680487.pdfC
BUILDING DEPARTMENT Applicant Fill
PERMIT APPLICATION inside Heavy unes
NA14M (OR NAKZ or BUBliql2s)
E/4065 on Pne7S�V,_
I
z
M_
N
or
P
NEW
RESIDENTIAL
GAS
LINE
LID
NON.
SIGN
RETAINING
DEMOLISH
MWALL
EXCAVATE
PENCE
ALTER
M
OR FILL
( x Ft.)
REPAIR
I
M
PRE -MOVE
INSP.
........ . ..........
SWIM
POOL
DWELLING
UNITS
RWO
MCA
i
t
N
I
I hereby acknowledge that I have read this application; Mat the in-
formation given is correct; and that I am the owner, or the duly author-
Ised agent of the owner. I agree to comply with city and state laws regu-
latins 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 WorkmeWs Compensation Insurance.
NOTE: Permit Limit One Your (Except DEMOLITIONS which
sun be completed in ninety days; MOVrJD-1N BUILDINGS shall be oom-
pleted VAIX months.)
L14
NOTE: Applicant Subject to Plan Cbeck Fee
This Permit coven work to be done an private property ONLY.
Any construction on the public domain (curbs. sidewalks, driveways,
marquees, etc.) will require separate permission.
un "w9mon
.2 9-,etcl
EXISTING STREET R/W ........... YT
COUP. PLAN ST. R/W ............ FT
13 YES
Plan Check No ............
PERMIT
NUM13FA
M
0 YES
13 NO
DEFICIENCY THIS PROPERTY
El YES [:] NO
rexHir 'OPU63
Valuation
Fee
BUELMING
S.00
PLUBCBING
HEAT & GAS LINE
PENCE
SIGN
RETAINING WALL
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR. FILL
I TOTAL AMOUNT DUE I I T, vO 1(*714ftcl
ATTEbMON
THIS PERMIT
AUTHORIZES
ONLY THE
WORK NOTED
INSPECTION
DEPARTMENT
CITY OF
EDMONDS
PR 6_1101
APPLICATION APPROVAL
This application Is not a permit until
signed by the Building Official or Ids Dep-
uty; and fees are paid, and receipt is ac-
knowledged In space provided.
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