670534.pdfUILDING DEPARTMENT Applicant MII
PERMIT APPLICATION Inside Heavy Lines
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STED ON KROLL MAP NO.: PERMIT
/ / I NUMBER 670534
B ADDRESS
10 4. - I
SIDE 'YJ____ FREET SETBACK WCAR YARD SETBACK
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USE ZUL4E LOT A VACANT SITE
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1 7- 1-2— 1 1 zprLg- (3 NO
TWX Aig � VARTANOW NUM
wz"rMUNN NUMBER
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Z Z 5,6
EXISTING STREET R/W
............ FT- DEFICIENCY THIS PROPERTY
COMP. PLAN ST. R/W
............. YT.
REMARKS
Owe'*
�-Hy
MET SIZE BERVIC
SIZE CLEARANCE
BY
Curf
I
REMARKS
PERC. TEST
PERMIT
REMARKS
Fn.. ZONE TYPE OFCON"RUCTION STREET IMPROVED
M-158 0 No
SPECLALL INSPECTOR REQUIRED
[] YES MW6_�
OCCUPANCY GROUP
1 �c
PLAN CHECKED BY
141
P9 RESIDENTIAL GAS
S'D,
NEW
NON-RESIDENTIAL :IG:
ADD RETAINING
E] DEMOLISH WALL
ALTER EXCAVATE PENCE
D ( .......... x .......... Ft.)
1:1 OR FILL
PRE -MOVE r-_-;KSWIM
REPAIR INSP. ffJ POOL
LES
NUMBER OF
DWELLING
UNITB
NATURE OF woRK TO BE DONE
Ad
Valuation
Fee
Receffit No
PlanCheck No ................ ....
PROPOSED USE
BUILDING
PLOT PLAN (lualcale Isulloing Betb"M, abutting streets)
PLUMBING
HEAT & GAS LINE
FENCE
SIGN
RETAINING WALL
SWIM NG POOL
DEMOLITION
C4
PRE -MOVE INSPECTION
EXCAVATION OR FILL
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 duly author-
ized agent of the owner. I agree to comply with city and state laws regu-
ATTENTION
I&ttng 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 PERMT
relating to WorkmeWs Compensation Insurance.
AUTHOR11ZM
ONLY TIM
NOTE: Permit Limit One Year (Except DE51OLITIONS which
WORK NOTED
shall be completed In ninety days; MOVED -IN BUILDINGS shall be com-
pleted in six months.)
—D
INSPECTION
I
IIGNATURE (OWNER OR AGENT) ATE SIGNED
DEPARTMENT
OF
CITY
EDMONDS
NOTE: Applicant Subject to Plan Cbeck Fee
PR 6-1107
This-psnnit covers work to be done onprivate property ONLY.
Any construction on the public dornalin (curb@, sidewolkso drivewayst
marquees, etc.) win require separate permission.
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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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