670570.pdf...........
BUILDING DEPARTMENT
PERMIT APPLICATION
NAMM (OR NAME OF�HUHINESS)
T ImAl S PEA -k-S
Applicant FBI
Inside Heavy Lines
0
.CANT SITE 01
YES 13 N
I NO
,RIANCE NUM —MR
IN An wrw Ef
NAMA
PLOT PLAN APPROVED
EM R/W
XT. DEFICIENCY THIS PROPERTY
EXISTING STREET R/W
..........
CtTY
111 N
ONE N
TE PM[ON
ER
COUP. PLAN ST. R/W
............ IT -
REMARKS
NAME
S CA
I
�KEBY
CH31C D By
z
-ADDRESS-
16 3 At 3
METER SIZE SERVICE
8 CLEARANCE
CHE14 By
CITY
ONE
MR
JE A 7TI T
In
__ 2
- & V 0
_R E—M A WS_
I
C3 YES [3 NO
El RESIDENTIAL
%
GAS
JN
ElNEW
I
El
NON-RESIDENTIAL
0
;J::
IG
El ALJJJ
RETAINING
WALL
DEMOLISH
EIALTER
EXCAVATE
OR FILL
PENCE
( .......... x .......... Ft.)
REPAIR
F1
,RE�MOVE
P
SWIM
POOL
EB
rqum2mn Vm-
DWELLING
UNITS
0
plan Check No .....................
PROPOSED USE
BUILDING
PLOT P:�kN (Indicate Building setbacks, abutting streets)
PLUMBING
04
BEAT & GAS LINE
PENCE
t
SIGN
N
RETAINING WALL
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE
I hereby acknowledge that I have read this application; that the in-
r'eb
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 r6gu-
zed agent of
ATTENTION
laung construction; and in doing the Work authortZed thereby. no person
laung ustr
will be employed in violation of the Labor Code of the State of Washington
THIS PERMT
rot ng to Workmen's Compensation insurance.
au V1
U
AUTHORIZES
ONLY THE
NOLTE: Permit Limit One Year (Except DEMOLITIONS which
WORK NOTED
shan be co !pleted in ninety days; MOVED -IN BUILDINGS shall be Dom -
m
plated In six months.)
_ IONED
INSPECTION
S _
TU
SIGNATURE
DEPARTMENT
CITY OF
EDMONDS
Applicant Subject to Plan Check Fee
NOTE:
PH 6-1101
This pernat covers work to be done on private property ONLY.
Any conegraction on the public domain (curbs, sidewalks, driveways,
marquees, etc.) will require separate permission.
Valuation
NUL
Fee
RE
.J
3.00 1AA
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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