670491.pdfBUILDING DEPA
PERMIT AP!A11
INMZ��
16�
el�
MENT I Applicant Fill
'InN Inside Heavy Lines
or
Rm
- 17;_
NEW
RESIDENTU
0
GAS
LINE
NON-RESIDI TIAL
SIGN
RETAINING
WALL
DEMOLISH
EXCAVATE
PENCE
ALTER
OR FILL
( .......... x .......... Ft.)
REPAIR
PRE -MOVE
INSP.
swim
POOL
DWELLING
UNITS
I hereby acknowledge that I have read this application; that the In-
formation given Is correct; and that I am the owner, or the duty author-
ized agent of the owner. I ease to comply with City and state laws regu-
lating construction; and In doing the work authorized thereby, no Vernon
will be employed in violation of the Labor Code of the State of Washington
rele.t.ing to Workman's Compensation Insurance.
NOTE: Permit Limit One Year (Except DEMOLITIONS which
shalt be Completed In ninety days; MOVED -IN BUILDINGS aball be com.
plated In nix montpe.)
NOTE: Applicant Subject to Platt Check Fee
This perntit covers work to be done on PrITate Property ONLY -
Any construction on the public domain (curbs, sidewalks, driveways,
marquees, eta.) will rvqulre separate permission. I
Z
IFE
EXISTING STREET R/W ............ FT.
COUP. PLAN ST. R/W ............ FT.
[] YES [3 NO
Plan Check No ............
BUILDING
PLUMBING
HEAT & GAS LINE
PENCE
SIGN
RETAINING WALL
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE
ATTENTION
TIUS PERBUT
AUTHORIZES
ONLY THE
WORK NOTED
INSPECTION
DEPARTMENT
CITY OF
EDMONDS
PR 6-1107
PErWIT
NUMBER 670491
ACK REAR YARD UNTUACK
VACANT SITE
13 YES 13 NO
ZA I VARIANCE NUMBEE-- ow
DEFICIENCY THIS PROPERTY
Valuation
0 YES 13 NO
Fee
i
No.
I 5.0n lbwi 0,
APPLICATION APPROVAL
This application is not a permit until
signed by the Building Official or his Dep-
uty; and fees are paid, anarecelpt is ac-
lmowledged in space provided.
I.
DATE ?, i
0��k — (01
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