710314.pdfI
SPOSTED
ON KROLL MAP NO.:
PERMIT 710314BUILDING
ti DEPARTMENT
Applicant ll
I
INUMBER
.... PERMIT APPLICATION
NAM R NABE OF BUSINESV))
Inside Heavy Lined
J08 ADDRESS
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17
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SIDE YARD SETBACK STREET SETBACK REAR YARD SETBACK
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I14NO ADDRESS
Ad FE
USE ZONE LOT AREA
VACANT BITE
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CITY
J'WA -C I
LEPH
"-7 NE NUMBER 40�-4C—fl
HEIGHT I BUILDING
AREA I VARIANCE NUMBER
I
�r
t9 AD131
DRESS
W CITY
$ 4R1c
353-
or
EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY
COMP. PLAN ST. R/W ............FT. ............FT.
REMARKS
RESIDENTIAL ❑ LINE ❑ YES ❑ NO
NEW ❑PLAN CHECKED BY
NON-RESIDENTIAL ❑ SIGN
❑ ADD ❑ ❑ rpm NINE R MARKS
DEMOLISH
ALTER ❑ ORFILL
FEN
CE
❑ ..........
..x •.•..•Ft.)
❑ REPAIR PRE-INSP.
. POOL
IUMHER OF STORIES NUMBER OF
DWELLING
UNITS
Plan Check No .....................
BUILDING
PLUMBING
(C(\
�✓
HEAT A GAS LINE
FENCE
SIGN
tRETAINING WALL
N
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
I hereby acknowledge that I have read this application; that the In.
TOTAL AMOUNT DUE
ghee 10 correct; and that I era the owner, or the duly author-
ized anent of the owner. i agree to comply with city and state ]awe regu-
lating construction:. and In doing the work authorized thereby, no person
ATTENTION
will be employed In violation of the Labor Code of the State of Washington
THIS PERMIT
relating to Workmen's Compensation Insurance.
AUTHORIZES
NOTE: Permit Limit One Year (Except DEMOLITIONS which
ONLY THE
shall be completed In ninety days; MOVED -IN BUILDINOd shall bo com-
WORK NOTED
pleted In six months.)
URE (OWNER OR A6
DATL SIGNED
INSPECTION
DEPARTMENT
CITY OF
ED51ONDS
NOTE: AppficaiffSubjeclt to Plan Check Fee
PR a-llov
This Permit covers work to be done on private property ONLY.
Any construction on the public domain (curbs, sidewalks, driveways,
marquees, etc.) will require separate permission.
❑ YES ❑ NO
CITY OF EDMONDS. LOCAL
Valuation I Fee
r
a 0 '00 M air
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-
Imowledged in space provided.
FILE
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