710429.pdfBUILDING DEPARTMENT
PERMIT APPLICATION
• NAME (OR NAME Or B 8INE88)
� NO ADDRESS
At
CITY
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Applicant Fill
Inside Heavy Lines
n q�
or
NEW �
RESIDENTIAL _eEti ( 4.
NON-RESIDENTIAL SIGN
ADD ❑ DEMOLISH ❑ RETAINING
CE
ALTER ❑ ORFILL
EXCAVATE (�...N.3......... Ft.)
REPAIR I l PRE -MOVE jam) SWIM
1 l INBP. POOL
DWELLING
UNITS
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-
Ised agent of the owner. I agree to comply with city and state laws regu-
lating construction; and in doing the work authorised thereby, no person
will be employed in violation of the Labor Code of the State of Washington
relating to Workmen's Compensation Insurance.
NOTE: Permit Limit One Year (Except DEMOLITIONS which
shall be completed In ninety days; MOVED -IN BUILDINGS shall be com-
pleted In six months.)
--/ / 7/
NOTE: Applicant Subject to Plan Check Fee
This rermit covers work to be done on private property ONLY.
Any construction on the public domain (curbs, sidewalks, driveways,
marquees, etc.) will require seprzate permission.
ILL HAP NO.; J PERMITNUMII
7 10429
EXISTING STP.EET R/W ............FT.
COMP. PLAN ST. R/W ............FT.
❑ YES ❑ NO
0 YES ❑ NO
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DEFICIENCY THIS PROPERTY I I.
[] YF.S
PLAN CHECKED BY TTM. M.SITE! t& L
XITY-OF"EDMON
REMARKS TAX`-.SHOULOL�
Plan Check No....
BUILDING
PLUMBING
HEAT do GAS LINE
FENCE
SIGN
RETAINING WALL
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE
ATTENTION
THIS PERMIT
AUTHORIZES
ONLY THE
WORK NOTED
INSPECTION
DEPARTMENT
CITY OF
EDMONDS
PR 6-1107
Valuation
Fee
G
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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