700288.pdfBUILDING DEPARTMENT Applicant Fill
PERMIT APPLICATION Inside Heavy Lines
U
NAME (DR NAME OX BURI
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AV
TELEPHONE NUMBER
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IADDRESS
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or
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RESIDENTIAL
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I
GAS
LINE
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NEW
El
�m
1�rNON-RESIDENTIAL
I
I
- -
D
SIGN
DEMOLISH
E]
RETAINING
WALL
EXCAVATE
FENCE
ALTER
D
OR FILL
( x Ft.)
EIREPAIR
PRE -MOVE
.......... ..........
swim
1:1
INSP.
POOL
tUMBER OF STORIES
NUMBER OF
DWELLING
UNITS
?ATURE OF �OR� TO BE DO
JI) . 4E
_
V1.2-
D BETBAC
I
4c/
PERMIT
NUMBER
700288
_,.apa I
Ft Y"D TBACK
._.j
YES 13 No
EXISTING STREET R/W ............ FT. DEFICIENCY THIS PROPERTY
COUP. PLAN ST. R/W ............ FT. ............ FT.
REMARKS
0 YES
TYPE OF
[:) NO
13 NO
REMARKS
.07:;o Z .4 .
Plan Check No .....................
BUILDING
PLUMBING
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; 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 lawn regu-
ATMNTION
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
NOTE: Permit Limit One Year (Except DEMOLITIONS which
ONLY THE
WORK NOTED
shall be completed In ninety days; MOVED -IN BUMDINGS shall be corn-
pleted In six months.)
IIGNA?URE WWNER OR AG2:1
DATE 11113110D
INSPECTION
-02J. 70
DEPARTMENT
tl
CITY OF
EDMONDS
NOTE: Applicant Subject to Plan Check Fee
PR 6-1107
This Permit.covers work to be done on private property ONLY.
Any construction on the public domain (curbs, sidewalks, driveways,
marqueesp e1cJ will require separate permission,
Fee
a
No.
APPLICATION APPROVAL
This application to not a permit until
signed by the Building Official or Ws Dep-
uty; and fees are paid, and receipt is ac-
knowledged in space provided.
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