700512.pdf_.'_._...1 ............ . ......
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BUILDIN 1 0 DEPARTMENT
PERMIT APPLICATION
NAME
CITY
Z
x 3 - &Z -5.2 3 0
or
KROLL MAr r4u.1. PERMIT
Applicant FBI I NUMBER
Inside Heavy 1,111013 JOB ADDRE88 t-Af.
I / 4:5r ) I C � 17 5 1 # VY,
700512
It c1d -
0 YES 0 NO
EXISTING STREET R/W ............ FT. DEFICIENCY THIS PROPERTY
COMP. PLAN ST. R/W ............ FT. ............ IT.
REMARKS
RESIDENTIAL
GAS
LINE
NEW
[!101
NON-RnSIDENTIAL
SIGN
RETAINING
WALL
DEMOLISH
ALTER
EXCAVATE
OR FILL
FENCE
( .......... x .......... Ft.)
I
REPAIR
PRE -MOVE
INSP.
swim
POOL
I NUMBER OF
DWELLING
UNITS
FIRE ZONE TYPE OF CONSTRUCTION STREET IMPROVED
I 1 0 YES 0 NO
SPECIAL INSPECTOR REQUIRED
C] YES [] NO
OCCUPANCY GROUP
PLAN CHECKED 33Y
REMARKS
Plan Check No ................
BUILDING
PLUMBING
HEAT & GAS LINE '511
FENCE
tRETAINING
SIGN
WALL
N
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
latlag 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
ralaung to WorkmeWs Compensation Insurance.
AUTHORIZES
NOTE: Permit Mmit One Year (Except DEMOLITIONS which
ONLY THE
WORK NOTED
shall be completed In ninety days; MOVED -IN BUILDINGS nhall be com-
pleted in six months.)
31ONATURE (OWNEK On AUZ� 1; 1) TE SIGNED
INSPECTION
DEPARTMENT
CITY OF
EDMONDS
NOTE: Applicant Subject to Plan Check Fee
PR 6-1107
Thin Permit coven work to be done on private property ONLY.
Any construction on the public domain (curb@, sidewalks, drlvvways,
marquees, etc.) will require separate permission.
Valuation I Fee
No.
I I t 0 -0 1 (Y717
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.
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