680248.pdf. ..... .......
BUILDING DEPARTMENT
ERMIT APPLICATION
0
Z
C70
or
Applicant Fill
Inside Heavy Lines
I n� I
:IGHT
)LL MAP 11
-tJ
PERMIT
680248
NUMBER
LEFT SETBAUN HEAR YARD SETBACK
PSI M;42 0 ' rn24V.
0
V AREA VAVA"K 0&&"
YE13 E3 NO
(LDING AREA VARIANCE NUMBER
96
E NUMI] EXISENG'STREET R/W.&C.FT
COMP. PLAN ST. R/w
—/7. A REMARKS
�11R
13�
NEW
REPAIR
54 RESIDENTIAL
071—
NON-RESIDENTIAL I
R
GAS
LINE
SIGN
RETAINING
WALL
PENCE
( .......... x .......... Ft.)
swim
POOL
D
DEMOLISH
EXCAVATE
17 OR FILL
PRE -MOVE
INSP.
DALTER
E]
IUMBER OF STORIES
NUMBER OF
DWELLING
UNITS
-17,
DEFICIENCY THIS PROPERTY
Driveway slopes not to exceed those
indicated on Standard Drawing #103.
[3 YES
REMARKS
Plan Check NO.L.:re�-7-.1P .. G
BUILDING
71
PLUMBING CS11)
HEAT & GAS LINE
PENCE
SIGN
3
P
I
R 13
ETAINING WAT-1
S S
WIMMING POOL
r
DEMOLITION
F
PRE -MOVE INSPECTION
I
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-
su b
ized agent of the owner. I agree to comply with city and state laws regu. ATTENTION
tating 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
13
relating to Workmen's Compensation Insurance. AUTHORIZES
ONLY THE
NOTE: Permit Limit One Year (Except DEMOLITIONS, whic I h WORK NOTED
shall be completed in ninety days; JilOVED-IN BUILDINGS shall be conm-
pleted in six months.)
Valuation
[J YES
Fee
No.
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.
RE (OWNER OR AGENT) DATE SIGNED INSPECTION F _=DITtEPTOR'
DEPARTMENT
CITY OF
NOTE: APPlickit Subject to Plan Checvk Fee EDMONDS DATE
PH 6-1107
_ii I �Fcrmlt �covers work to be done on private property ONLY.
Any construction on the public domain (curbs, sidewalks, drlvmgLys,
marquees, etc.) WHI require separate permission.
FILE
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