680146.pdf......... . .
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'I M_
ON KROLL MAP NO.:
PERMIT
NUMBER
680146
OUILUINU DEPAR I MEN
PERMIT APPLICATION
NAME (OR NAME OF BUelNESS)
Pryde Homes
6205 - 200th SW
CLTT
Tmnrnmraod. Wash
Applicant M
Inside Heavy Lines
0
Reliable Meet Metaly Inc.
Cd ADDRESS
11447 - 120th N. E.
CITY
Kirkland2 Wa VA
10 sh. I
E-7
or
— 191lth SW
#7
0 YES 13 NO
EXISTING STREET R/W DEFICIENCY THIS PROPERTY
COUP. PLAN ST. R/W .... ....... FT.
[:I YES [3 No
NEW
ADD
ALTER
REPAIR
rll�l
RESIDENTIAL
NON-RESIDENTIAL
rl
DEMOLISH
EXCAVATE
1:1 OR FILL
PRE -MOVE
1:1 INSP.
D
GAS [J YES 13 NO
LINE PLAN CHECKED BY
SIGN
RETAINING RE
WALL
FENCE
........ . x .......... Ft.)
SWIM 01-i QAAAd
POOL
IUMBER OF STORIES
-INNUUMBER OF
DWELLING
UNITS
e
Plan Check
BUILDING
abutting streets)
PLUMBING
01
BEAT & GAS LINE
FENCE
t
SIGN
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-
formation given In correct; and that I am the owner, or the duly author-
ized agent of the owner. I agree to comply with city and otate laws regU-
ATTENTION
I&Ung 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 PERMIT
rotating to Workman's Compensation Insurance.
AUTHORIZES
NOTE: Permit Limit One Year (Except DEMOLITIONS which
ONLY TIM
WORK NOTED
be completed in ninety days; MOVED -IN BUILDINGS shall be com-
shall
pleted in nix months.)
SIGNATURE (OWNER 0 AGENT) DATE SIGNED
INSPECTION
DEPARTMENT
CITY OF
EDMONDS
NOTE: Applicant Subject to Plan Check Fee
PR 6.1101
This pegnilt covers vark to be done an Private Property ONLY.
Any construction on the public domain (curbs, sidewalks, driveways,
marquees, etc.) will require separate permission.
Valuation
Oil
N
I
No.
(0
1 3. 0�0 I N as -
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-
Imowledged in space provided.
o
F11