680450.pdfI
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BUILDING DEPARTMENT
DIE 1^19
umit ArrLl%.Ml
NAME (OR NAME OF BUSINESS)
W MorLyan Johnson
1 7
1—
t
2
Owner
ADDRESS
IQ
CITY
Z
0
Applicant Fill
Inside Heavy Lines
W
MEADO-GLEN, according to
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NEW
RESIDENTIAL
GAS
LINE
Ivi
NON-RESIDENTIAL
SIGN
ADD
Ing
RETAINING
WALL
DEMOLISH
ALTER
EXCAVATE
OR FILL
FENCE
( A Ft.)
......... ..........
REPAIR
PRE -MOVE
INSP.
swim
POOL
rUMBER OF STORIES
NUMBER OF
One
DWELLING
UNITS
None
IATURE OF WORK TO BE DONE
Construct 7 x 10 storage
shed
LP NO.: PERMIT
I NUMBER
MAZ
1 40"
s� ZAJ
VA —CANT R—TE
0 YES NO
VARIANCE NUMBER
EMSTING'STnEET R/W ............ FT. DEFICIENCY THIS PROPERTY
COMP. PLAN ST. R/W ............ FT. ............ FT.
[3 YES
without foundation.
Plan Check No ................. ...
PROPOSED USE
Storage of tools
BUILDING
PLOT PLAN (Indicate Building setbacks, abutting streets)
PLUMIIING
HEAT & GAS LINE
PENCE
Attached t
SIGN
N
RETAINING WALL
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
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; and In doing the work authorized thereby, no person
will be employed In violation of the Labor Code of the State of Washington
Tins PERMIT
ralatIng to Workmen's Compensation Insurance.
AUTUOIUZES
ONLY THE
NOTE: Permit Limit One Year (Except DEMOLITIONS which
WORK NOTED
shall be completed In ninety days; MOVED -IN BUILDINGS shall be com-
lilated in sf� months.)
SIGV JUJIU9 (UwrqNn Un Al)
DATE SIGNED
INSPECTION
DEPARTMENT
CITY OF
EDMONDS
NOTE: "Applicant Subject to Plait Check Fee
PR 0-1107
This Permit covers work to be done on private property ONLY.
Any construction on the public domain (curbs, sidewalks, driveways,
marquees, etc.) will require separate permission.
Valuation
L/I 9 —0— —0,
0 YES [3 NO
Fee
Z
W I
No.
3, *6 -7
�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-
lmowledged in space provided.
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