680200.pdf... ....... .... - - - - - -- . .....
91 POSTED ON KROLL MAP No.: PERMIT
6802
NUMBER 00
0 BUILDING DEPARTMENT AnnUcant FIU I
Inside Heavy Lines
PERMIT APPLICATION
JOB ADDRESS
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77-3
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NAME (OR NAMN 011'BUSINESS)
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MAILING ADDREtsts
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LOT AREA
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—CITY TE—LEPHONE NUMff—Ut
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CITY �IUEZPHONE —NUhLBW
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ETT—ATELICENSE NUMBER CITY LICENSE NUMB]
Legal Description of Property (Show Below or Attach Four Copies)
7- L-o (9 -
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a Lc, W '7o4 ,� 5 '/, Lot '9
M
ElNEW
Rn RESIDENTIAL
M
GAS
LINE
NON-RIISIDENTIAL
SIGN
REMAINING
WALL
DEMOLISH
ALTER
EXCAVATE
OR PILL
PENCE
( .......... x .......... Ft.)
El REPAIR
El
PRE -MOVE
INSP.
swim
POOL
IUMBER OF STORIES
NUMBER OF
DWELLING
UNITS
t
N
I
I hereby acknowledge that I have read this application; that the In-
formation given is correct; and that I am the ovmer, or the duty author-
ized agent of the owner. I agree to comply with city and state laws regu-
!attng eoutmctt0n; and In doing the work authorized thereby. no person
will be employed In violation Of the Labor Code of the State of Washington
relaung to Workmen's Compensation Insurance.
NOTE: Permit Limit One Year (Except DE31011TIONS which
shall be completed In ninety days; MOVED -IN BUILDINGS shall be com.
Dieted in six months.)
NOTE: Applicant Snbject to Plait Check Fee
EXISTING STREET R/W ............ FT -
COMP. PLAN ST. R/W ............ FT-
ZONE
[] YES
9M
Plan Check NO ............
BUILDING
PLUMBING
HEAT & GAS LINE
PENCE
SIGN
RETAINING WALT
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE
ATTENTION
THIS PERMIT
AUTHORIZES
ONLY TILE
WORK NOTED
INSPECTION
DEPARTMENT
CITY OF
EDMONDS
ru 6-1107
.JTB:ACK
0
NO
LBER
DEFICIENCY THIS PROPERTY
Valuation
19V4
0 YEB 0 NO
Fee
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No.
I jA v�4(4coq
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.
; -;r �
If ri I
-i�T, rcrmlt —,,vm work to be done on private property ONLY.
Any construction on the public domain (curbs, sidewalks, driveways, FIM
marquees, etc.) %vill requin) separate permission.
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