700467.pdfFBIUILDING DEPARTMENT
PERMIT APPLICATION
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ApplIcant FIII
Inside Heavy Lines
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TELEPHONE NUMBER
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:NSE NUMBER I CITY LICENSE NUMBER
ption of Property (Show Below or Attach Four Copies)
IAP NO.: PERMIT
I NUMBER 700467
I 'AV
13 YES E3 NO
EXISTING STREET R/W ............ FT. DEFICIENCY THIS PROPERTY
COMP. PLAN ST. R/W ............ FT. ............ FT.
REUARXS
dETEY SIZE I BERVIC SIZE
31.-Ol ff i 17�11
RESIDENTIAL
1:1
GAS
LINE
[3 YES
NEW
PLAN
NON-RESIDENTIAL
E]
SIGN
DADD
RETAINING
REMA:
WALL
0
DEMOLISH
EXCAVATE
FENCE
Jg�
1
ALTER
El
OR FILL
( x Ft.)
REPAIR
PRE -MOVE
INSP.
.......... ..........
SWIM
POOL
�UMBER OF STORIES
NUMBER OF
DWELLING
UNITS
/ 0
MIMS
OF
Plan Check No .....................
BUILDING
PLUMBING
HEAT & GAS LINE
PENCE
SIGN
RETAINING 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 Is 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 to doing the work authorized thereby, no person
will be employed In violation of the Labor Code of the State of Waahington
THIS PERMIT
ralatIng to Workmen's Compensation Insurance.
AUTHORIZES
NOTE: Permit Limit One Year (Except DEMOLITIONS which
ONLY THE
sh�jj
be completed In ninety days; MOVED -IN BUILDINGS shall be com-
WORK NOTED
Olh
In six months.)
( I TURE (OWNER
!1C
)nGNED/
INSPECTION
?AGENT)_Z,�_
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DATE
I
DEPARTMENT
CITY OF
EDMONDS
ATE: APJ�Vint SublIct to Plan Check Fee
PR 6-1107
This Ilermit covers work to be done on private property ONLY.
Any construction on the public domain (curbs, sidewalks, drIvewaYs,
marquees, etc.) will require separate permission.
STREET IMPROV:
0 YES 0 NO
Valuation I Fee
No.
I ;L0-0'0N51*a_%
APPLICATION APPROVAL �
This application is not a permit until
signed by the Building Official or his Dep-
uty; and fees are paid, and receipt Is ac-
knowledged In space provided.
'INV
4
vAuvl
RECORD OF INSPECTIONS
Date Passed
Foundation 710
- --------------- -7
Partial)
Plumbing
(Rough)
Frame
Furnace & Fuel Llnes�
Final
RECORD OF INSPECTIONS
Date Passed
Drainage
Sewer
Parking
Landscaping
Fire Dept.