690045.pdfBUILDING DEPARTMENT
Appticant M
PERMIT APPLICATION
Inside Heavy Unes
NAMM (OR MAUS OF BUSINESS)
EDGLVWD BAPTIST CHURCH
11"ILING ADDRESS
20406 - 76th West
CITY
TOLE PHONE NUMBER
Edumdel Wn*
NAME
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—ADD 0
CITY TELEPHONE) NUMBER
NAME
ADDRESS
CITY
TELEPHONE NURTE—R
STATE LAUE14HIB NUM"JUn
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Legal Description of Property (Show Below or Attach Four Copies)
See Attached,
GAS
NEW RESIDENTIAL LINE
NON -RESIDE SIGN
RETAINING
DEMOLISH WALL
ElALTER EXCAVATE PENCE
F� OR FILL El ( ........ _X .......... Ft.)
1:1 REPAIR PRE -MOVE swim
1:1 INSP. POOL
NUM13ER OF STORIES
NUMBER OF
DWELLING
UNITS
-RA-T-URE OF WORK TO BE DONE
I hereby acknowledge that I have read this application; Mat the In-
formation gIven is correct.; and that I ILM the owner, or the duly author-
Ized agent of the owner. I ease to comply with city and state laws regu-
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 Workmen's Compensation InSurAncs.
NOTE: Permit Limit One Your (Except DEMOLITIONS which
shall be completed in ninety days; MOVEDAN BUILDINGS shall be com.
pleted In six months.)
DATE
3IGrNyRE (OWNER OR AGENT) SIGNED
1-z C
NOTE: Applicant Subject to Plan Check Fee
This Permit covers work to be done On PrIV"a PrOPertY ONLY.
Any construction an the public domain (curbs, sidewalks, driverways,
marquess, so.) will require separate permission.
P NO.. I Prjtmrr A
2()406 - 76th West
'AFD _SETBACK STREETS:
-3, 1 1 07 d
STREET R/W .......... in.
LAN ST. R 1W ........... ST.
YES
rian (meek No.a4=4
BUILDING
PLUMBING
HEAT & GAS LINE
PENCE
SIGN
RETAINING WALL
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
ITOTAL AMOUNT DUE
VACANT BITE
E3 YES p4qfr�
tEK I VARIANCE NUMBER
DEFICIENCY THIS PROPERTY
13 YES
Fee Receipt No.
9`6 00 4730
ATTENTION APPLICATION APPROVAL
Tius rERMT 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-
knowledged in space provided.
INSPECTION DIRECTOR A
NA
DEPARTME14T
CITY OF
FMMONDS DATF,"
PR 6-1107
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