680062.pdf0
BUILDING DEPARTMENT Applicant FM
PERMIT APPLICATION Inside Heavy lAnes
C
POSLT' D ON KROLL MAP NOA
PERMIT
680062
//
I NUMBER
01
J 76B —ADDIMSS P.44.4C� 77 & &. P
6�21— /a
k81DE YARD SETBACK
)E
__
OT SETBACK
0
REAR YARD SETBACK
0
(
0
0
0150
/0 407 j.:W
A11171
—Al-0
SE &ONE
U USE
LOT AREA
VACANT SrrM
0 YES 0 NO
UMT.MrWn AREA
I VARIANOM NUMBER
, , , ", — -1 .. R/W�?_!E ... FT. DEFICIENCY THIS PROPERTY
CITY ____1__T_E UPHON"UMBER EXISTING STREET
coup. PLAN ST. R/w ... FT. rr. 0
REMARKS
INAME
A# Ad
—CC--Mo W_ . I
ONE NUMBER
METER SIZE SERVICE SIZE CLEARANCE CHIKKM 33Y
ITY LICENSE NUMBER
BTATM LICENSE NUMArAS Y4
Al %A r
14g*' Description 09 Property (Show Below or Attach Four COVIC11)
A4 it id PE CONNECTION V
PERO. TEST MR
REMARKS
FIRE zo TYPE OF cc STREW IMPROVED
YES NO
ECTOR REQUIRED OCCUFANC:FUP
NO
[3 YES
BOORESMENTULL Lpr'LINE
00-- gA&O'
ffNZW PLAN CHECKED BY
1:1 NONRESIDENTIAL SIGN
nRETAINING REMARKS
11 DEMOLISH
WALL
ALTER EXCAVATE PENCE
El OR FILL ........ . x .........
REPAIR PRE -MOVE SWIM
El INSP. POOL
ES NUMBER OF
DWELLING
UNITS
NATURE OF WORK TO BE D(r
valuation Fee Receipt No.
Plan Check No ............. .
PROPOSED UBE
BUILDING
FM PLAN (Indicate Building setbacks, abutting streets) PLUMSING
ft HEAT & GAS LINE
FENCE
t SIGN
RWAINING WALL
SWIMMING Pool,
DEMOLITION
PRE -MOVE INSPECTION
t A7.4
* EXCAVATION OR FITA
9j 0 $to
TOTAL AMOUNT DUE
I hereby acknowledge that I have read this application; that thiln-
formation given is correct; and that I am the owner, or the duly author -
I agree to comply with city and state laws reffu-
lead agent of ths Owner. AT=NUON APPLICATION APPROVAL
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 TIM PERMIT This application is not a pernilt until
relating to Worlemen's Compensation Insurance. AUTHORIZES
ONLY THE Signed by Uie Building official or his Dep-
NOTE: Permit Limit One Your (Except DEMOLITIONS Which WORK NOTED uty; and fees are paid, and receipt is ac-
shall be completed In ninety "YN; MOVED -IN BUILDINGS shall be OOm- knowledged in space provided.
pleted In mix months.)
SIGNATURE (OWNER OR AGENT) ATESIONED INSPECTION
DIRE OR'S SIGN�ATSRE
DEPARTMENT
MAMQIJJ. LA CITY OF
EDMONDS
q � A
W40TE: Applicant Subject to Plan Cbeck Fee PH 6-1107
This permit coven work to be done on private property ONLY.
Any construction 013 the public domain (curbs, sidewalks, driveways, PH
romMuess, eta.) will "quire separate permission.
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