670492.pdfBUILDING DEPARTME
.PERMIT APPLICATION
C.
POSTED ON HROLL MAP NO.: PERMIT
Tpplicant Fill I I NUMBER
lwn�ldi IEK I Ines �OBADDRESS
SA m r-- PIC (0 -
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WA 6-cr. beffic, -Thcritive- 0 G
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5 99 110 9 '.?/ 11 A d d4lsi- o + / 0 74 -1.$-r - -t k e WC e A/
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0+ 6AID MALi9Nr,- L4ND -sP*eVd6 W
OL 1) W -1. rn -re v C P 0 e�
lquPI GAS
NEW RESIDENTIAL LINE
NON-REBIDENTIAL SIGN
ADD RETAINING
F� DEMOLISH WALL
DALTER EXCAVATE PENCE
F� OR FILL D ( ........ . x ..........
REPAIR PRE -MOVE swim
M INSP. POOL
NUMBER OF STOUE-8 NUMBER OF
DWELLING
UNITS
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670492
13 YES E3 NO
.... —f ..
EXISTING STREEr R/W ............ FT- DEFICIENCY TBIS PROPERTY
� YES [3 NO
Plan Check No ...........
BUILDING
PLUMBING
HEAT & GAS LINE
PEN
t SIGN
H
P
N
R RETAINING WALL
E
L
E
E
1
7
N
T
N
T
AI
N
G
CE
G
G
14IN
AS
0 W
LIN
A
E
L L
SWIMMING POOL
DEMOLITION
P Rn 0 SP
RE -MOVE INSPECTION
P -M I CTION
xC V TIC 0
EXCAVATION !ORFILL
FILL
TOT L MOUNT
TOTAL AMOUNT DUE
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 agree to comply with city and state laws roKu-
ATTENTION
and In doing the work authorized thereby, no Parson
laUng construction;
will b@ employed In violation of the Labor Code of the State of Washington
THIS PERMIT
relating to Workmaws Compensation Insurance.
AUTHOR11ZE8
ONLY TM
NOTE: Permit Limit One Year (Except DEIHOLITIONS which
WORK NOTED
&hall be completed In ninety days: MOVED -IN BUILDINGS shall be com-
pleted in six Months.)
SIGNATURE (OWNER OR AGENT) L)jVxE SIGNED
INSPECTION
IeXt
DEPARTMENT
16 IN 7
CITY OF
EDMONDS
NOTE: APPlicant Subject to Plan Checle Fee
rR 6-1107
This Permit covers work to be done on private property ONLY.
Amy conalmetiou, on the public domain (curbs, sidewalks, driveways,
marquees, etc.) will require separate permission.
Valuation
YES E3 NO
Fee
I
No.
1 3,00 Hq-tl-a-
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.
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