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660536.pdf------------ BUILDING DEPIMMENT I PERMIT APPLICATION I ApplIcant FIR Applicant FIII Ide I eavy Lines Inside HeaVY Lines us IOSTED ON KROLL MAP NO.: / / -;) '4' BUILDING PERMIT 0536 NUMB= 66 JOB ADDRESS 1/1 NAME (OR NAME OF BUSINESS) _I SIDE YARD SETBACK USE ZONE STREET SETBACK LOT AREA REAR YARD SETBACK �2 VACANT SITE OYES 13 NO MAILING ADDHE88 C) 7 L'v CITY IrT-I a 1-1 LE TELEPHONE C) NUMBER �z S 3,:z HEIGHT jsui�ING AREA I —VA—RIANCM NUMB I NAME PLOT PLAN APPROVED 7- 4.4 C k Fetz' C__47 R-P L Q-S A '--/c;? t-1 -2 P- rl ADDRE55 -7 CITY TELEPHONE NUMBER13 8 F d- rn ci ii _T Pj- S> -7 STATE LICENSE NUMBER C NaE NUMBER TY1. TT1 114 Legal Description of Property (Snow below or %ttacn zou� Portion of Govt Lot 3, Sec. 13, T27N Ra: 3 E- As RT-16-17A Com. N.E . Corner Giiv Lot 3-th. S 88w33,00l W along N. line Govt. Lot 3 for 434-34, to M ELY. MGN said ELY MgN 520-39' T.P,B, Th cont. S [] YES ZINO th N. 88033'.Wl tr D T. - Id PLAN CHECKED 13Y 39*iq#GGE JJ+GvJ55' N. L*N. govt Lot 3 183,501 th N 270591371 W 3:39-00- 25.65i tt N 52032230" LIV T P Be I — I BUILDING VALUATION WORK TO BE DONE BUILDING PERMIT 2 FEE PLUMBING Z 3 PERMIT FEE HEAT & GAS LINE 0 4 5 PERMIT FEE SIGN PERMIT FEE NEW ADD I SIGN F SH 1 DEMOLI FENCE NUMBER OF STORIES — 6 DEMOLITION PERMIT I= �ALTER ElREPAIR RESIDENTIAL I El NON-PEOIDENTIAL NUMBER OF DWELLING I UNITS — 7 PLAN CHECK FEE 8 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 author- ized agent of the owner. I agree to comply with city and state laws regu- T11114 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 relating to Workmen's Compensation Insurance. WORK NOTED (Except Demolitions which shall NOTE: Permit Limit One Year be completed in ninety days.) JIGNATURE (OWNER OR EN I —DATE SIGNED NSPECTION DEPARTMENT '� UTY OF EDMONDS NOTE: Applicant Snbject to Plan Check Fee I'll 0.1107 This Permit coven work to be done on private properly ONLV. Any construction on the public domain (curbs. sidewalks, drivewaym, marquees� etc,) will require meparate permimsions ( t 46- 0 & I 7/r Z Oil CARANCE CHET 11 , U1. VERIFIED BY PERNaT.YUMBER ;2— ""�_2� .T 13 YES Z 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 I rt. 1 11 . d. — I - I . � — - I I .. 1 11 .. I w - I It III I "Fir v I AT I 7.P, P; Iiir L PC C P IS I I I I I j, 11 1 , I I I - I I Is ,A AIN" ITSJOI .1 %—Pi II T.,VCItIr V—L,;CLj I I'o III Or. I I IV I VP P I P tr I J I rt`� �LV 1, 1 - I - I� "'. I CI .61 A, 0 nap;o ZI "It It rrlpryl PC 1 .4 0. OC PP , , P, I. 'A I, pr,,P 0, 11 1 %,A. 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