680430.pdfI
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BUILDING DEPARTMEN Applicant Fill
T
PERMIT APPLICATION Inside Heavy Mass
NAMM (OR NAMIC OF BUSINESS)
T
00�Ew
[HRESIDENTIA11
GJASE
LN
ADD
ALTER
REPAIR
1 1:1 xox-nEsn:)ENTiAL
DEMOIJSH
EXCAVATE]
OR FITJ
PRE -MOVE
INSP.
SIGN
RETAIMNG
WALL
PENCE
( ... . ... . x ......... Ft.)
SWIM
POOL
DWELLING
UNITS
6
VA
A/,4
I hereby acknowledge that I have read this application; that the In.
formation given In correct; and that I am the owner, or the duty author-
Ited agent of the owner. I agree to comply with city and state laws reFu-
latIng construction; and in doing the work authorized thereby, no person
will be employed In violation of the Labor Code of the State of Washington
relating to Workman's Compensation Insurance.
NOTE: Permit Limit One Year (Except DEMOLITIONS which
shall be completed In ninety days; MOVED -IN BUILDINGS Pha.11 be com.
plated In at% months.)
1IGNATURE ORt1
3prp ArT111 A) TM SIGNED
NOTE: Applicant Subject to Pldh�Check Fee
This Permit covers Work to be done on private property ONLY.
Any construction an the public domain (carbs, sidewalks, drlvew�ys,
munufts, atc.) wit! require separate permission.
PERMIT
NUMBER 680430
25" 1 426,11 -0
USE ZONE LOT AREA. VACANT BITE
k7a E3 NO)
HEIGHT BUILDING AREA VARIANCE NUMBER
1 04
pr/W -
_r EET
'29 11fG STR R/W 1_Z0.FT. DEFICIENCY THIS PROPERTY
COMP. PLAN ST. RIW.4�0..FT. AOLXT.
LEM_kRKy__ -0
Driveway slopes not to exceed those
indicated on Standard Drawing #103.
Z
IQ
=MAY."
Owner does not intend to occupy house until
0�
70�W.qm
Ea
Fee
Plan Check No ..... ......
BUILDING
2 /9'ays
PLUMBING
HEAT & GAS LINE
PENCE
SIGN
RETAINING WALL
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE
ATTENT101V APPLICATION APPROVAL
THIS PERMIT This application Is not a permit until
AUTHORIZES
ONLY THE signed by the Building official or his Dep-
WORK NOTED uty; and fees are paid, and receipt Is ac-
knowIedged in space providefl.
INSPECTION DIRECTOR'S SIGNATU�l
DEPARTMENT
CITY OF
EDMONDS
PR 6-1107
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