700451.pdfF
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UILDING DEPARTMENT
PERMIT APPLICATION
J&JIIES
LILING "Dimon
1-7 -7 e
rr
givi Mo At
POSTED ON XROLL MAP NO�_ PERMIT
700451
Applicant Fill
NUMBER
Inside HeavY Lines
JOB ADDRES13
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1-7�7
47>1
SIDE Y I IETIAdk-
TREET SETBACK
REAJL YARD SETJ�ACX
rh
r7i Aw-,, c
AREA
YAWN4 SITE
BEA
.XN�MRE �NUU
YES
-7
HEIGHT
BUILDING AREA
VARIAN7U.M"Nn
EXISTING STREET R/W ............ FT.
COUP. PLAN ST. R/W ............ FT.
14 ADDRESS
0 15-� oov
CITY
01M� T.TnWW0V. WTIMFIER
A
61
z
or
DEFICIENCY THIS PROPERTY
............ FT.
GAS YES 0
LINE DF ISY
PLA_
NEW RESIDENTIAL X CHEONZ
NON-RESIDENTIAL SIGN
ADD lu. RETAINING REMARKS
F� DEMOLISH WALL
ALTER EXCAVATE FENCE
El OR FILL ( ........ . x .......... Ft.)
E REPAIR PRE -MOVE swim
M INSP. POOL I 05C.
DWELLING
UNITS
I hereby acknowledge that I have read this application; that the in-
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-
I&tlng conntmetion; 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 Workman's Compensation InJumuce-
NOTE: Permit Limit One Your (Fxcept DEMOLITIONS which
shall be completed In ninety days; MOVED -IN BUILDINGS shall b7cm,
pleted In jjtx months.) I
0/2_ 7 0
NOTE: Applicant Subject to Plag Check Fee
Thin permit covers work to be done on Private property ONLY.
Any construction an the public domain (curb@, sidewalks, driveways,
marquees, etc.) will require separate permission.
Valuation
Plan Check No....
BUILDING
PLUMBING
HEAT & GAS LINE
PENCE
SIGN
RETAINING WALL
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
[3 YES 0 NO
prizil
No.
TOT" AMOUNT DUE I -S�e L 5'7 ox
Ar=NUON APPLICATION APPROVAL
THISPERMIT This application is not a permit until
AUTHORIZES signed by the Building Official or his DeP-
ONLY THE
WORK NOTED uty; and fees are paid, and receipt is ac-
)mowledged in space provided.
INSPECTION DIRECTOR' 8
DEPARTMENT
CITY OF A
EDMONDS V
PH 6-1107
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