690046.pdfPOSTED 0 KROLL ILJLP NO.:
PERMIT __69OU46
BUILDING DEPARIMEN1
Applicant Irill
NUMBER
PERMIT APPLICATIO'
inside Heavy Lines
Sa Vy Lines
JOB ADDRESS
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SIDE ARD SETBACK STREET SETBACK Y�7 SET ACK
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USE LOT A-REA
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NEW RESIDENTIAL M LINE
NON-RESIDENTIAL 1 0 SIGN
a; RETA.HsIING
0 DEMOLISH WALL
ALTER EXCAVATE PENCE
R OR FILL ( ......... . C .......... Ft.)
REPAIR PRE -MOVE swim
INSP. POOL
DWELLING
UNITS
PROPOSED USE
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I hereby acknowledge that I have read this application; that the In-
formation given In correct; and that I am the owner. or the duly author-
Ized agent of the owner. I agree to comply with city and state Iowa 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 Insurance.
NOTE: Permit Umit One Year (Except DE510TATIONS which
&hall be completed In ninety days; 31OVED-IN BUILDINGS shall be com-
pleted in six months.)
9 'XAZe
NOTE: Applicant Subject to Plan Check Fee
_iwa —rermit coven work to be done on private property ONLY.
Any construction an the public domain (curbse sidewalkso drlvmxysp
nuarqu6es, etc.) will require separate permission.
EXISTING STREET R/W .......... XT- DEFICIENCY THIS PROPERTY
COUP. PLAN ST. R/W ........... XT- ........... 17T. —
C] YES
Plan Check No ........
BUILDING
PLUMBING
HEAT & GAS LINE
FENCE
SIGN
RETAINING WALL
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE
ATTENTION
THIS PERMIT
AUTHORIZES
ONLY THE
WORK NOTED
INSPECTION
DEPARTMENT
CITY OF
EDMONDS
PIL 6-1107
.IUCTI N
I zi
Valuation
/ AS-6, "
[3 YES 13 No
Fee Receipt No.
,6-0
1 !�6
APPLICATION APPROVAL
TWs application is not a permit until
signed by the Building official or Ws Dep-
uty; and fees are paid, and receipt is ac-
Imowledged in space provided.
FILE
l�ORM 80 ATA -71P
Down by I IV\ Checked Du, 8 - 3 VoL—PG.—Otd- NO-1 1� 13
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This sketch shows the location and boundaries of the property izo E.
described in the mortgage covered by the annexed policy, and
they
an approximate general location of the improvements as
appear on inspection without an actual survey or measurement
of which is S 7 b
of the improvements, the street num
Landscaping
Fire Dept.