700409.pdfBUILDING DEPARTMENT
PERMIT APPLICATION
NAME (OR NAME OF BUBINNOW
Frank Liefer ('on'struction
MAILING ADDRESS
810-12th Y�ve. No.
CITY
ON ICROLL MAP NO.: PERMIT
Applicant Fin I NUMBER 700409
Inside Heavy Lines J013 ADDRESS
I 18803-90th P1. 'J.
E&-ionds 776-4565
0
.40
Redmond
or
885-1527
EJNEW
RESIDENTIAL
El
GAS
LINE
NON-RESIDENTIA
D
SIGN
0 �Wu
IL
RETAINING
ElDEMOLISH
El
WALL
DALTER
El
EXCAVATE
On FILL
PENCE
( X Ft.)
........ . ..........
REPAIR
El
PRE -MOVE
INSP.
SWIM
POOL
;UMBER OF STORIES
I NUMBER OF
DWELLING
UNITS
[:] YES 13 NO
EXISTING- STREET R/W ............ FT. DEFICIENCY THIS PROPERTY
COMP. PLAN ST. R/W ............ FT. ............ M. —
TYPE OF
0 YES C] NO
Plan Check No .....................
BUILDING
PLUMBING
HEAT & GAS LINE
PENCE
SIGN
tRETAINING
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 In 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 Vernon
will be employed In violation of the Labor Code of the Slats of Washington
THIS PERMIT
relating to Workmen's Compensation Insurance.
AUTHORIZES
NOTE: Permit Limit One Year (Except DE5101JTIONS which
ONLY THE
WORK NOTED
shall be completed In ninety days; MOVED -IN BUILDINGS shall be com-
pleted In six months.)
KDNA URE (OWNE OR AGENT)
DATE IGNEW
—1
INSPECTION
DEPARTMENT
CITY OF
EDMONDS
NOTE: Ap�licant Subject to Plan Check Fee
PR 6-1107
This Permit coven work to be done on private property ONLY.
Any construction an the public domain (curbs, sidewalks, driveways,
marquees, etc.) will require separate permission.
Valuation
El YES [3 NO
Fee
9.50
a
1 .50
Z
No.
APPLICATION APPROVAL
This application is not a pemilt until
signed by the Building Off lcial or his Dep-
uty; and fees are paid, and receipt Is ac-
Imowledged in space provided.
-. -7 �
--3(,70
FILE 6\
a