690460.pdfLitBUILDING DEPARTMEN
PERMIT APPLICATION
NAME (OR NAME OF BUSINESS)
gar 114010XS
MAILING ADDR10150
qJ,Z 7 14
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C'
C
Applicant Fill
t 'ie" 1
inside Heavy Lines
sVY
POSTED ON KROLL 30LP NO.:
PERMIT
NUMBER,
I
690460
I
JOB ADDRESS
/
SIDE YARD SETBACK
7*
SA iv ie.
STREET SETBACK
5�oo
REAR YARD SETBACK
U8Jk ZONE
LOT AREA
VACANTUITE
[3 NO
VARIANUE NUMBER
�TELEPHONE N SIR
r/f 4 _40�17�
HEIGHT
BUILDING AREA
7 P1f1V-f0A1 -
P:_T LAN__ PP VED
in
STREF"/W
EXISTING STREET R/W ..44? .. FT.
COMP. PLAN ST. R/WIQ .. FT.
DEFICIENCY THIS PROPERTY
J0 ....
�11
TELEPHONE NUMBER
REMARKS
Driveway slopes not to exceed those shown
on Standard Drawing No.
103.
leis
RECKED BY
TELEPHONE NUMBER
METER SIZE I SERVICE SIZE CLEARANCE
CHECK= BY'
LICENSE NUMBER
CITY LICENSE NUMBER
—
Description of Property (show
*L3 UE
Below or A It Four lea)
1-r
TYPE CONNECTION
or
VERIFIED i3y
52AVIVT f
)/f/*
PERC. TEST
PERMIT NU �ER
Fri - -
ALTER
REPAIR
4UMBER OF S'
F's
RESIDENTIAL
GAS
LINE
NON-RESIDENTIAL
SIGN
DEMOLISH
RETAINING
WALL
EXCAVATE
FENCE
OR FILL
( ........ . x . ........ Ft.)
PRE -MOVE
SMM
INSP.
POOL
.IES
...
NUMBER OF
DWELLING
I
UNITS
t
V
, f
OF CONSTI
7r7
13 YE13
# 6 F61AS-1
Plan Check No ..................
BUILDING
PLUMBING
BEAT & GAS LINE
tRETAINING
FENCE
SIGN
WALL
SWIMMING POOL
DEMOLITION
TO, 14,VI:c_J oo
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
relItting to WorkmeWs Compensation insurance.
NOTE: Permit Umit One Your (Except DEMOLITIONS which
shall be completed In ninety days; MOVED -IN BUILDINGS shall be com-
pleted In six months.)
r
NOTE: Applicant Subject to Plato Check Fee
This Pern'tit covers work to be done on PTITA90 VrOpefty ONLY,
Any construction an the pubtle domain (cubs, sidewalks, drlv&w&yg,
mwquws, &ta.) will require separate Permission.
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE
ATTENTION
THIS PERMIT
AUTHORIZES
ONLY THE
WORK NOTED
INSPECTION
DEPARTMENT
CITY OF
EDMONDS
PR 6-1107
M_
13 NO
— S&"Ly- AS
Valuation
Fee
0
I 9:s"- i90 I
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-
knowledged in space provided.
:2� — :7, q - 6
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