680516.pdfTMENT
ING DEPAR
MIT APPLICATION—
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Applicant Fill
Inside 11cavy Lines
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scription of Property (Show Below or Attach Four Copies)
)LL MAP NO.: PERMIT
_�_ JE I NUMBER 680516
EXISTING -STREET R/W ............ FT.
COMP. PLAN ST. R/W ............ FT -
TYPE
[3 YES
Cl NO
DEFICIENCY TIIIS PROPERTY
[3 YES 0 NO
z
W
I
CASE
RESIDENTIAL LIN
14
0 YES 0 NO
PLAN CHFCKED By
NEW
TIA
NON-RESIDEN SIGN
ADD RETAINING
WALL
REMAR :B
0 DEMOLISH
FENCE
ALTER EXCAVATE
El ( .......... x .......... Ft.)
1:1 OR FILL
swim
El REPAIR PRE -MOVE POOL
El INSP. El
IUMBER OF STORIES NUMBER OF
DWELLING
UNITS
NATURE r WORK 0 BE DONE
Fee Receipt No.
Valuation
Plan Check No .....................
PROPOSED USE
BUILDING
PLOT PLAN (Indicate jjjBgEjEj; Rilutting at Deis)
PLUMBING
HEAT & GAS LINE
FENCE'
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 in correct: mid that I am the owner, or the duly allthor-
I agree to Comply With city and state laws regu-
ATTENTION
APPLICATION APPROV A'
Ized agent of the owner.
lating construction; and in doing the work authorized thereby. no person
Of the Labor Co do of the State of Washington
THIS PERMIT
This application is not a permit until
will be employed In violation
Woritmen's Compensation Insurance.
AUTHORIZES
signed by the Building official or his Dep
relating to
ONLY THE
uty; and fees are paid, and receipt is ac-
NOTE: Permit Limit one Year (Except DEMOLITIONS Which
be
woRK NOTED
knowledged in space provided.
shall be completed in ninety days: MOVEDALN BUILDINGS shall com.
pleted In six months.) DATE 11
NATU (OWNER Olt AGENT) Ic'
INSPECTION
DEPARTMENT
DI OR's BIG A RE
�74
-
"el 4_6 CITY OF
Cz
EDMONDS
DATE
L
NOTE: APPlicant Subject to Plan Check Fce
I-R 0.1107
This Permit covers work to be done an Private property ONLV.
Any construction on the public domain (curbs, sidewalks, driveways.
marquees, ate.) will require separate permission.
RECORD OF INSPECTIONS
Date Passed
Foundation —ADUST
Plumbing (Partial)
(Rough)
Frame
Furnace & Fuel Lines
Final �70
RECORD.OF INSPECTIONS
Date Passed
Drainage
Sewer
Parking
Landscaping
Fire Dept.