690094.pdfI
q
P NO.. PERMIT
PBUILDING DEPARTMENT I Applicant Fill I / 07 0 (t
PERMIT APPLICATION Inside Heavy Lines _JOB A-DDRE138
WAUM dnn WAMM OR RTIRTNIrRRI
I
6 1—
D SETBACK I
r . . -1
E-03
NUMBER ti�)UU�14
TREiSETBACK !tEAlf, xjutD SETBACK
I I I
';�y nq a^�j a_ r4 A� 0
'OT AREA VACANT SITE
'W:MS 13 NO
�TMn A�MA fVARIA I
I NON NU�=n N
PLOT
PLAN ED
ST
/W
=E8WG STREET R/W .-M420'r- DEFICIENCY THIS PROPERTY
COMP. PLAN ST. R/w in.
REMARKS
Drim , way slones- n__ a exceed th uge-_
0 n C_ A 1, /Z
indicated on Standard Drawing #103.
r S'
/'P /L/
TELEPHONE NUMBER
MET781ZE I SER/VI E PIZE I CLEARANCE
- 'L ;
01iffED By
/* L_�
rUMBER
or A
- r__
0-I&SIDENTIA
0
GAS
LINE
D-114DW
ID
NON-RESIDT TIAL
SIGN
0 ADD
RETAINING
WALL
ElDEMOLISH
ALTER
EXCAVATE
11 OR FILL
PENCE
( .......... x .......... Ft.
REPAIR
PRE -MOVE
INSP.
SWIM
POOL
NUMBER. OF
DWELLING
UNITS
-WA-T-URE OF WORK TO BE DONE
tj 60S
it,- 6" () 1, C 7—rt
b C
7-/
ts S
f"t / L)
Ll Cc
.2
L I
I hereby acknowledge that I have read this application; that the In-
formation given to 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-
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 Limit One Year (Except DE51OLITIONS which
shell be completed In ninety days; MOVED -IN BUILDINGS shall be oom.
picted In six months.)
NOTE: Applicant Subject to Plan Check Fee
This Permit covers work to be done on private Property ONLY.
Any oonstructlm On the public domain (curbs, sidewalks, driveways,
marquees, ate.) WHI require separate permission.
REZONE TYPE
[] YES
Plan Check No .... ... .......
PLUMBING
HEAT & GAS LINE
FENCE
SIGN
RETAINING WALL
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE
ArTENTION
TIUS PERMIT
AUTHORIZES
ONLY THE
WORK NOTED
INSPECTION
DEPARTMENT
CITY OF
EDMONDS
PR 6-1107
PROVED
NO
Fee
oe
,j q3
1,24A '5e)
Cd
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-
Imowledged in space provided.
.0
FILE
I
I