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650473.pdfBUILDING DEPARTMENT PERMIT APPLICATION Applicant Fill Inside Heavy Lines POSTED ON KROLL MAP NO.: BUILDING PERMIT 650473 NUMBER JOB ADDRESS NAM (0 NAME OF BUSINESS) Zdc A3 E'ci Y- (-3ci BIDE YARD SETBACK STREET SETBACK REAR YARD SETRA4 MAILING ADDRES OL 6^ 7L USWONE LOT AREA VACANT SrM (0, rl YEA [3 NO OITY TELEPHONE NUMBFIR HEIGH. BUILDING AREA VAYLIANCE NUMBER NAM PLOT PLAN APF ADDRESS REMARKS CITY TELEPHONE NURBM NAME /41 'eQ 74 CO. REMARKS �Zo V METER aZE CLEARANCE CHECKED BY CITY TELEPHONE NUMBER al REMARKS 3T#TE LICENSE NUMBbR CITY LICENSE NUMBER TYPE CONNECTION VEXUPIED BY Legal Description of Property (N or Attach Four Copies) PERC. TEST PERMIT NUMBER Z FIRE VONE TYP STREET IMPROVE E OF CONSTRUCTION E3 YES 1:3 NO SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP YES 0 NO PLAN CHECKED BY VALUATION TOTAL F19 BUILDING VALUATION WORK TO BE DONE BUILDING PERMIT 2 FEE 3 PLUMBING PERMIT FEE Z HEAT & GAS LINE 4 PERMIT FEE NEW ADD E28H SIGN I HFENCE NUMBER OF STO ES 5 SIGN PERMIT FEE . . . ............ 7� - !rZ 6 DEMOLITION PERMIT ME ALTER RESIDENTLALL HER OF REPAIR NON-RESIDENTIAL D=LLING UNITS 7 PLAN CHECK FEE I hereby acknowledge that I have read this application; that the in- formation given Is correct; and that I ILM the owner, or the duly author. ized agent of the owner. I agree to comply with city and state laws regu. latIng construction; and In doing the work allthorized thereby, no person will be employed In violation of the Labor Code of the State of Washington r6latlng to Workman's Compensation Inaurance. NOTE: Permit Limit One Year lExcepl Demolitions which shall be completed In ninety days.) NOTE: Applicant Subject t(Pla. Che'c'k �ee This Permit covers work to be done onprivate property ONLY. Any construction on the public domain (curbs, sidewalks, driveways, marquees, etc.) will require separate permission. 81 AMOUNT DUE I ATTENTION APPLICATION APPROVAL TIUS PERMIT This application is not a permit until AUTHORIZES ONLY signed by the Director of Building Inspec- THE WORK NOTED tion, or his deputy; and fees are paid, and receipt is ackn ged in space provided. %well INSPECTION DIA—ECTOR'S DEPARTMENT 112 1 CITY OF EDMONDS PR 6-1107 FILE ILDING PERMIT Appl. No . ...... 'UPUCATION Permit limit� one year CITY OF EDMONDS Building DbPartment 7 construct the following work, in accordance with the accom. UCATION is hereby made for a permit to APP submitted herewith for approval. panying plans and specifications. Two sets are Off'st new .................. Parldng ...................... Z .. ........ .... wu.tlz ............... ........ Work addn repair Use zone ........ . . ..—/ ..... Fire zone .......................... ............ .. .. ........ Const. type ............. ,Occupancy ................................ .... Lot ...... ......... 9BIk ..... 6 ............. Add Address... .............................................. .............. Area ........................................... Septic tank ......... Lot frontage ........................... 1. side ...................... ...... rear ................................. Bldg. setbacks — front ........................... r. side . ........................ ............... Tel. No ............................. ..... Address. .................................... Owner................................................................ ................ Tel. No ......................... 7... Builder.................................................................... Address ............................. ...... .......... ..... Address .................................... ............... Tel. No .................. 7 I 'i :'. " � o Plansby ............................................................ ... VAG­ S..P.Crolt..-CaLvers ... work ... to ... be .. d=o-- Remarldhi on privale Property ONLY. 1-4 ............ i.on...oa...the ... puhl rquees driveways, Mal ... rcaujro ... saparata..p.er nte ..Qe .. 0.-h.a� ... ed.-I ................. ith all applicable Codes and State, laws regula t comp y wi the above isa correct statemen nd agr work. C dress..... t ......... Date . ..... .......... Signed Owner/Agent .. .. ...... ... .... .... pliance with the the above conditions,� and tocom ap, proved, subject to PERMff for the above work is hereby ap' t notations and Building Departmen thereorL proved plans and specifications, ................ Recd. ................... permit fee.. Valuation ...................... ................. Date.. I., .............. !7.... Building Department, By ............ ......................... ctrical.installatiom. This permit does not coi)er Plumbing, Sewer or Ele Pi, Z I, a r777"7777-77 Appl. No. KJOATION BUILDING PERMIT �yeu Permit limit,, one F -EDMONDS Building DePartmeRt k, in accordance with the'accom, ON "is hereby made for a permit to construct the following - wo nd ecifications. Two sets are submitted herewith for approval.. anym :plans a sp 'Off -St. . .. .. . ....... Z alter .................... Parking .11 ��. I ........... 1!!!!? ......... jddn repair ...... 'Fire .......... Use zone .... .......... zone ................. ............. ...... Const. type. ........................... ......... . / Lot ...................... Blk. ..... Ad .................. I ............ dn ......... ...... ....... ........ .... ....... .......................... .................... Septic tank .............. ................. rontage....... ............................... Area ....................... rear.......... ......... ............. front........................... r. side ............................. 1. side .......... I .................... 0, .... 01 ....... Address./d..I.Y" .................................... Tel ir. _e . . .... ...................... TetNo ............. ............... ........................ Address. ........................... Budder............ ........ ........ ................................ .................. Tel. No ............................. Address .................................. ...................................... Plans by .................. ...................................................... ................................. ....................................................... ;K Remarks.., ............................ all applicable Codes and State. laws regulating this, comply with ent, and I agree to above is a: correct statem �,wor Date ....................... "i Address... .,StgnpA- 0 r/Agent ..... .. . ...................... ....... I ......... wne 7 --- ............ .................. .... with the ap, &nnrUtinns. and to com ance