680334.pdfC
BUILDING —DEPARTMENT Applicant F111
PERMIT APPLICATION inside Heavy Lines
NAME (OR NAME OF BUSINESS) I
Legal Doi
ra
_UV
or
C 1 1 -7
ID ON KROLL MAP NO-: PERIM
NUMBER 680334.
DDREBS -I �6) _2_WU_
1
I
YARD SETBACK STRENE SETBACK REAR YARD BET13ACK
0
ONE VACANT SITE
123 13 YES 9NO
I "TTIT1111 IG AILMA I YARIANCEMUMBER-104
EXISTING I STREET R/W DEFICIENCY THIS PROPERTY
COUP. PLAN ST. R/W ........... XT. ............ 1770
GAB [] YES
RESIDENTIAL LINE PLAN
NEW
I 0,,NON-RkS%DENTiAL. SIGN
ADD
'ALTER
11
DEMOLISH
EXCAVATE
OR FILL
E]
�T�ING
WALL
PENCE
( ........ . X .......... Ft.)
REPAIR
11
PRE -MOVE
INSP.
1:1
SWIM
POOL
I
NUMBER OF STORIES
NUMBER OF
DWELLING
UNITS
13 NO
Plan Check No ......... .....
PROPOSED USE
BUILDING
R
PLUMBING
PLOT PLAN (Indicate jitulding setDaC", "UttID9 street
HEAT & GAS LINE
I me i
—Ir
010
PENCE
SIGN
RETAINING WALL
SWIMMING POOL
er!k le
;
DEMOLITION
%0
PRE -MOVE INSPECTION
64
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-
ized agent of the owner. I agree to comply with city and state laws regu-
ATTENTION
lating construction; &W In doing the work authorlsed thereby, no person
will be employed In violation of the Labor Code of the State of Washington
THIS PERBUT
relating to Workman's Compensation Insuranoo.
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
SIGNKT—URE (OWNER OR AGENT)
131UNNU
DEPARTIUM4T
�7
1,4
CITY OF
EDMONDS
NOTE: Applicant Subject to Plan Check Fee
PR 6-1107
This Permit onvers work to be done on private property ONLY.
Any construction on the public domain (curbs, aldewalks, driveways,
marquees, OW) win require separate permission.
[3 YES 0 NO
Valuation Fee Receipt No.
00
q, 0 n
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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