690371.pdfBUILDING DEPARTMENT- Applicant FM
Inside Heavy TAnes
PERMIT APPLICATION
NAME (OR NAME OF BUDINE135)
110
)L M 04?
MAILING ADDRESS
UMBER
TELEPHONE N
OrrY
NAJ=
TELEPHONE NUMBER
CITY
7 7
NAME
ADDRESS
/ 8 0 / j? �e rV W4
CITY TELEPHONE NUMBER
T rz- 0-
or
RESIDENTLILL
NEW
El NO TIJILL
E2 N-RESMEN
1:1 DEMOLISH
ALTER EXCAVATE
1-1 OR FILL
REPAIR PRE -MOVE
INSP.
DWELLING
UNITS
P NO.: PERMIT
NUMBER
R_�
E313STING STREET R/W
COMP. PLAN ST. R/W ........... FT.
FIRE ZONE
GAS [] YES
LINE PLAN
SIGN
RETAINING
WALL
PENCE
SWIM
POOL 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-
lzed 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 Your (Except DEMOLITIONS which
shell be completed In ninety days; MOVXD-1N BUELMINGS $hall be OOm-
pleted In six months.)
10-1-6
NOTE: Applicant Subject to Plan Check Fee
This ]Permit coven work to be done *a private property ONLY.
Any construction an the pubile domain (curbe, sidewalks, drivewaYs,
marquees, ate.) win require separate permission.
[3 NO
PI— Check No ....... . .........
BUILDING
PLUMBING
UEAT & GAS LINE
PENCE
SIGN
RETAINING WALL
SWIMMING POOL
DEMOLITION
PRE.MOVE1 INSPECTION
EXCAVATION OR
TOTAL AMOUNT DUE
ATTENTION
THIS PERMIT
AUTHORIZES
ONLY TILE
WORK NOTED
INSPECTION
DEPARTMENT
Crry OF
EDMONDS
Ph 4-1107
il e,,
REAR QW i.13ACK
VACA14T SITE
E3 YES E3 NO
DEFICIENCY THIS PROPERTY
13 YES 0 NO
Fee I Recel]Dt No.
APPLICATION APPROVAL
This application is not a permit until
signed by the Building Official or his lisp-
uty; and fees are paid, and receipt is ac-
Imowledged in space provided.
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