750424.pdf1 USE PERMIT 750424
BUILDING DEPARTMENT Applicant F111
ZOO NUMDER
PERMIT APPLICATION I I„eldo Heavy Linen O
ADDRESS ' I// �. �% i Com•
NW (OR f/ LAME OF DUSINESS)^ ^ /t t- IBnIBLE � , (� ACTUAL
_ ... _7COVES�AOE. 'I
&A/U
n of Property (Snow neww ar
FIJ40 -P
'illiMlM �A..OK.- e
EXSSTING STREET R/ ............ D$1�IENCY THIS PROPERTY
C01,rp PLAN ST R/Wp�N ST. ........"•'FT^^........FT'
REMARKS Driveway slopes not to exceed those
TYPE
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t
Jj•
/�/tR- (�l pN ^-C C/MJ I O YES .NG
,Q
PLOT PLAN (ndiento MUM— a acke, abutlln6 etice[9)
HEAT & GAS LINE
Li
f% )
SPECIAL INSPECTOR
RECUIRED
-- r
OCCUPANCY GROUP
�- -
RETAINING WALL
rr,,rr N
IY�W
i I
eWIMMINO POOL
ti r�^^
I F --
RESIDENTIAL
F-1LINE
GAH
YES � NO
PLAN CHEC ED DY
THIS
SITE 15 LOCATED IN THE CITY
NEwUTa
TOTAL AMOUNT DUE
I hereby acknowledge that I have read this application; that the In-
formation given Iscorrect; and that I am the owner, or the duly author-
hM
OF EDMONDS. LOCAL SALES TAX
ATTENTION
latm, construction; and In doing the work authorized thereby, no person
NON-RESIDENTIAL
will bo employed In vlolntton of the Labor Code of the Stale of Washington
SIGN
T to Workmen -s Compensation Insurance.
SHOULD BE DED 31.04.
ADD
❑❑
DEMOLISH
WAININE
ftE�/e
H 5
ALTER
❑
ORFILLEXCAVATE
❑
FEN C x .......... Ft.)
NOTE: Applicant Subiret to Plan Check Fee
775-2525
REPAIR
❑
INSP.PRE-MOVE
❑
swim
POOL
IUMBER OF STORIES
NUafBEft OF
DWELLING
I
U NITS
Valuation Fee Rece
I,.
TATURE OF WORK TO BE DONE
) -+o/.
C .
,
�$y •
Plan Check No,....... ....
_U0 60 0 i
O
a
0
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.
-y--75
FILE
V
1
x I
IE)2
M PROQQSEC US'
PLUMBING
o w
PLOT PLAN (ndiento MUM— a acke, abutlln6 etice[9)
HEAT & GAS LINE
Li
O
D I
FENCE
-- r
SIGN
�- -
RETAINING WALL
rr,,rr N
IY�W
i I
eWIMMINO POOL
ti r�^^
DEMOLITION
PRE -MOVE INSPECTION
\I
EXCAVATION OR FILL
TOTAL AMOUNT DUE
I hereby acknowledge that I have read this application; that the In-
formation given Iscorrect; and that I am the owner, or the duly author-
Ized agent of the owner. I agree to comply with city and elate Iawe regu•
ATTENTION
latm, construction; and In doing the work authorized thereby, no person
will bo employed In vlolntton of the Labor Code of the Stale of Washington
TI118 PERMIT
T to Workmen -s Compensation Insurance.
AUTHORIZES
ONLY THE
NOTE: Permit Limit One Year (Except DEMOLITIONS which
{YORK NOTED
*hall be completed in ninety days; MOVED -IN BUILDINGS shall be com-
pleted In six months.)
INSPECTION
SIGNATU3iE (-IVEI, OR AGENT) DATE 810NEll
N
DEPARTMENT
t 'L
z. of a7
CITY OF
EDDIONDS
NOTE: Applicant Subiret to Plan Check Fee
775-2525
- This t'ermit rarero work lu bo dun* on prlrule VreperlY ONLY.
Any construrtl*n on the mull, dumaln (curbs, sidewalks. drR'ew'aYs,
marquees. eto.) will require separate P-14-0 S.
O
a
0
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.
-y--75
FILE
V
1