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r POSTED ON KROLL MAPNO,! PERMIT
Fr�/
DEPARTMENT Applicant Fill NUMBER
APPLICATIONInsldo Heavy Lines I08 ADDRESS
E OF BUSINESS) D .s �. ia S � 14`� e-
�O�SIDE YARD SETBACK I STREET SETBACK
ESBESS (�ly.� -USEZONE LOT—�VNUMBER _ �i HEIGHT I BUILDING AREA
W
F
C
F
x
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s:
n..acraFflY1'l,Y.reFFniM M1Ro-�.r.—..
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0
ok
0 NO
N
STREET B/W
EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY
COMP. PLAN ST, R/W ............FT, ............FT.
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REMARKS
FIRE ZONPv I TYPE OF CONSTRUC
GAS T RESIDENTIAL LINE ❑PLAN
NEW
NON-RESIDENTIAL ❑ SIGN
ADP RETAINING
❑ DEMOLISH WALL REMARK
® ALTER EXCAVATE FENCE i
OR FILL (......... x.......... Ft.)
INSP. 1+30VE ❑ REPAIR ❑ POOL
YES E3 NO
THIS SITE IS LOCATED IN THE
QT nF rnumuns �_OCAL SALE
PA4 - _ _TAX aN LD DEDWL
PZC.S/AL!UCC..
7UMBER OF STORIES I NUMBER OF l(
_
DWELLING C� �f0, /v *
UNITE
Plan Check No,
... .....
.
.
.........
BUILDING
PLUMBING
HEAT & GAS LINE
FENCE
SIGN
RETAINING WALL
N
ISWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE
I hereby acknowledge that I have read thin 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
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
TIHS PERMIT
relating to Workmen's Compensation Insurance•
AUTHORIZES
ONLY THE
N
: Permit Limit One Year (Except DEMOLITIONS which
WORK NOTED
all ba)completed In ninety days; MOVED -IN BUILDINGS shall be com-
pleted Ig six monAAZ
INSPECTION
10 URE (0
R GENT) DATE SIGNED
DEPARTMENT
Q
CITY OF
EDMONDS
NOTE: Applicant Subject to Plan Check Pee
PR 8-1107
This Permit covers work to be done on private properly ONLY.
Any construction on the public domain (curbs, sldewalks, driveways,
marquees, etc.) will require separate permission.
FCC
od
6rd 16891
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.
9-/9 - 7 Z
FILE
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