680081.pdfPOSTED ON KROL PERMIT
BER 680081
BUILDING DEPARTMENT
Applicant Flu
inside Heavy Lines JOB ADDRESS
PERMIT APPLICATION I - C el
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NAM (OR NAME OF BUSINESS)
, V —77 YARD BETBACKI STREET SETBACK HE YA."Ij UNT13ACK
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MAILING ADDRESS art 404PJ
USE ZONE Luj: AREA VACANT UrKIS
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TELEPHONE NUMIJNJt YES )60
CITY
VARIANCE/NUMBEU r.
BUILDING ARE
-DI HEIGHT
44 n
NAME
'..'M PLOT PLAN,#PPROVED
ADDRESS
HV9ET R1W
TELEPHONE NUMBER EXISTING STREET R/W ............ FT. DEFICIENCY THIS PROPERTY
COMP. PLAN ST. R/W ............ FT. ............ F-r.
REMARKS
AbLE
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DRESS 4 1
CHECKED
TELEPHONE NUMBER
METER SIZE SERVICE SIZE
CLEARANCE CHECKED 13Y
�STATE LICENSE NUMBER CITY LICENSE NUMBER
REMARHO
Legal Description of Property (Show Below or Attach Four Copies)
L
/_07 0 AA'-C 74 TYPE CONNECTION VERIFIED BY
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4" PERO. TEST PERMIT NUMBER 04
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REMARKS
In
FIRE ZONE TYPE :78TRUCTION STREET IMPROVED
YES r3;r1`G_
PECTORI-REQUIRED JOCCUPANCY GROUP
El RESIDENTIAL GAS YES O-NO
LINE
NEW PLAN CHECKEDJBY
NON-RESIDENTIAL SIGN
RETAINING
DEMOLISH El WALL
DALTER EXCAVATE FENCE
0 OR FILL ( .......... x .......... Ft.)
El REPAIR PRE -MOVE swim
INSP. POOL
El
NUMBER OF STORIES NUMBER OF
DWELLING
UNITS
-RARTURE OF WO
RK TO BE DONE
—;Z)> 'a X::�EA /_/0 t)E4�
Valuation Fee Recclvt 771
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I hereby acknowledge that I have read this application; that the In-
formation given to 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-
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
relating to Workmen's Compensation Insurance.
NOTE: Permit Limit One Year (Except DEMOLITIONS which
aha3-ke completed in ninety days; BIOVED-IN BUILDINGS shall be com.
t d I Ix months
DATE ON D
V 11 'Ey
/ U
1,76
NOTE: Applicant Subject to Plan Check- Fce
This Permit covcrs� work to be done on private property ONLY.
Any construction on the public domain (curbs, sidewalks, driveways,
marquees, etc.) will require separate permission.
Plan Check No
BUILDING
PLUMBING
BEAT & GAS LINE
PENCE
SIGN
RETAINING WALL
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE
ATTENTION
APPLICATION APPROVAL
THIS PERMIT
This application is not a pernitt un il
AUTHORIZES
signed by the Building official or his Dep-
ONLY THE
WORK NOTED
uty; and fees are paid, and receipt is ac-
Imowledged in space provided.
INSPECTION
DEPARTMENT
CITY OF
EDMONDS
PR 6-1107
34_�
FILE
I
. 11
Foundation
Plumbing (Partial)
(Rough)
Frame
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