700067.pdfPOSTED ON KROLL MAP NO.: PERMIT -7
BUILDING DEPARTMENT AppUcmtFm I NUMBER 100067
PERMIT APPLICATION Inside Heavy Lines JOB ADDREE38
OR NAM INESS) 7 0
,�yFr
17, rl 11 o C) �- a 4, e SIDE YARD SETBACK STREET SETBACK REAR YARD SETBACK
_X[ANG AMDRESS
(12 q bovs+ USE ZONE LOT AREA VACANT SITE
C ____HON3II NUMBER BUILDING 0 YES NO
/002 HEIGHT VARIANCE NUMBER
NAM��
0)/PLOT PLAN APPROVED
ADDRESS
STREET BIW
CITY TELEPHONE NUMBRM EXISTING STREET n/w ............ FT. DEFICIENCY THIS PROPERTY
COMP. PLAN ST. R/W ............ FT. ............
NAME REMARKS
6 11W4
9 'ADDRESS
Z
d-� -NUMBER CHECKED BY
CITY TELEPHON
I-0, III I BLETER SIZE SERVICE SIZE CLEARANCE JORECKED BY
STATE LICENSE NUMBER CITY LICENSE NUMBER 03
RMM.ARKB
Lagal Description of Property (Show Belo' or �Ilaeh Four Copies)
L,,� q (7 -,, I -
TYPE CONNECTION VERIFIED BY
ao '00 Q I PERC. TEST PERMIT NUMBER
Nk4ltli REMARKS
FIRE ZP119 TYPE YNSTRUSION STREET IMPROVED
a I 0� K 0 YES 13 NO
GJASE 0 YES W. [] NO MED OCCUPANMUP
NEW RESIDENTIAL L N PLAN CHECKED BY
NON-RESIDENTI:A�J SIGN
ADD RETAINING REMARKS
DEMOLISH WALL
EALTER EXCAVATE PENCE N.L. 6104-m(14L UW09-jr- TO
] E] OR FILL ( ........ . x . ........ Ft.)
REPAIR PRE -MOVE swim
INSP. POOL M-k-ra
NUMBER OF CRIES NUMBER OF
DWELLING Ot Orb 451 TC )OPeCrta L)
UNITS
NZ� RX TO �M D Valuation Fee
_�OF ro E
0+ 1 14L, ,Yrw� e, Plan Check No ..................
BUILDING Z?
PROPOSED USE PLUMBING
PLOT PLAN (Indicate Building setbacks, abutting streets) HEAT & GAS LINE
PENCE
SIGN
RETAINING WALL
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE
I hereby acknowledge that I have read this application; thLt the In-
formation given Is 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- ATTENTION
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 THIS PERMIT
relating to Workmen's Compensation Insurance. AUTHORIZES
ONLY THE
NOTE: Permit Limit One Your (Except DEMOLITIONS which WORK NOTED
shall be completed In ninety days; MOVED -IN BUILDINOS shall be win -
plated in six months.)
IIGNXTU INSPECTION
,7(OWNER OR AGENY) DAT G E
DEPARTMENT
-7
Ni Li CITY OF
EDMONDS
NOTE: Applicant Subject to Plan Check Fee PH 6-1107
This Permit covers work to be done on Private Property ONLY.
Any construction on the public domain (curbs, sidawatkis driverwaysp
ingrqueas, etc.) win require separate permission.
APPLICATION APPROVAL
This application Is not a permit until
oigned by the Building official or his Dep-
uty; and fees are paid, and receipt Is ac-
Imowledged in Space provided.
M_RECTOR�BL SIONA
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