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660132.pdfILDING DEPARTMENT Applicant Fill ERMIT APPLICATION Inside Heavy Lines �M (OR NAXE OF BUSINESS) �a ?*,)- >,:I' or X_ NUMBER OF STMEO Q Li NEW SIGN 94 0 ADD DEMOLISH I hj FENCE 0 ALTER L1 RESIDENTIAL NUMBER OF I REPAIR NON-RESIDENTIAL DWELLING UNITS I I hereby acknowledge that I have read this application; that the in- f formation given Is correct; and that I am the owner, or the duly author. orms" Ized agent of the Owner. I agree to comply with city and state laws regu- 'z Lhat the In, u or_ 0 I y a aws lating construction; and In doing the work authorized thereby, no person I 11 0 will be employed In violation of the Labor Code of the state of Washington as latIO2 LrZatlng to Workmen's Compensation Insurance. OTI IE11,1t Demolitions which aball NOTE: Permit Limit One Year be completed In ninety days.) JONAT Ij SIGNATURE (OWNER OR AGENT) DATE SIGNED NOTE: Applicant Subject to Plan Check Fee This Permit covers work to be. done on Private property ONLY, Any construction on the public domain (curbs. sidewalks, drlvm.vayx, marquees, etc.) will require separate perminslon. V&X.4_91 LOW [I YES [3 NO BUILDING I VALUATION BUILDING PERMIT 2 FEE PLUMBING 3 PERMIT FEE HEAT & GAS LINE 4: PERMIT FEE SIGN PERM T 5 FEE DEMOLITION 6 PERMIT FEE PLAN CHECK 7 FEE 8 1 AMOUNT DUE ATTENTION THIS PER1511T AUTHORIZES ONLY THE WORK NOTED INSPECTION DEPARTMENT CITY OF EDMONDS PR 0-1107 PERMIT NUMBER 660132 -/// qp.�_Xc/— _57�w 0 YES 0 NO [] YES [3 NO wi-M. 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 acknowledged in space provided. FILE 00 10 Appl. I . . ........ .................... APPLICATION" BUILDING PERMIT 410 Z CITY OF EDMONDS Building Department Permit limit, one year APPLICATION is hereby made for a permit to construct the following work, in accordance with the accom- a roval panying plans and specifications. Two sets are submitted herewith for pp new xe*"� alter ng ...................... addn repair ....... ....................................................................... P,a,rfk, 'i t. Work Occupancy ..... = ................ Const. type ................................ Use zone ... ...... Fire zone ............................ 9 Address.�'g�a.. ..... . ....... L q ....... dO�� ........ Blk ........................ Addn ......... Y/Z . . 4 . l9e,6 ........ />-�4 7, -2 1.3 2., 0 J- X mo Lotfrontage ........................................ Area. ........................................... Septic tink .... .......................... .......... 1. side ...... x ............ .......... . ...... Bldg. set -backs — front ....... 1=2-t .. ........ r. side ........ 7..Z Owner..Z"'Zvt ... .............. .. Addre&*J6PA/..0.:W.-, Tel. N .. .......... Builder.... ............................................. Address ............................. ...................... Tel. No ............................. Plansby .................................................................. Address .................................................... Tel. No .............................. Remarks.................................................................................................................................................................................. ................................................................................................ ........ ....................................................................................... ................................................................................................................................................................................................ The above is a correct statement, and I agree to comply with all applicable Codes and State laws regulating this work. A ...................................... Date. .. .... Signed Owner/Ag .. .. ........... f . ... ... ... ddress ...... PERMIT for the above work is hereby approved, subject to the above conditions, andtDoompliance with the ap- proved plans and specificatioi?,�d Building Department notations thereon. Valuation ..... e..&V ..... 3/ ...... Reed. by .. ... .. ................................. Permit fee ...... ..... . ....... / .... .... ....... ...................... Building Department, By ................................... 1&1:4_4 ............. Date ...... This Permit does not cover Plumbing, Sewer or Electrical installations. .Z�� APPLIC ATIk-,N & WORK PERMIT No. 2 4 Applicatl6n ... .... .... ..... C ITY OF EDMONDS Building Department Permit Limit, One Year APPLICATION Is hereby made for a permit to construct the following work, in accordance with the accompany ing Plans and specifications: I WORK -- New/Addn. /"\ 6- -.1 . ..... .. .... Ground Area ....................... ........... No. Stories ............ Plans Submitted LOCATION — Address ............. ....... Recorded LoL ....... !2 ........ Block ........ / ........... Add' I .......... Height ........................ ........... Const. Type .............................. 7 >14 -s- -,-V V .... ... re ZoneA .ig 5 ................................... Use Zone.!��.� L9 ..... F1 .............. .. ... ............... Sewerage ........................ Lot Area ........................................ Width ............................ Min, Bldg. Setbacks, Front and Rear .... ................ Sides .... 5� ........................ L--� I ( ............................ Address .................................................... Phone .............................. plansby ................................................... I( Address ........................................................................ Phone .............................. Bldg. by ................................................... P1bg. by .................................................... Address ................................................... Phone ................................ I-Ieating by ........................................................... Address ........................................................................ Phone ................................ ....................... Phone ....................... . ....... Address ................................................. Elect. by .................................................. .............................................................................................................................. Remarks.................................................. ............................................................................................... ..................................... ............................................................................................................. .................................................................................................................................................................... ................................ .............................................. ..................................................................................................... ................................................................ ............................................................................. The above is a correct statement and I agree to comply with all applicable Codes and State Laws regulating the work. . .... . �. Address—e-�--t .. ... ............................................. Date . ... . �Z-Ifxc? Signed: Owner/Agent.- the approved plans PERMIT for the above work Is hereby approved, subject to the above conditions, and to compliance with and specifications and Building Department notations thereon. pEitMIT FEES VALUATION 0 $ . ................................. Bldg. ............ -7 Plbg. .... $ ........................................ APPROVED: Heat .... $ ........................................ Elect. ........................................ Date .... 6 ./ 4 6.3 .................................... Others... $ ........................................ BUILDING DEPARTMENT -z TOTAL FEE ............. .................. By........ I .................... .............. elEngineer's inspection shall be covered before inspection and approval. 4 NOTES: No work requiring BuIlWng Department or Ci as Tv.renty-four (24) hour notice requested. Contact.the City Engineer prior to construction of all site utilities, such rest connections. curbs, paving, driveways, sewer, water and st