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660430.pdf%4 Ln NEW I E] I LJ SIGN ­ —­—] nADD DEMOLISH I n FENCE I LJ ALTER " RESIDENTIAL I NUMBER OF MREPAIR I M NON-RESIDENTIAL I UNWIETLSLING I 1-hereby acknowledge that I have read this application; that the in. formation given Is correct: and that I am 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 authorized thereby. no person will be employed in violation of the Labor Code of the State of Washington relating to Workmen's Compensation Insurance. (Except Demolitions which shall NOTE: Permit Limit One Your be completed in ninety days.) 46 NOTE: Applicant Subject to Plan Check Fee d- BUILDING 1 VALUATION BUILDING PERMIT 2 FEE PLUMBING 3 PERMIT FEE HEAT & GAS LINE 4 PERMIT FEE SIGN PERMIT 5 FEE DEMOLITION 6 PERMIT FEE PLAN CHECK 7 FEE 8 1 AMOUNT DUE 00 .5 ATTENTION I APPLICATION APPROVAL THIS PERMIT This application Is not a perrait until AUTHORIZES ONLY THE signed by the Director of Building Inspec- WORK NOTED I tion, or his deputy; and fees are paid, and receipt is acknowledged in space provided. INSPECTION DIRE,9T a BIG: DEPARTMENT OITY OF EDMONDS D^A� PH 6-1107 CI This permit covers work to be done on private property ONLY. Any construction on the public domain (curbs, sidowalksp driverways, FILE ,marquees, etc.) will require separate permission. I r-7 0D 4 f �.j a I APPLICA" `ON & WORK PERMI'�,, Application NO. CITY OF EDMONDS Building Department Permit Limit, One Year ON is hereby made for a perm,it to construct the following work, in accordance with the accompanying plans 7 so..... ,Mqw�/Addn. ',A�4 ..... .................................................... Ground Area ................................... NO. Storl ..... ....................... Const Type .......... .................. Height 6itted ........... . ..... ............. . . ............ .................. Use ZO ne ... 16—rf.. Fire Zone .................... N,— Address ... .... ...... . ........ . .... (.1 k"l;( X-0 ...... Sewerage .................................... y . .......... Ipck. . .. . ..... dd'fn ... 12 ........... .7... Width ... / ..... A2 ........... Min. Bldg. Setbacks, Front and Rear ... .......... �ti ......... Sides 4 ..................... Address�Z-Ir .............................. ; ..... Phone ....................... . ....... Address .................................... .... Phone. . .............. .27z ........................ Address../ ­� ... . ....... A.ddrew .. ... .. . ..... Q �'11`1t� .............. ................ L , description,for Permit No. 282-63 ....... .............. . ....... ... ........ I .......... __ I I � 1:5t_t5,16_ _. ... ...... C -a T-ai-& Ballinger Land Company's Plat NO* is less the N 1001 thereof '-Of--GOvernment ... toot ­5 v ....................... W-1201 - 'thereof .- together with- that :Portion' 77 P;6111­111 )t 5 Block Lake Ballinger Land -4) lying E of the E line of Lc isg"*_ 5 27 W- line ­331 ... of --right-ofmway-of ..Northwest ................... -Plat Noe-19 and W of the 'amany 5 orth and South lines of said Lot S. Block 3 Tftct on i Company and between N ............ pmducs ............. d East* 7 ................................... ..................................................................................................................... .......................... . .............................................................. all applicable Codes and State Laws regulating the work. The above is a correct statement and I agree to comply with Signed: Ovimer/Agent- Address ... e.. ............. 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 PERMIT FEES Arf . Bldg . . . . . $--=4 ..... t, ..... Plbg. .... $ ..... ...................... APPROVED: Heat .... $ .......... 3 ........................ Elect. $ ........................................ Date.......... . P-1 .............. (.'?, C� ......................... BUILDING DEPARTMENT Others ... $ ........................................ By ... W.m ...... H - e - r - b - e - r - t A*..t_1MSP.1 - - - 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. 6 31: p Z4 Or. it I .-iVof q� L: � I - t.:,, 1p .44 d M p I L p 4 1, d LZ ire r d rp t 4 If L r 4 0 U 4 p L 4 p I d t,q r p L r ,7 -�7!: 7 I d '4 1 4 4 r k .1 LL, ro, 4 L Air 4 e" -71 4 I d I I . . . . . . . f r'L L '4L, r dd r a 4 RECORD OF INSPECTIONS. Date Passed Foundation Plumbing (Partial) (Rough) Frame Furnace & Fueltines Finn!