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660483.pdfGITY DING PEPARTMEN MIT APPLICATION T] Applicant IS Inside Heavy Lines 77;7 0 YES 13 NO OF 1�_ f- T PLUMB NG PERMIT FEE' HEAT & GAB LINE 4 PERMIT FEE NEW SIGN � wMNMICPERMIT 5 ADD I DEME03LIBIL I Lj FENCE FEE R DEMOLITION ALTER I Lj RESIDENTIAL NUMBER 01" 6 PERMIT FEE DWELLING PLAN CHECK REPAIR NON-RESIDENTIAL I UNITS 7 FEE 8 1 AMOUNT DUE I hereby acknowledge that I have read this application: that the In- ATTENTION formation given Is correct; and that I am the Owner, or the duly allthOr- Ized agent 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 "a of the State of Washington ONLY THE relating to Workmen's Camps i nNation Insurance. WORK NOTED (Except Demolitions which shall NOTE: Permit Limit One Year be completed In ninety days.) JIGNATURE (OWNER OR EN DATE SIGNED INSPECTION DEPARTMENT cITY OF vw EDMONDS Applicant Subject to Plan Check Fee PR 6-1107 This Pennit covers work to be done on private property ONLY. Any construction an the public domain (curbs. sidewalks, driveways, marquees, etc.) will require separate permission. I 0 YES 13 NO FS z Q 4; a 0 YES [3 NO RAI APPLICATION APPROVAL This application is not a permit until signed by the Director of Building Inspee- tion, or his deputy; and fees are paid, and receipt is acknowledged in space provided. FILE APPIMATION (BUILOMB MMff G Appl. No . ................... Permit limik one Year MONDS Building DepadmM V-C-Iff OF ED with coom AIJON is hereby made for a permit to construct the followmg wOrko In aCCOrda= the a are submitted herewith for approval.. g plans and specifications. Two 8113 off'st. new: alter .......................................................... Parking .... .................. W It d repair ..... ...... or a dh. Jse zone ... zone ......................... C................................ Const. type ............................... Y ............... Addn ...................................... ........ ........ Lot . ............ ge... ........... I ....................... Area ........................................... Septic tank .......................................................... ........ . . . . . . . . ........................... r. side ............................. 1. side .............................. rear ............................... Of ...................... Address ...... ..................... Te ...................... er.. No... ............. ...................... Addresc ................................................... Tel. No ........... ................ r Address................................................... Tel. No ........................ Remarks.................................................................................................................................................................................. ................................................................................................................................................................................................ des and State laws regulating this The above is a correct statement, and I agree to comply with all applicable Co work. M, . . .... . ........ .... . ... Address ................... . ....................... D ..... ... Signed Owner/Ag .............. ... ... PlElUM 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. 2 .......... .......... ......... OL .............................. Recd. by .. ............. Valuation ..................................... permit fee.. By.z?0;/.%.Z ................. �7 ......... ... Date ............. .... . ... ................ Building Department NOTE -- This permit does -not cover Plumbing, sewer, or el.'Ctrical installations, nor does it permit any work to be done in the Right of Way areas. Driveways and walkways must be planned to meet the official grades of streets and alleys, and plans for future sidewalk development. f ij� T1, ATION BUILBING PERMIT Appl. No ..................... / ........ . OF EDMONDS Bulkling Department Permit limit, one year ATION is hereby made for a permit to construct the following work, in accordance with the accom- N:,.,,panymg plans and specifications. Two sets are submitted herewith for approval. Yv ter . .... Off -St. 'Work addn repair ... . ................. .................................................... 4 ............................ Parking ...... . .. . ....... Occupancy ............................... Const. type ............................... Use zone ...... . . .... Fire zone ... . ...................... Address. ... .. Lot ....... ................ Blk ....................... Addn ...................................... Lotfrontage ....................................... Area ........................................... Septic tank ......................................................... X�, Bldg. set -backs front ............................ r. side ............................. 1. side .............................. rear .................. ............. Owner.... ......................... -Address ......... e�� .... t ........ Tel. N ........... 0 ................... Build drew.. Tel . ..... A.7 7. ............................................ Ad ......... Plansby ...................... I ........................................... 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. Signed Owner/Agen ............ . .. Address ............................................ Date .............. -9�K -14� PERMIT for �e�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. 4!� -W/ 4?�-6 g;� 40 0 Permit fee... d. by.... Valuation .......................................... ............................ Rec Building Department, By ..... ................................ ................... Date .... .......................... INSPECTION RECORD Fdn, OK ..... ...................................... Frame, OK .................................................... Final, OK ....................................... . This Permit does not cover Plumbing, Sewer or Electrical installations. I