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18505 83RD AVE W (3).pdfAPPLICATI( -4 & WdRK PERMIT CITY OF EDMONDS Building Department Permit Limit, one Year APPLICATION Is hereby made f r a p mit to construct the following work, in accordance with the accompanying Plans and specifications: C-4 .4 - ................................ NO. Stories ... WORK — New/Addn. ... ................................................................. Ground Area..... ...................... PlansSubmitted ............... ............................................................................... Const. Type... ......... Height ....................... LOCATION — Address .................................... Use Zone Fire Zone .................... I ................. . ..................... _ewerage...,� ..... ... Recorded Lot .......... 7 .... Block . ................... Add'n4&.,..3 ...... �-- Lot Area../.Z4--!A �2 .............. Width ..... Id!9 V .......... Min. Bldg. Setbacks, Front and Rear..=:.?._�A ......... 7.4 . ... Sides ...... ...... /-. :'I ... 66,6 _"_7 7-,.? ..174- -4- �'� ........ Address.,/ ............................. .............. Phonz ... ;;�&t ...... e.5.:Z Plansby ............................................................... ..... Address ......................................... ....... Phone ........................ ....... cl_�_ Bldg. by ........................................................................................... Address ........................................................................ Phone ....................... I ......... PIbg- by ....... ZZ---tZ .. ... .... ** ... * ... *** Address................... ffi .......... ffi .................. 0 ...................... Phone ....................... . ....... Heatingby ................................................................ I ....................... Address ...................... ................................... ffi ......... Phone. ......................... Elect. by ............................................................... ffi ........................... Address ........................................................................ Phone ................................ Remarks .. .............. ............................................................................................................................................................................................................................... . .. The above Is a correct statement and I agree to comply with all applicable Codes and State Laws regulating the work. Date ......... ... Signed: Ovrner/Agen1.121y5 4S�p plans PERMIT for the above work is hereby approved, subject to the above conditions, and to compliance with the approved and specifications and Building Department notations thereon. PERMIT FEES VALUATION Bldg. - - - - -.0 . ................ PIbg. - - - - $ ......... Heat.... $ ....... . ............ APPROVED: Date......... 1.0ly-e ........ ............... ...... Elect. ........................................ Others... $ ........................................ BUILDING DEPARTMENT Wm. Herbert, Bld 7wl TOTALFEE $ .... . .................................. By................................................ ........... NOTES: No work requiring Building Department or City Engineer's Inspection shall be covered before inspection and approval. Twenty-four (24) hour notice requested. Contact the City Engineer prior to construction of all site utilities, such as curbs, paving, driveways, sewer, water and street connections. ,d I I L I L ALL r k I - r tV b � J� A J, AF A A.,A AL, LAIL L d L A 'Le, J I A ALI A A ............. I I d p I L I;z S1 k I I I A ' ' f . ' , L� , , , au� A4 dL L L' r :L Le , I ' A I 6111 . P. 10, RECORD OF INSPECTIONS Date Pa fou n dation T Plumbing Frame Furnace & Fuel L i 11 e s I I