700227.pdfI
POSTED ON KROLL MAP NO-: I PERMIT
BUILDING DEPARTMENT Applicant FLU
Inside Heavy Lines JOB ADDRE1313
PERMIT APPLICATION It-4
NAMEI-(OR NAME OF BUjqNE%) y
131
SIDE YARD SETBACK STREET J
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MAILING ADDRESS
USE ZONE LOT AREA
C11 T'cLEPHONID NUMBER HEIGHT BUILDING -
NAMyh
.3
PLOT PLAN APPROVED
STREET R/W
E NUMBER EXISTING STREET R/W ... FT.
WI*T/OY -07070 COMP. PLAN ST. R/W XT.
, 0 4�
TELEPHOI
IUMBER
- / Qz_� t
f Proper*, (Show Below or Attach I
NEW
RESIDENTIAL
I
[:]
GAS
LINE;
NON-RESIDEN . TIAL
ADD
SIGN
RETAINING
WALT
DEMOLISH
EXCAVATE
PENCE
ALTER
OR FILL
( x Ft.)
REPAIR
PRE -MOVE
INSP.
.......... ..........
swim
POOL
fUMBER OF STORIES
NUMBER OF
DWELLING
UNITS
TATIJRE, OF WORK TOIBE DONE
e
N
X"
I hereby acknowledge that I have read thin application; that the in.
formation glven Is correct; and that I am the owner, or the duly author-
lzed 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; BIOVED-IN BUILDINGS shall be com-
pleted In six months.)
�el'l , 0
NOTE: AppliXt Siibjcct to Plats Check Fce
This Permit coven work to be done on private property ONLY.
Any construction on the public danudu (curbs, sidewalks, driveways,
nmrquees, etc.) will require separate permission.
NUMBER
700227
HEAR YARD SETBACK
Z
VACANT SITE
YES NO
Z
VARIANCE NUMBER
N
DEFICIENCY THIS PROPERTY
indicated on Standard Drawing #103.
S�—�o E:E-
0 YES
rism Check No .....................
)N§XWCTION STREET IMPROVED
YES [:I NO
IRED OCCUPANYO�
Valuation
Fee I Receipt
rZ
BUILDING
,7-3 0. M-
0
PLUMBING
HEAT & GAS LINE
FENCE
SIGN
RETAINING WALL
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE
ATT]ENTION
APPLICATION APPROVAL
THIS PERMIT
This application Is not a permit until
AUTHORIZES
signed by the Building Official or his Dep-
ONLY THE
WORK NOTED
uty; and fees are paid, and receipt Is ac-
knowledged in space provided.
INSPECTION
DIRECTOR'
DEPARTMENT
CITY OF
EDMONDS
PH 0-1107
I
Fire Dent
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