700436.pdfC,
UILDING DEPARTMENT I Applicant Fill
PERMIT APPLICATION Inside Heavy Lines
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EXISTING STREET R/W ............ FT.
COMP. PLAN ST. R/W ............ FT.
ZONE I TYPE
GAS [3 YES [3 NO
NEW aRESIDENTIAL LINE PLAN CHECKED BY
ro NON-RESIDENTIA] E] SIGN
ADD RETAINING REMARKS
1:1 DEMOLISH 1:1 WALL
ElALTER EXCAVATE PENCE r3A4 -1*=
1:1 OR FILL ( .......... x .......... Ft.) d
REPAIR PRE -MOVE swim
11 INSP. POOL
;UMBER OF STORIES NUMBER OF
DWELLING
UNITS
Plan Check No .....................
BUILDING
PLUMBING
HEAT & GAS LINE
FENCE
SIGN
tRETAINING
WALL
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
PERMIT
NUMBER 700436
[3 YES C3 NO
DEFICIENCY THIS PROPERTY
13 YES [3 NO
No.
I hereby acknowledge that I have read this application; that the In.
I he In'
TOTAL AMOUNT DUE
a
formation given Is correct; and that I &M the owner, or the duly author.
tithor-
w
ized agent of the owner. I agree to comply with city and state laws regu-
3 ragu-
ATMNTION
APPLICATION APPROVAL
20 person
lating construction; and in doing the work authorized thereby, no person
a 0
shingt
will be employed In violation of the Labor Code of the State of Washington
THIS PERMT
This application to not a permit untJ1
relating to Workmen's Compensation Insurance.
AUTHORIZES
signed by the Building Official or his Dep-
, jjn
NOTE: Permit Limit One Year (Except DEMOLITION8 which
ONLY TIM
WORK NOTED
uty; and fees are paid, and receipt Is ac-
shall be completed In ninety days; MOVED -IN BUILDINGS shall be oom.
lailowledged in space provideti.
pleted In six months.)
SIGlqL,TURE (OWNER OR AGENT) DATE SIGNED
INSPECTION
DIRECTOR'SAGNATU
DEPARTMENT
do
1104a�
CITY OF
"NOTE:
EDMONDS
APPlica4hubject to Plan Check Fee
Z S7,
0
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.
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