670479.pdfBULDING DEPARTMENT Applicant Fill
PERMIT APPLICATION Inside Heavy Lines
NAME (OR NAME OF BUSINESS)
(7
, I
"7
CITY TELEPHONE NUMBER
40�-, I PtT 2P — !;-I �? I
or
11
I
El NEW
RESIDENTIAL
I
_1
r
GAS
LINE
NON-RESIDENTIAL
F�
F1ADD
SIGN
RETAINING
WALL
DEMOLISH
EXCAVATE
PENCE
ALTER
OR FILL
( x Ft.)
REPAIR
PRE -MOVE
INSP.
.......... . .......
SWIM
POOL
DWELLING
UNITS
-"A
C
P NO.: PERMIT
NUMBER 670479
STREET SETBACK REAR YARD SETBACK
_E5T A—REA VACANT SITS
13 YES 13 NO
_ffittl -DING AREA I VARIANCE NUM"JEU a,
EXISTING STREET R/W ........... Fr.
COUP. PLAN ST. R/W . .......... FT.
[3 YES
0 NO
Plan Check No ............ ... ....
BUILDING
PLUMBING
HEAT & GAS LINE
t
N
FENCE
SIGN
RETAINING WALL
I
SWIMMING POOL
I hereby acknowledge that I have read this application; that the In.
formation given In correct; and that I am the owner. or the duly auth.-
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
relating to Workman's Compensation Insurance.
NOTE: Permit Limit One Year (Except DEMOLITIONS which
shall be completed In ninety days; MOVED -IN BUILDINGS shall be com-
pleted In six months.)
NOTE: Applicant Subject to Plan Check Fee
This Permit covers work to be done an private property ONLY.
Any construction on the pubtle domain (curbs, sidewalks, driveways,
marquees, eic.) will require separate permission.
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
DEFICIENCY THIS PROPERTY
Valuation
(3 YES
Fee
Alm
13 NO
No.
TOTAL AMOUNT DUE 0,—r 0 0 -1
ATTENTION APPLICATION APPROVAL
THIS PERMIT This application Is not a permit until
AUTHORIZES
ONLY THE signed by the Building official or his Dep-
WORK NOTED uty; and fees are paid, and receipt is ac-
knowledged in'space provided.
INSPECTION DIRECTOWS 810 AT
DEPARTMENT 7
CITY OF
EDMONDS
PR 6-1107
FILE
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