680125.pdfILDING DEPARTMENT Appucantm
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ERMIT APPLICATION
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SIDENTIAL
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NON-RESMENTIAL
SIGN
DAD
RETAINING
WALL
DEMOT-1611
[Er ALTER
EXCAVATE
OR FILL
FENCE
El . ........
El REPAn: t
El
PRE -MOVE
INSP.
swim
POOL
NUMBER Or STORIES
NUMBER or
DWELLING
UNITS
I Ia.. A n. � 8 .3 VNI
DN KROLL MAP No.:
PERMIT
I NUMBER
.680125
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RD BET13ACK
8TREWPBETBACK
BEAR YARD SETBACK
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LOT AREA
VACANT SIT13
YES 0
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I VARILtNOIGn NUMBER
KISTING STREET R/W DEFICIENCY TWO PROPERTY
COMP. PLAN ST. R/W ....... ... XT.
[] YES
n
plan Check
PROPOSED USE
PIC$ 1 0 r4 C—f--
BUILDING
PLOT PLAN (Indleato Building letbsolUl,rbutting streets)
PLUMBING
31#161,
BEAT & GAS LINE
0
AVZ_C.%A.—C>t-4- %N
PENCE
ot t
SIGN
RETAINING WALL
sivnEMITNG POOL
DzuoLrrioN
PRE -MOVE INSPECTION
c'.
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-
ATTEISMON
teting 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 PERMrr
relating to WorkmeWs Compensation Insurance.
AUTHORIZES
ONLY TIM
NOTE: Permit Limit One Your (Except DEMOLITIONS which
WORK NOTED
shall be completed in ninety days; MOVEID-IN BUILDINGS Shall be com-
plated In six months.)
INSPECTION
3IGNATURE (7 V Ava��j DATE SIGNED
DEPARTMENT
t4-1q-(o7
CITY OF
EDMONDS
NOTE: Apfflie"a ubject to Plan Check Fee
pit 6_11417
TWO pern-At coven work to be done an privs" property ONLY.
Any construction On the public domain (curbs, sidewalks, driveways,
marquees, ste.) will require separate permission.
13 TEO 006—
Fee I Receipt No.
0 Jr- 10 10 I(Ati-sq
APPLICATION APPROVAL
Title 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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