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BUILDING DEPARTMENI
PERMIT APPLICATION
NAME IOR NAME OF BUSINESS)
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POSTED ON XROLL MAP NO.: PERMIT
I NUMBER 700374
Applic t III
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RESIDENTIAL
GAS
NEW
LE:1
LINE
ADD
:1
NON-RESIDENTIA L
SIGN
1:1
DEMOLISH
RETAINING
WALL
ALTER
EXCAVATE
FENCE
1:1
OR FILL
Ft.)
PRE -MOVE:
( .......... X ..........
swim
REPAIR
Ei�
INSP.
JeClk
POOL
UMBER OF STORIES
NUMBER OF
DWELLING
UNITS
40,
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utting streets)
_71—DE YARD SETBACK
STREET SETBACK
REAR Y%RD SETBACK
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10), � 1
u ZONE
LOT AREW
VACANT SITEI;;��7
4157
9
1
1 0 YE13 0
HEIGHT
BUILDING AREA
VARIANCE NUMBER
UMNG STREET R/W ............ FT. DEFICIENCY THIS PROPERTY
COMP. PLAN ST. R/W ............ FT. ............ FT.
1041
[] YES [I NO
Plan Check No .....................
BUILDING
PLUMBING
HEAT & GAS LINE
PENCE
SIGN
RETAINING WALL
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
I hereby acknowledge that I have read this application; that the In- TOTAL AMOUNT DUE
formation given to correct; and that I am the owner, or the duly author.
Ized agent of the owner. I agree to comply with city and state laws regu- ATTENTION
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
ONLY THE
NOTE: Permit Limit One Year (Except DE51OLITIONS which WORK NOTED
shall be completed In ninety days; MOVED -IN BUILDINGS shall be com-
pleted In six months.)
1IGNATURE (OWNER
OR AjQEN'4 DATE SIGNED INSPECTION
0
�7 DEPARTMENT
1� CITY OF
ni I EDMONDS
NdTE: Applicant Sitbject to Plan Check Fce
PR 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.
13 YES 13 NO
Fee
No.
I / A &V 1115�01 -3�1
APPLICATION APPROVAL
TWs application is not a pernlit until
signed by the Building Official or b1s Dep-
uty; and fees are paid, and receipt is ac-
Imowledged in space provided.
FILE
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