690247.pdfR
BUILDING DEPARTMENT
PERMIT APPLICATION
OF BUSINESS)
NAMIC (OR NAME
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Xjq J, Alee)z,
7h'
19�92 7
TMI
Al IN S 17
NAME
ADDRESS
CITY
NAME
ADDRESS
CITY
M
Applicant F111
Inside Heavy Lines
i Al Zi
J14 "�,ZVew R 27,0
71.Aow .2 7 70
-1547
1-1 NEW
�a�EESIDENTIAL
GAS
LINE
1��
21ADD
NON-RESIDENTIAL
SIGN
RETAINING
DEMOLISH
F1
WALL
ALTER
EXCAVATE
OR FILL
El
PENCE
( x Ft.)
... . ... . . .......
F] REPAIR
PRE -MOVE
INSP.
n
swim
POOL
DWELLING
UNITS
I L,9 (9 A,9 7-110 "% e 0 "e K-
-70->
75)
,0,9 7/
/Y9 f
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 laws regu-
I&Ung construction; and In, doing the work authorized thereby, no person
will be employed In violation of the Labor Code of the State of Washington
relLung to Workmen's compensation Insurance.
NOTE: Permit Limit One Your (Except DEMOL41TIONS which
ahall be completed In nicety days; MOVED -IN BUILDINGS shall bo oom.
plated in mix months.)
%a - V
NOTE: Applicant Subject to Plan Check Fee
This Permit coven work to be done = private property ONLY.
Any construction am the public domain (curbe. sidewalks, driv&ways,
marquees, ela.) will require meposts permission.
C
FA
PERMIT
NUMBER
_7A -7,6
KIST*rG STREET R/W ............ FT -
COUP. PLAN ST. R/W ............ FT.
[] YES
1.
Plan Check No ........
BUILDING
PLUMBING
HEAT & GAS LINE
PENCE
SIGN
RETAINING WA.LL
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION On FILL
13 YES
DEFICIENCY THIS PROPERTY
YES
TOTAL AMOUNT DUE I
ATTEMION APPLICATION APPROVAL
THIS PERMIT This application is not a permit unt4l
AUTHORJ[ZES signed by the Building Official or his Dep-
ONLY THE
WORK NOTED uty; and fees are paid, and receipt is ac-
knowledged, in space provided.
INSPECTION DMECTORS 13IONATURA ,
DEPARTMENT 00,
C= OF
EDMONDS DATE
PR 6-1167 (, 6 2
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