680288.pdfC
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UILDING DEPARTMENT
PERMIT APPLICATION
d
I
or
Applicant FIR
Inside HeAVY Unes
GAS
RESIDENTIAL El LINE
NEW NON-RMDENTIJILL SIGN
ADD E2 I RETAINING
[_� DEMOLISH WALL
ALTE � EXCAVATE PENCE
F OR PILL ( .......... x ......... Ft.)
PRE -MOVE SWIM
REPAIR F-1 INSP. POOL
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N
I
I hereby wok owledge 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 Race to Comply With City and state laws regu-
latlng construction; and In doing the Work authorized thereby, no person
will be employed in violation of the Labor Coda of the State of Washington
relating to Workmans Compensation Insurance.
NOTE: Permit Umit One Year (Except DEMOLITIONS which
ponail be completed in ninety days; MOVED-ILN BUILDINGS shall be Com-
plated In six months.)
NE
DATE BIG "71
NOTE: Applicant Subject to.Plan Chech Fee
C.
P NO.: PNEumm BuETM 6
EXISTING- STREET R/W ............ FT.
COMP. PLAN ST. R/W ........ ... FT -
C] YES
[3 NO
rim Check No .......
P1 �16_02iue�'
PLUMIIING
HEAT & GAS LIKE
PENCE
SIGN
RETAINING WAT.T.
BV71MMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE
ATTENTION
THIS PERMIT
AUTHORIZES
ONLY THE
WORK NOTED
INSPECTION
DEPARTMENT
CITY or
EDMONDS
PH 6-1107
0
13 YES
UL
DEFICIENCY TWO PROPERTr
C] YES [3 No
Fee I Receipt No.
I I D6 1 0 f) [(1--% 0 1
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-
Itnowledged in space provided.
�v
� -1 L� �
_jhl. �p..�Itcovm work to be done on private Property ONLY -
Amy Construction an the Public domain (curbs, sidewalks, driveways, FILE
maiquees, do.) will require separate permission.
Southeast quarter of Northwest quarter
An that portion of
of Section 25p Township 27 North# Range
of 'forttwest qx,.arter
!.I,# described as follows:
Ea t W
-3r of said Northwest quarter
''I '',BeginniniT at the Southeast corn,
th �08 feet; thence ItTest at
arteri thence I'Tor�
of Tforthmest qv
-Poi.
anc-lee 247 ht of beginning; thence
ri-vht .5 feet to true
angles 66 feet;
West 247-5.feeti thence South at ripfit
anryles 247,5 feet; thence Forth at
thence East at right
crinnincy.