700364.pdfZ
DEPARTMENT
APPLICATION
�i. WA'
��l 007�7901-` Al
'POSTED ON KROLL MAP NO-; PERMIT
NUMBER
Applicant Fill
DD
Inside Heavy Lines I JOB A REGO
_n C? n -7 _ 17 157 *-1- (14_A_t
A 161MMHONE NUMBE
PR (P 2_414
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TELEPHONE NUMBI
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1MWX
#,FAjrX LICENSE NUMBER C,
D"cription of Property0how Below or
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700364
0 YES
EXISTING'STREET R/W /-7 .... DEFICIENCY PROPERTY
COUP. PLAN ST. R/W � ..
REMARKS -ari-rewdy rolopee net
O.K, to connect into sanitary sewers
FIRE ZONE I TYPE OF
[01�1111=
GAS [:] YES %NO I r JdW jrjQ -1 4L
NEW RL RESIDENTIAL LINE PLAN CHECKED BY
1 1:1 NON-RESIDENTIAL SIGN
ElADD RETAINING REMARKS
DEMOLISH WALL
PENCE
ALTER EXCAVATE
OR FILL ........ . x .......... rnt.) CarAU&IO'c 7701V
REPAIR PRE -MOVE swim :5 t
F1 INSP. R1 POOL IA&WO jQ664. R14). L-0
DWELLING
UNITS
C)- ra 0 t
N
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 end 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 Umit One Your (Except DEMOLITIONS which
sha"he completed In ninety days; MOVED -IN BUILDINGS shall be com-
aleted in, six months.)
NOTE: Applicant Subject 14PIan Check Fee
This Permit covers work to be done on private property ONLY.
Any constructlock on the pubtlo domain (curb@, sidewalks, driveways,
marquees, etc.) will require separate permlselon.
Valuation
Plan Check No .....................
BUILDING
PLUMBING
HEAT & GA13 LINE
FENCE
SIGN
RETAINING WALL
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
Fee
464!r-
MOU DUE
CJVO
rTOTALAMOUNT
A9MMENTION
T
APPLICATION APPROVAL
T T HIS PERMIT
E
a P M
This application is not a permit until
A UTUO IZI
UTHORIZES
signed by the Building Official or his Dep-
ONLY TR
ONLY TIIE
WORK NOTI
WORK NOTED
uty; and fees are paid, and receipt is ac
knowledged in space provided.
INSPE,'TION D 1ATU
DEPARTMENT
CITY OF
EDMONDS
PR 6-1107
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