700093.pdfBUILDING DEPARTMENT
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EXISTING STREET 1zt/W ... 6APT,
COMP. PLAN ST. R/W ALF'r-
PERMIT
NUMBER -7
100093
�HETHACK
1ACK REAn TMD
5;� Of
L T SITE
YES NO
WA VARIJAL14CE NUMBER
DEPIOLWay THIS PROPERTY
ay SlOiDes not to exceed those
ted on standard Drawing #103.
-3/./" 1 -31ev Ir
YES 0 NO
11
GAS [] YES A NO
NEW RESIDENTIAL LINED PLAN CREUKAD BY
NON-RESIDENTIAL sIGI,
EJADD RETAINING RFIMARKS
DEMOLISH Li WALL
ALTER EXCAVATE PENCE
OR FILL ( ........ . x .......... Ft.)
PRE -MOVE SWIM
REPAIR INSP. NUMBER OF POOL
DWELLING
UNITS
NATURE OF WORK TO 13E DONE Valuation Fee Receipt No.
RE4-,- Run Check No ..................
BUILDING
PROPOSED UBE PLUMBING
PLOT PLAN (Indicate Building setbacks,-i-b—uttingstreets) SEAT & GAS LINE
PENCE
SIGN
RETAINING WALL
SWIMMING POOL
OLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE
I hereby acknowledge Mgt I have read U2W application; that 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
I&tlng construction; and In doing the work authorized thereby, no person
will be employed in violation of the Labor Code of the Slats Of WsmbiwOn
THIS PERMIT
relating to Workmales Compensation Insurance.
AU=OIUZES
ONLY THE
1
NOTE: Permit Umit One Your (Except DEMOLITIONS which
WORK NOTED
gitsil be completed In ninety days; MOVED.IN BURMINGO shall be oorn-
plated In six months.)
SIGNATURE (OWNER ORIENT) DATE SIGNED
a 1
INSPECTION
DEPARTMENT
* 0
L
)ITY OF
EDMONDS
NOTE: Applicant Subject to Plan Cbeck Fee
Pa II-U*7
M" permit covers work to be dam as velvets property ONLY.
AM esaggIucition an We publito domain (0060, sidewalks, driveways.
marquess, so.) Win requIre separate Permission.
APPLICATION APPROVAL
TWs 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.
But
MR,