700298.pdf..........
Ilk B D Applicant Fill
.,§., �, I UIL ING DEPARTMENT I Inside Heavy Lines
PERMIT APPLICATION
EtAMZ, %UIV LIAM.
Don Finnigan
MAILING ADDRESS
Box 4ql
CITY -
TELEPHONE NUMBN"
Edmonds
776-6920
NAME
ADDRESS
-
CITY
YJTL-EPHONE NUMB -ER
NAME
46 4rA /4/ ?-j
A ADDRESS
_2_.aT::_) V
CITY
7/7,//
STATE LICENSE NUMBER
-2-a 3 - 6 ;2 - (0 ".
or
,� - PLAN;
f7i RESIDENTIAL I
--I
I
GAS
LINE
F&I NEW
lk I
I
El
NON-RESIDENTIALI
D
SIGN
ElAVU
RETAINING
RDEMOLISH
WALL
ElALTER
EXCAVATE
OR FILL
PENCE
I x Ft.)
.......... ..........
El REPAIR
F�
PRE -MOVE
INSP.
swill
POOL
NO.: PnRbIIT
I NUMBER
86o6 184th Street S- W-
EXISTING STREET R/W ............ FT.
COMP. PLAN ST. R/W ............ FT.
OW4;aN
FIRE ZONE
(3 YES [:] NO
REMARKS
C)
DWELLING
UNITS
NATURE OF WORK TO 13E DONE
Plumbing
Plan Check No .....................
BUILDING
PROPOSED USE
PLUMBING
PLOT PLAN (Indicate Building setbacks, abutting streets)
HEAT & GAS LINE
FENCE
SIGN
tRETAINING
WALL
N
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
I hereby acknowledge that I have read thin application: that the In.
formation given Is correct: and that I arn 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: MOVED -IN BUILDINGS shall be core.
pleted In six months.) i
Applicant Snbject to Plan Check Fee
This Permit coven work to be done on private property ONLY.
Any construction on the public domain (curbs, sidewalks, driveways,
marquerej etcJ will require separate permission,
TOTAL AMOUNT DUE
ATTENTION
TIUS PERMIT
AUTHORIZES
ONLY THE
WORK NOTED
INSPECTION
DEPARTMENT
CITY OF
EDMONDS
PR 6-1107
[] YES (3 NO
DEFICIENCY THIS PROPERTY
BY
STREET IMPROVED
[] YES [3 NO
Fee
.0�
:Y,o
APPLICATION APPROVAL
Z
Z
N
No.
This application is not a pernilt until
Signed by the Building Official or Ids Dep-
uty; and fees are paid, and receipt is ac-
Imowledged in space provided.
FILE
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