700566.pdfBUILDING DEPARTMENT
PERMIT APPLICATION
NAME tOR NAME OF BUSINESS)
Frank Liefer Construction
MAILING ADDRESS
810 12th Ave. No., Edmonds
I Irmil
M I Cos
C4 ADDRESS
7848 159th P1. N. E.
CITY
Redmondi,
STATE LICENSE NUMBER
43599
Q
Applicant Fill
Inside Heavy Lines
885-1527
or
C,
NO..
18804 89 Ave. West
PERMIT
NIMBER
700566
[] YES (3 NO
EXISTING . STREET R/W ............ FT. DEFICIENCY THIS PROPERTY
COMP. PLAN ST. R/W ............ FT. ............
REMARKS
14
9
Z
Im
FIRE
RESIDENTLi
GAS
LINE
[] YES
NEW
10
PLAN
NON-RESIDI'LTIAL
ION
RETAINING
REMAI
EJ
WALL
DEMOLISH
ElALTER
EXCAVATE
D
PENCE
Ft.)
I
OR FILL
( .......... x ..........
REPAIR
PRE -MOVE
INSP.
El
SWIM
POOL
NUMBER OF
DWELLING
UNITS
Furnace
A=
Plan Check No .....................
BUILDING
PLUMBING
HEAT & GAS LINE
PENCE
SIGN
I
tRETAINING
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 &m the owner, or the duly author-
Ized agent of the owner. I agree to comply with city and state laws regu-
ArMNTION
lating construction; and in doing the work authorized thereby, no Person
will be employed In violation of the Labor Code of the State of Washington
Tfus PERMIT
relating to Workmen's Compensation Insurance.
AUTHORIZES
NOTE: Permit Limit One Year (Except DEMOLITIONS Which
ONLY TILE
WORIE NOTED
shall be completed In ninety days; MOVED -IN BUILDINGS shall be com-
pleted In six months.)
31ONATURE (OWNER OR AGENT) DATE SIGNED
INSPECTION
DEPARTMENT
CITY OF
EDMONDS
NOTE: Applicant Snbject to Plan Check Fee
Pit 6.1207
This Permit covers work to be done an private property ONLY.
Any construction on the public domain (curbs, sidewalks, drivoWAYs.
marquees, etc.) will require sepa.rate permission.
BY
0 YES 0 NO
Fee
7.00
1 .4-110
7.00 � 16
No.
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-
lmowledged In space provided.
DIRECTC[R-B SIGNATURE
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