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650112.pdfP, ."'INIng Permit Applica"01 NAME (OR NAME OF BUSINESS) Ted Ko Eckstromm XULING ADDRESS ,'��20904 74th West e PR 6-4956 FIR Associated.Htg, & Air Condo Co, Inc* ,:;1-4v -70 C/- C PERMIT NUMBER 0 YES ALL BUILDING SETBACKS NOTE: TO EAVE LINES 13 NO 1, ADDRESS Enerombment Permit PERMIT NUMBER WrAzzly VJH;.&V&J V7 Required a 316 Westlake North M YES rl NO I I Seattle Elm MA 3-1252 297 , ljob: 20904 741th 'Jest, Edmonds conversion to �:as heat NEW DEMOLISH ADD FX] ALTER RESIDENTIAL, R OF REPAIR F""I NON-RESIDENTIAL WOLE UNITS NG F"""I I hereby acknowledge that I have read this application; that the In- forninuon given to correct; and that I am the owner, or the duly author- lzed agent of the owner. I agree to comply with city and state laws regu- 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 relating to Workmen?a Compensation Insurance. NOTE: PERMIT LIMIT ONE YEAR UF"eo FILE 13 YES [3 NO BUILDING I VALUATION BUILDING PERMIT 2 FEE PLUMBING 3 PERMIT FEE HEAT & GAS LINE 4 PERMIT FEE DEMOLITION 5 PERMIT FEE 6 1 AMOUNT DUE ATMNTION THISPERMT AUTHORIZES ONLY THE WORK NOTED TE SIGNED INSPECTION '5 4/5/0 DEPARTMENT CITY OF EDMONDS PR 6-1107 0 YES 0 NO APPLICATION APPROVAL This application Is not a permit until signed by the Director of Building Inspec- tion, or his deputy; and fees are paid, and receipt Is aclmowledged in space provided. 1--"" A! APPLICATI(L.94 & WORK PERMIT C. CITY OF EDMONDS Building Department Application No. Permit Limit, One Year XVICIN I Is hereby made for a mi constru�t the foll g work, in accordance with the accompanying plans ................................... No. Stories ............ ........... ............ .. ..... : .................................. Ground Arse ILted................. .............................. ....... .......................... Const. Type ... * ...................... Height ....................... RON — Ad ..... ........................ y Fire Zone ...... 3 ..... ..... . ........ Use Zond.K..-.� . .. .... *:240 1-t4z ................... B1001L ................... Add'n ............................... .......................................... . ..................... Sewerage .......................... ............. Width....,e�.Q .............. Min. Bldg. Setbacks, Front and Rear .. /k.A ....... I . .. ........ Sides 14 .. ..... ............ ­Z? ..... 2 ..................... A ...... Phone�6 .................. 6 /12�4 W "4 ....... .................. Phone ........................ ....... 6,* plias by ......................... Address ................................... .................. ........ . ................................................ Address........................................................................ Phone ........................ ....... y ... . ....................................................................................... by...................................................................................... .... Address ........................................................................ Phone ................................ A .................................................................... Phone ................................ ,,Heating by ....................................................................................... Address.... ............................ Address ........................................................................ Phone ................................ Elect. by .............. ....................... ...................... Remarks....... ..................................................................................................................... ............................................................................................... . .................................................. ......................................................................................................................................................................................... ....... ................................................................................................................................................................................................................................................. ............................................................................................................................................................................................................ .... . . I ......................... The above is a correct statement and I agree to comply with all applicable Codes and State Laws regulating,the work, ...... z ......... aL_ Address ........................................................ Date .... el. Signed: OwnerMwz�--Rv ............ ....... ..................... V PERMIT for the above work Is hereby approved, subject to the above conditions, and to compliance with the approved.plans and specifications and Building Department notations thereon, VALUATION PERN" FEES &,9 ............... Bldg. ................ Plbg. $ ........................................ APPROVED: ........................................ Date.................... ........................ Elect ..... $ ......................................... BUILDING D)RyARThIENT Others ... $ ............................ By.q!�� ......... PC .................................. TOTAL FEE $ ........................................ 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.