700554.pdfBUILDING DEPARTMENT [,,,Appucant Fill
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PERMIT APPLICATION
NAME
MAILING ADDRESS
T FHONE NUMBER
CITY _2=24E-
Z
i
or
NEW
Q RESIDENTIAL
[a
GAB
LINE
11
NON-RESIDENTIAL
SIGN
ADD
D-DEMOLISH
El
RETAINING
WALL
D ALTER
D
EXCAVATE
OR FILL
FENCE
( ........ . x .......... Ft.)
REPAIR
R
PRE -MOVE
INSP.
�NUMBER
swim
POOL
IIUM13ER OF 'STORIES
OF
11 DWELLING
UNITS
C_-
NO. *.
D
a_0
EXISTING'STREET R/W ............ FT -
COMP. PLAN ST. R/W ............ Fr.
C] YES
0 NO
if
OF
DEFICIENCY THIS PROPERTY
............ 17. 101 .11 1
1CKED BY
:CKED BY
as
; qR1
REMARKS —1 1, 1,; 1 1
rian Check No .....................
BUILDING
IN
PLUMBING
P B
L M G
A" LH"F
HEAT & GAS LINE
I I E G
U AT
C E
I PENCE
E
B IG N
SIGN
[RETAINING WALL
MNG POOL
SWIIMMIN
I a
DEMOLITION
PECTION
PRE -MOVE INSPECTION
PRE MOV INS
EXCAVATION OR FILLL
XC V TION
Valuation I Fee
I -
TOTAL AMOUNT DUE
TOTAL AMO
I hereby acknowledco that I have read this application; that the In.
formation given is correct; and that I am the owner, or the duly authar-
for m
and state laws r6gu-
APPLICATION APPROVAL
lzed agent of the owner. I agree to comply with city
Ized
ATTENTION
A
lating construction; and In doing the work authorized thereby, no person
lat ing
in violation of the Labor Code a f the State of Washington
THIS PERMIT
Ing PJ
This application is not a permit until
will be employed
wIII b
relating to Workmen,g Compensation Insurance.
AUTHORIZES
signed by Me Building official or his Dep-
NOTE: Permit Limit one Year (Except DEMOLITIONS which
CNLTHE
ONLY
WORK ' NOTED
RK
uty; and fees are paid, and receipt is ac-
knowledged in space provided.
shall be completed In ninety days; MOVED -IN BUILDINGS shall be com-
1
pleted in six months.)
ON D SIGNED
OWN
sIGNAITHE T ER OR AGE
INSPECTION
DEPARTMENT
11 1— i —
DIFJJ�ii'1111111`11 81014111:!�i
O�
/--7-
CITY OF
DAT
EDMONDS
NOTE: Applicant Subject to Plan Check Fee
PR 6-1107
This Permit covers work to be done on private property ONLY.
rA
Any construction an the public domain (curb@, sidewalks, driveways,
InLE
marqueeg, etc.) will require separate Pefn-dgsl0n-
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