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670294.pdfBUILDING DEPARTMENT Applicant FM PERMIT APPLICATION Imide Heavy lUnes NAME (OR NAME UaLN=B) k o ILL MAP No.: PERMIT 670294 NUMBEIt o MACK STREET SETBACK REAR YARD SETBACK LOT AREA VACANT SITE I E3 YES 13 NO I BUILDING AREA I WA-RIANOM NUMBER IEXISTING EET R/W . .......... FT. DEFICIENCY THIS PROPERTY 0 COMP. PLAN ST. R/W ............ FT. ... . .. ... FT. I CHECKED BY ULWE U—SURM REMARKS NI'ATIC LICENSE NUMMM CITY LICENSE MEER VERIFIED BY TYPE CONNECTION lAgW Do ription of Property (Bnow Beiow or AttILCIL Four Copies) PERMIT NUMBER, PERO. TEST z 0 REMARKS J PIRIII ZONE TYPE OF CON&MUCTION STREET IMPROVED Q YES 13 NO SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP [I YES to NO PLAN CHECKED BY RESIDENTIAL GAS El LINE NEW REMARKS NON-RESIDENTI,&L F-1 SIGN 0 ADD ElDEMOLISH El RETAINING WALL DALTER EXCAVATE Fnbiop OR FILL (AG-5 .... Ft.) REPAIR PRE-MOV311 INSP. 13 swim POOL NUMBER OF STORIES 14UMBM OF DWELLING UNITS NATURE OF WORK TO BE DONE Valuation Fee Receipt No. Plan Check No .................... PROPOSED USE BUILDING PLOT PLAN (Indicate Building setbacks, abutting streets) PLUMBING HEAT & GAS LINE PENCE 0)_ t SIGN RETAINING WALL SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL I hereby acknowledge that I have read this application; that the In- TOTAL AMOUNT DUE 0 form&Uou given to correct: and that I am the owner, or the duly author - iced agent of the owner. I agree to comply with city and state laws regu- ATTENTION APPLICATION APPROVAL 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 THIS PERMIT TWs application is not a pernilt until relaung to Workman's Compensation Insurance. AUTHOB=S signed by the Building official or his Dep- NOTE: Permit Limit One Year (Except DE51OLITIONS which ONLY TIM WORK NOTED uty; and fees are paid, and receipt Is ac- gWI be completed in ninety days; MOVED -IN BUILDINGS shall be com- Imowledged in space provided. pleted In at% months.) URE (OWNER OR AGENT) _00�NAT DATE SIGNED INSPECTION DEPARTMENT DIRE SIGNATUW CITY OF EDMONDS DATEFP'_ NOTE: App�calt Subject to Plan Check Fee PR a-1107 This Permit coven work to be done on private property ONLY. Any constroction on the public domain (curb@, sidewalks, driveways, FILE marquees, ege.) will require separate permission. APPLICATI 14 & WORK PERMIT C Application ,I:, CITY OF EDMONDS Building Department Permit Limit; One Year ddd� did with the a co panying Plans c m APPLICATION, ii; hereby made for a permit to construct the following world; in accordance and specifications: 2 Ground Aread.."JUMILUO...'..'..... Noe Stor1eaI WORK NewI .... Residence .... ....... ................ Merle Blevins Frame maight, 301 maxe Plans Submitted ....... Consto r 71M.1.1 ................. ........ k 8 11#400MON — Mdreas Is, I ... 17,11 1 & 2 Recorded ... 1. Block,11.1 togeth I iB WIE 1:)01 Lot J SIPI ....... me zone, .�l 3 Use Zone... Platt of Vorth Edmonds " "I,.,gd,.., ... ... sewerage "I dI so.* 0 1* 1, 4 20 & 3 �ho ' atilly, 19P BI I �:dt ....... Mine BIdge Setbackso Front and Rearg.13PLI.I......... Sides, 1 4 Deane Matthews 537 good 5th Ave*Soo phond 81111111129 ......................... Addreas, I... I I PoI 1116 "Id"I 111. 0 1 go go .90 'go I I I I I Phoneoll -ge,I 0* &** ................ ....... Plan by**," See I "10 0,,,dedge I*" edged 6 go go. 0 ge odde Merle Blevins 21324 68th W., Lynndwooc� PR 6dggg7234 1 'Ilk" I I ..I ld� ............... ....... Bldgo bye Addresse Plbg. . . ............. ....... .. . ...... . ...... !tj Heating bye",.... We . . . . . . . . . . . . . . . . . . 0000 ... 0*0 . . . . . Ff Elected by.111111"111I 0, "0961 ....................... go .... ee.d ............ .4116141dreSSe.."o."1111 ... 111PI 9..6eII ................. *so. .000000,... Phone.., ... oll ........ .......... Remarks .................. .......... ................. 8111.'ed, I ed I ..... . F� . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . "ll . . . 1404'edde"I . . . . . 06, 4 *80S.&O. . . . . . go "I I . . . . . . . "I ge . . . . . It I+ The above In a correct statement and I Wee to comply with all applicable Codes and State Laws regulating the work. Id I As AboI SigneMemo�ier/AgentI eI I I ............... Date, d; PERMIT for the above work is hereby approvI subject to the above conditions, and to compliance with the approved plans and specifications and Building Department notations theredone VA14UATION PERMT B14g* I I I'd 40 APPROVED9 It ow., to to 111 6 L %,I ........... I .............. Plbg, 0 6 6 ;-1.ogJ 14PA Elect. $ BUILDING DEPARTMENT Others TOTAL FEE do —33v. ........ dood.11114= NOTESI, No work requiring Building Department or City Engind 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, rich an curbs, paving. driveways, sewert water and street connectionso NI I -7� 17 UTION BVILDMG Muff Appl. No . ...................... EDMONDS Building Depufflne* Permit limit� one yedr IL to construct the following work, m accordance WIth the a0com' is n=cuy made for a pernut Two sets are gubnatted herewith for approval. off'st. alter ............ Parking ...................... dn repair ......................................................... ......................... Use zone ... ........... Fire zone ........................... ............................... . Const. type ....... 0 A/c - .... Blk ... . . .......... Addn. ......... . Iot .............. . ...... ......... L .. ........................ .......... ......................... Area. ........................................... Septic tank ................................................ Iontage . .............. front ........................... r. side ............................. 1. side .............................. rear ............................... 4mcks "FIT . ...... Address. ...... Tel. er.. J e ....................... Tel. No ............................. Addrew ............................. Builder .................................................................... ......................... Address ................................................... Tel. No.... I..'Plans by ................................................................. Remar.................................................................................. ...... ...................................................................................................................... ...................... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . The above is a correctstatement, and I agree to comply with all applicable Codes and State laws regulating this work. Signed Owner/AgenG-4-;�R ......... Address .......................................... Date ....................... ed, subject to the above conditions, and to compliance with the ap- PERMIT for the above work is hereby apprav proved plans and specifications, and Building Department notations thereon. 0 fee ....... .................. Recd. by ... 7Z ................. X ........... . ......... Permit Valuation ................................... . ................... Date ............. . ........................ Building Department, By ........... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . NOTE This Permit does not cover plumbing, sewer, or electrical 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- J. APPLICATI&A & WORK PERMIT Application No. 1. CITY OF EDMONDS Building Department Permit Limit, One Year TION is hereby made for a permit to construct the following work, in accordance with the accompanying plans Itions: ...... Ground Area. ................................... No. Stones ............ Const. Type ........................................ Height ....................... .......... Use ZoneS_/.)�ire Zone ... ............ .... . ................ . .. .. ..... ewe .... ............................... Y..af.jQ ..... Width. ........................... Min. Bldg. Setbacks, Front and L Rear .. 2LI ............. Sides--Z ...... ........ . ....... ....... ... . ... .......... Address../.J—/ /0 ...... Ph.F . .... .. JD� ......................... .................................................................. Address .................................................................... . .. Phone ....................... ........ �bi .. . ... . ........... . ................................................................... Address ................................................... .................... Phone ........................ ....... by� . . .. ...................... . ............................................................ Address ........................................................................ Phone ....................... . ....... ..Heating by ....................................................................................... Address ....................................................................... Phone ................................ . ............................................................... Address ........................................................................ Phone ................................ Elect. by .......................... Remarks........................... .. . ............................................................................................................................................................................................... . ................................................................................. I .................................................. . ........................................................................................................ ........................................................................................................................................................................ . ........................................................................ .................................................................................................................................................................................................................................................. The above is a correct statement and I agree to comply with all applicable Codes and State Laws regulating the worX Signed: Owner/A .. .................................................................. Date ...... . / 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' PE19N[IT FEES .5-00— $ ........................................ Bldg . . . . . .................................... Plbg. $ ...... ............................. A.PPROVED: Heat . . . . $ ........................................ Date.......... .................................... Elect. . $ ........ ............................. BUILDING DEPARTMENT Others . . . $ ........................................ .................................. TOTAL FEE 4�J 6/ 17 NOTES: No work requiring Building Department or City 114ineer'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. A / ..... Z�,Zt .... i".11L.Address ...... ... ............ 2- C/ A AAI� 1 I I