670468.pdfC. I
BUILDING DEPARTMENT Applicant MR
Inside Heavy Mee
PERMIT APPLICATION
NAMMI (OR NAME OF BUSINESS)
D P #?. R Dof 4 n.4 e I/
601- 7-4-1 P-Z - cu -
DITY TELEPHONE NUMBER
F01jLfO1V0'5 U,)1fjH 779
NAME
/3 e //
OLDDR1111111111
CITY TELEPHONE NUMW-
'_7e'4t.-Tr21e "), (10kSH 44-3-241S-d
NAKE
/, A R r, y
ADDREUG
J-lq,�-7
CITY TELEPHONE NUMBER
CITY LICENSE NUMBEF
POSTED ON KROLL 3ULP NO.: PERMIT
I NUMBER 670468
JOB ADDRESS _tAl
16 0 / a ri —
SIDE YARD SETBACK STREET SETBACK Rm&n YARD SETBACK
USE ZO;4E. VACANT SITE
�k � 13 YES 13 NO
HEIGHT I BUILDING AREA VARIANCE MY ER
EXISTING STREET R/W ............ FT.
COMP. PLAN ST. R/W ............ FT.
DMUCIENCY THIS PROPERTY
77/f C -rs 0 C
IFERO. —TEST
PERMIT NUMBER
Ile 4F-� C7 qj'0'+
REMARKS
-41 jv 414-)k-7171
51volldl, -sll CoL
FIRE TYPE or CONSTRUCTION STREET IMPRMA
�70 F 1 1 13 YES 13 NO
SPECIAL INSPECTOR REQUIRED
13 YES A 0
OCCUPANCY GROUP
PLAN CEECKE
GAS
RESIDENTIAL LINE
NEW
NON-RESIDENTIAL SIGN
RETAIMNG
DEMOLISH WALL
ALTER EXCAVATE PENCE
OR FILL El ( .......... x .......... Ft.)
REPAIR PRE -MOVE SWIM
1:1 INSP. POOL
REMARKS
NUMBER OF STORIES
NUM713OR OF
DWELLING
UNITS
NATURE OF WORK TO BE DONE
. 01.,V1,V6. ev&H )r
*clV 4!� + c �loek 6 e-
I hereby acknowledge that I have read this application; that the In-
formAtlon 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-
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
relaung to Workmen's Compensation Insurance.
NOTE: Permit Limit One Your (Except DE31OLITIONS which
shall be completed in ninety days; MOVED -IN BUILDINGS shall be com-
pleted in six months.)
1j,
, If
NOTE: Applicant Subject to Plan Check Fee
This Permit covers work to be done on private property ONLY.
Any construction on the public domain (curbs, sidewalks. driveways,
nuwquwg, etc.) will require separate permission.
Valuation
Fee
No.
Plan Check No ............ . .......
BUILDING
TAIA60
—7a
PLUMBING
HEAT & G&GAP'
PENCE
SIGN
RETAINING WALL
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
ATION 0" PILL
EXCAVATION OR PILL
V
To AL AMOUNT DUE
TOTAL AMOUNT DUE
ATTE 101.1
ATTENTION
APPLICATI ON APPROVAL
[IOCTOA
TIUS PERMIT
This application is not a permit until
I III
AUTHORIZES
I
signed by the Building Official or his Dep-
ONLY THE
_ N
WORK NOTED
uty; and fees are paid, and receipt is ac-
knowledged in space provided.
NSPECTION
I INSP CTI
D��07 SIG 0
DEPARTMENT
CITY OF
EDMONDS
DATE
PR 6-1107
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