700307.pdfI
BUILDING DEPARTMENT Applicant Fill
PERMIT APPLICATION I inside Heavy Lines
ADDRESS ed
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Legal Dese-ription a t Below or Attach Four
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NEW
RESIDENTIAL
GAS
LINE
QNON
-'RESIDENTIAL
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SIGN
F]
RETAINING
FDEMOLISH
WALL
EXCAVATE
FENCE
ALTER
F]
OR FILL
( x Ft.)
REPAIR
F1
PRE -MOVE
INSP.
.......... ..........
swim
POOL
DWELLING
UNITS
KROILI, M" NO.: PERMIT
NUMBER 307
SETBACK STREET' UNW"AUK REAR YARD SETBA I(
LOT AREA vAc&NT SITE
/Cal 1 1(3 "a KNO
EXISTING STREET R/W ............ FT. DEFICIENCY THIS PROPERTY
COUP. PLAN ST. R/W ............ FT. ... ........ IV.
REMARKS
ZONE
[:] YES Na NO
RPMARICA
Plan Check No ........ ............
fe<�
BUILDING
PROPOSr/ USE�/
PLUMBING
PLOT PLAN (Indicate abutting streets)
HEAT & GAS LINE
PENCE
SIGN
RETAINING WALL
%,N
SWIMMING POOL
RDEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
Cc,
TOTAL AMOUNT DUE
I hereby acknowledge thallhave readU �t
application; hat the In-
formation given In correct; and that I am the owner, or the duly author -
lead agent of the owner. I agree to comply with city and state laws regu-
ATMNTION
lating construction; and In doing the work authorized thereby, no person
will be employed In violation of the Labor Coda of the State of Washington
TIUS PERMIT
relating to Workmen's Compensation Insurance.
AUTHORIZES
NOTE: Permit Limit One Your (Except DEMOLITIONS which
ONLY THE
WORK NOTED
shall be completed In ninety days; MOVEDAN BUUMINGS shall be com-
pleted In six months.)
SIGN (OWN" OR AGENT) DATE SIGNED
INSPECTION
lel-7— �70
DEPARTMENT
CITY OF
EDMONDS
L/
NOTE: Applicant Subject to Plan Check Fee
PH 6-1107
This Permit covers work to be done on private property ONLY.
Any construction on the public domain (curbs, sidewalks, driveways,
marquees, etc.) will require separate permission.
[3 YES 13 NO
Valuation I Fee
— 1 .,000
epo
.1*1e lzrz,,
APPLICATION APPROVAL
This application is not a permit until
eigned by the Building official or his Dep-
uty; and fees are paid, and receipt is ac-
knowIedged in space provided.
y— 70
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