690350.pdf:)N XROLL MAP NO.: PERMIT
BUILDING DEPARTMENT Applicant Fill NUMBER 690350
Inside Heavy Lines
PERMIT APPLICATION JOB ADDRE88
ki NAMM (OR NAME OF BUSINESS)
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79AILING ADDRE00
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CITY
NAME
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29
Z
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NEW
ADD
NON-RESIDENTIAL
DALTER
DEMOLISH
EXCAVATE
D
OR FILL
F_1
REPAIR
n
PnE-MOVE
INSP.
DWELLING
UNITS
—71
GAS
LINE
SIGN
RETAINING
WALL
PENCE
( ......... �Z .......... Ft.)
swim
POOL
EXISTING STREET R/W ............ FT.
COUP. PLAN ST. R/W ............ FT.
[3 YES
[:I NO
211 Plan Check No .....................
BUILDING
PLUMBING
HEAT & GAS LINE
tRETAINING
PENCE
SIGN
WALL
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
13 YES 13 NO
DEFICIENCY THIS PROPERTY
(3 YES [3 No
Valuation I Fee
I hereby acknowledge that r have read this application; that the In- TOTAL AMOUNT DUE
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 law regul
lating construction; and In doing the work authorized thereby, nonperson ATTENTION APPLICATION APPROVAL
will be employed In violation of the Labor Code of the State of Washington THIS PERMIT This application Is not a permit until
relating to Workmen's Compensation Insurance. AUTHORIZES signed by the Building Official or his Dep-
ONLY THE
NOTE: Permit Limit One Your (Except DEMOLITIONS which WORK NOTED uty; and fees are paid, and receipt is ac-
shall be completed In ninety days; MOVED -IN BUILDINGS shall be com- knowledged in space provided.
pleted In six months.) R
SIGNATURE (OWNER OR AGENT) —D—ATE SIGNED INSPECTION D E OR'S SIOPATERM
DEPARTMENT
Ir CITY OF
NOTE: - Applicant Subject to Plan Check Fee EDMONDS DATE
PR 6-1107
This Permit covers work to be done an private property ONLY.
Any construction on the public domain (curbs, sidewalks, driveways,
nuarquees, etc.) Will require separate permission. FILE
09
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