680319.pdfI
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BUILDING DEPikRTMENT Applicallt Mil
PERMIT APPLICATION I Indde Heavy unes
IV
or
, '-�/a 6C)
E] NEW
ErRESMENTL&L
GAS.
LINE
1-1
NON-RESIDENTIAL
SIGN
ADD
RETAINING
M_
nDEMOLISH
WALL
aALTl;R
MCCAVATE
OR FILL
PENCE
( x Ft.)
... ...... . ........
REPAM
PRE -MOVE
INSP.
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POOL
iUMBER OF STORIES
NUMBER OF
DWELLING
UNITS
U—T-1 RE OF WORK TO BE DONE
C
ro—N KROLL MAP NO.:
FL73UT
I NUMBER
DRESS
17�
14eq I/
P1
I - I - 0
USE ZONE LOT AREA VACAJar slim
1 E3 YES El NO
UMMUM i VARL4LNcE NUMB]= 04
E)(ISTING'STREET R/W ... . .. . ... FT. DEFICIENCY THIS PROPERTY
COMP. PLAN ST. R/W ........... 1". ... . .. . ... M. —
13 YES
Plan check No .................
PROP078M
BUILDING
PLUMBING
PLOT PLAN (Indicate Building setbacks, abutting streets)
33EAT & GAS LINE
PENCE
t
SIGN
N
RETAINING WALL
swim NO POOL
DRI&OLITION
PRE -MOVE INSPECTION
IMCCAVATION OR PILL
TOTAL AMOUNT DUE
I hereby acknowledge that I have read thin application; that the in-
formation given In correct; and that I am the owner, or the duty author-
Ized agent of the owner. I agree to comply with city and state laws regu-
lating construction; and In doing the work authorized thereby, no person
ATTENTION
will be employed In violation of the Labor Code of the State of Washington
THIS PERMT
relating to WorkmeWs Compensation Insurance.
AUTHORIZES
NOTE: Permit Limit One Your (EXcept DEMOLITIONS which
ONLY THE
WORK NOTED
shall be completed In ninety days; MOVED -IN BUILDINGS shall be com-
pleted in six months.)
INSPECTION
DEPARTMENT
;IGWA—TURE_ (OWNER OR AGENT) 1
DAWAI. SIGN ED
5A ;2
CITY OF
EDMONDS
NOTE: Ap�licant Subjectilo Plan Check Fee
PR 6-1107
This Permit coven work to be done an privoie property ONLY.
Any construction an the public domain (curbs, sidewalks, driveways,
marquees, etc.) Will Main sePACA&C, permission.
Oki 113 YES 0 NO
P
IRED ocou T GROUP
Feet
2-1 a /. 0 1) 1 L
I A 1. 0 ?) 14
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.
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