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700177.pdf
r. • i BUILDING DEPARTMEh PERMIT APPLICATION NAl!V NAME OF BURI/N�as) -W NO DRESS A! " P 4 t f+ POSTED ION KROLL 31" NO*** PERMIT 7nf� I T Applicant ]NR 1 NUMBER �t lJU ' Inside Heavy3oB ADDRESS o o tic/ 2' TBIDE YARD BETBACIC STREET ET ACK REAR YARD SETBACK u��USE ZO I LOT A VACANT BITH t7 LL Tw-1 'ti ELEPHONE i �..m.nvm / i wrrtr.nrmn wREA I AM"Ai" OWNS VARIANCE NUMBER © cwt., %o 4 o l� 11 TE HONE NI op r I /=c''36 f L- a'7` Phf' I LASS t aN4( RESIDENTIAL LINE NEW NON-RESIDADD ENTIAL D RETAINING TA NING ❑ DEMOLISH ALTER CE ❑ ORFILLEXCAVATE O (.EN .Z-........ Ft') REPAIR PRE -MOVE SWIM FI INSP. POOL DWELLING UNITS xI t I 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 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 Year (Except DEMOLITIONS which shall be completed In ninety days; MOVED -IN BUILDINGS shall be com. pleted In six months.) o 14, T ka-fe U I y NOTE: Applicant Subject to Plan Check Fee This Permit coven work to be done on private property ONLY, Any construction on the public domain (curbs, sidewalks, driveways, marquees, etc,) will require separate permission, EXIBTING'STREET R/W ,...........FT. DEFICIENCY THIS PROPERTY COMP, PLAN ST, R/W ............FT, ..._....... REMARKS bF PEXHir Plan Check No,...-..-.......... BUILDING PLUMBING HEAT & GAS LINE FENCE SIGN RETAINING WALL SWIMMING POOL - DEMOLITION — PRE -MOVE INSPECTION EXCAVATION OR FILL TOTAL AMOUNT DUE .31" ATTENTION APPLICATION APPROVAL THIS PERMIT This application is not a permit until AUTHORIZES Signed by the Building Official or his Dep- ONLY THE WORK NOTED utyi fees are and fpaid, anreceipt cei t is ac- lmowledged in Space provided. INSPECTION DIRECT R10NA E DEPARTMENT CITY OF EDHIONDS DATE PH 6-1107 , 0 `i } I I: k r I I, t i i