
PENCE
SIGN
RETAINING WALL
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL A'.%IOUNT DUE
I hereby acknowledge that I have read this application; that the In-
formation given Is correct; and that I wn 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 employed In violation of the Labor Code of the State of Washington
THIS PERMIT
relating to Workmen's Compensation Insurance.
AUTHORIZES
NOTE: Permit Limit One Year (Except DEMOLITIONS which
ONLY THE
WORK NOTED
sluill be completed in ninety days; MOVED -IN BUILDINGS shall be com-
pleted in six months.)
DATE SIGNED
INSPECTION
DEPARTMENT
CITY OF
_Z7
EDMONDS
NOTE: Applicant Subject to Plan Check Fee
rn 6-1107
This Permit coven work to be done on private property ONLY.
Any construction on the public domain (curbs, sidewalks, driveways,
marqums, etc.) %vHI require separate permission.
BY
rld
0 YES 201101_�
0
Ad
Fee I Receipt No.
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-
knowledged in space provided.
FILE
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