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BUILDING DEPARTMENT
PERMIT APPLICATION
Applicant MR
Inside Heavy Lines
POSTED ON KROLL MAP NO.: PERMIT
I NUMBER
-7LJUUbU
001-
ion ADDRESS 64
;? C;5 2 S
_& —
NAME (OR NAME OF BUSINESS)
d34 fl
am
ARD SETBACK
STREET SETBACK
1
REAR YARD SETBACK
0
MA as
TELEPHONE NUMBER
USEZO
LOT AREA
VACANT SITE
YES El NO
I
Z
low
V T Ur
I nTTILDING AREA
I VARIANCE NUMBER
04
P,'a 6 / 7 —
.44
or
0/
EXISTING STREET R/W ........... FT. DEFICIENCY THIS PROPERTY
D RESIDENTIAL
GAS
LINE
S
02—CHEam AD
NEW
ADD
Now-nESIDENTLILL
SIGN
RETAINING
REMARKS
WALL
I
DEMOLISH
EXCAVATE
PENCE
ALTER
OR FILL
( Ft.)
REPAIR
PRE -MOVE
INSP.
171
........ .
ErWIM
POOL
DWELLING
UNITS
VA u,,)7z311v 6
Plan Check No ............. ......
BUILDING
PROPOSED U13E
PLUMBING
PLOT PLAN (Indicate Building setbacks, abutting streets)
HEAT & GAS LINE
FENCE
SIGN
RETAINING WALL
N
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE
I hereby acknowledge that I have read this application; that the In-
formation given Is correct; and that I am the owner, or the duly author-
ized agent of the owner. I allrbe to comply with city and state lawn 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 WorkmeWs Compensation Innurance.
AUTHORIZES
NOTE: Permit Limit One Year (Except DEMOLITIONS which
ONLY THE
WORK NOTED
shall be completed In ninety days; MOVED -IN BUILDINGS shall be com-
pleted In six months.)
SIGNATURE (OWNER OR AGE DATE SIGNED
INSPECTION
13
DEPARTMENT
CITY OF
�OTE:
EDMONDS
Applicant Subject to Plan Check Fee
PE 6-1107
This Permit covers work to be done onprivate property ONLY.
Any construction on the public domain (curbs$ aldewalksp drIvewayss
marquess, etc.) will require separate permission.
J3 YES gF No
Valuation
APPLICATION APPROVAL
NO.
This application is not a permit until
signed by the Building Official or his Dep-
uty; and fees are paid, and receipt is ac-
knowIedged in space provided.
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