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660271.pdfBUILDING DEPARTMENT Applicant FLU PERMIT APPLICATION Inside Heavy Lines MrjEj�NGDFXSB D ON KROLL MAP NO.: BUILDING PERMIT NUMBER 66027 1 ST 5. 41 YARD sE;Troj:c—fc I'­STik-EErr SETBACK REAR'YARD llkrrk$Ak� 4 6 - "2 Lo-r 'A LAit%A, 061245!�. ZONE TYP E 0 —INSPECTOR SPECUCK R M YES NO PLAN CHECKED BY WORK TO BE DONE BUILDING I VALUATION BUILDING PERMIT 4 FEE PLUMBING Z 3 PERMIT FEE 0 HEAT & GAS LINE 4 PERMIT FEE NEW SIGN NUMBER OF STOIRUIES R SIGN PERMIT 5 SH E ADD DEMOLI rENC FEE — DEMOLITION ALTER RESIDENTIAL NU BER OF, PERMIT FEE FLIJNG I UNITS PLAN CHECK 7 REPAIR NON-RESIDENTIAL FEE 8 AMOUNT DUE4 I hereby acknowledge that I have read thin application; that the In- ATTENTION formation given Is correct: and that I am the owner, or the duly author- ized asent of the owner. I agree to comply with city and state laws regu- THIS PERMIT lating constructIon; and in doing the work authorized thereby, no person AUTHORIZES will be employed in violation Of the Labor Code of the State of Washington ONLY THE relaun erVa Compensation Insurance. WORK NOTED (Except Demolitions which shall NOT rmit Limit ne Year be completed In ninety days.) SIGN (0 E w� SIGNED INSPECTION DEPARTMENT CITY OF MMONDS NOTE: Applicant Sitbject to Plan Check Fee Pit 6-1107 This rcrndt covers work to be done on private property ONLY. Any construction m the public domain (curbs. sidewalks, driveways. marquees, etc.) will require separate pertnisnion. [] YES 13 NO 'UMBER [] YES 13 NO 'cg 00. o a 311',:� 1 ,-2. eq 0 1. APPLICATION APPROVAL This application Is not a permit until signed by the Director of ]3uliding Inspec- tion, or his deputy; and fees are paid, and receipt is acknowledged in space provided. DIAEPT 8 blu Itz FILE f Pi�n�WIJCATIOA%4 BUILDING PERMIT AP OF EDMONDS Building Depan M ent MITY lwl-'. Appl. No. Permit limit, one year ATION is hereby made for a permit to construct the following work, in accordance with the accDm, plans and specifications I 7T sets are submitted herewith for approval. new alter Off'st. ......... Parking ...................... addn repair ..... 1� .... .. .. ....................................................................... ... 7 pancy ................................ Const. type ................................ Use zone ... :.3 ....... ....... .. �.�Fire zone ........................... .!.Address ... z) .. ......... v ........... FV Lot ......... 41 .... ... BIV.A .... A ............................. ......................................... Septic t�t frontage ........................................ Area... Bldg. wt+acks front ..... ............... r. side ....... ......... 1. side ........ .. .......... rear .. ............ Owner..,&V. ... ..................... Address..2///..2dC(—.- C .. ..... k// Tel. N? Builder.............................. ................................ Address .................... ......... .................. Tel. No .............................. Plansby .................................................................. Address .................................................... Tel. No ............................. Remarks...... eI V6 ..... ............. 1,91 . . .................................................................................................. ................. ......... . . . ............................................................................................ The above is a correct statement, and I agree to comply with all applicable Codes and State laws regulating this work. Signed Owner/Agent... f��q � .. 4 ......................... Address�.e/ ............ Date!f PERMIT for the above work is hereby approved, subject to the above conditions. and to compliance with the ap, proved plans and specifications, and Building Department notations thereon. Ilual ....... /1/,' OJD.0.-� ............... Permit fee.,-�k ... 7 ............ Reed. by..�.. Building Department, Date .... .................................. This prrr.1'11; covers wor1c Wbe dd'ne- NOTE —0TUR"er'01i't spwe-r or electrical installations, nor does it permit any work to be done in I YS 'a 1�f 1* -wz d 611'tAgCto W must be planned to meet the official grades of stree and alleYsJ&'A&Tl4ns Vf1f44Q 9tc.) will require permission. 9 I