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670555.pdfBUILDING DEPARTMENT Applicant Fill PS:DAAIT APPI ICATI N Inside Heavy Lines 'OR NAME OF BUSINESSI H an� Ritter arl MAILINGADDRESS 324 — 19th Pl. Soo TELEPI CITY Eavionds PR 805218 NAME ADDRESS CITY TELEPJ NAME Water Heater MGM Exchange ADDRESS 11447 .120th No E* uITY TELEF �t- �,; �, � � yMwka& Kirkland VA 2-6089 I, r I I Legal Description of Property (Show Below or Gas Pipeing D ON KROLL MAP NO.: BUILDING PERMIT NUMBER 670555 :IDREII,�� 0 '9 YARD SETBACK I STREET SETBACK I REAR YARD SETBACK FIRE jj YES (3 NO 1 1 BUILDING VALUATION WORK TO BE DONE 2 2 BUILDING PERMIT FEE PLUMBING 3 3 PERMIT FEE 0 HEAT & GAS LINE 4 5 5 — 6 PERMIT FEE SIGN PERMIT FEE NEW ADD 1 DEMOLI sH SIGN El FENCE 1:1 NUMBER OFSTJOIRUIEB DEMOLITION PERMIT FEE ALTER El REPAIR El IEJ RESIDENTLkL NON-RESIDENTIAL NU31BER OF DWELLING UNITS _ 7 7 PLAN CHECK FAEMEOUNT 81 DUE I hereby acknowledge that I have read this application; that the In- formation given Is correct; and that I arn the owner, or the duly author- ATT14CNTION 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 Code of the State of Washington ONLY THE relaUng to Workmen's Compensation Insurance. 1 WORK NOTED (Except Demolitions which shall NOTE: Permit Limit One Year be completed In ninety days.) SIGNATURE (OWNER OR AGENT) DATE SIGNED D& o IV/11L) -1 INSPECTION DEPARTMENT CITY OF EDMONDS NOTE: Appli"tit Sitbiect to Plan Check Fee PR 6-1107 This Perniat covers work to be done on private Property ONLY. Any mnstruction on the public domain (curbs, sideWulks, drivewnys, marquees, etc.) will require separate prrmImmlon. a [] YES 13 NO Ej YES 13 NO MIZ 1 1 3,00 1 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. .1 _/ — (0 / FILE R. 6, ,. A . . . . . . . . . . . . . . . -- -- - - - ---- - - -- -- - 4 �-Fvqr� r 9 I rL r , - t APPUGATION BUILDIItG PERMIT CITY OF EDMONDS Building Department Appl. No. ............... . Permit limit, one year PATION is hereby made for a permit to construct the following work, in accordance with the accom-- plans and specifications. Two sets are submitted herewith for approval. alter Off -St. ................... Parking ............. . ....... repair ............... ............................... ............................... Use zone ... R.4 ........... Fire zone ........................... .y ...................... . Const. type ................... ................. ......... Lot ....... ?� ......... Blk ........................ Addno.;�' ................ t ......... ....... ..... tank ............. ................................... Area ........................................... Septic ...... I front ......... ............ r. side ................ !f� ......... 1. side ............... :�� .......... rear ............................... Address ........ ........ ......... Tel. No..A.._Ji�7R-f -------------------------------- lder.� ......................................... am. by ........................................ The above is a work. Signed Owner/, Address ............. Tel. No ............... ......................... Address .................................................... Tel. No ............................. �_� v "e� .................. !�� / I .............................................. ......... ... ... _51— Y-4 ...... el .. �-_ K _�_ and I agree to comply with all applicable Codes and State laws regulating this a 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. Valuation ....................... Permit fee ....... ��.Z ............. Recd. by ................ ........ .............. Building Department, By ................. Date .................................................................. INSPECTION RECORD Fdn, OK ............................................ Frame, OK .................................................... Final, OK . ....................................... This Permit does not cover Plumbing, Sewer or Electrical installations. a I r APPLICATION BUILDING PERMIT CITY OF EDMONDS Building Department Appl. No. ..424�z o ....... ........... .... ... .... Permit limit, one year APPLICATION is hereby made for a permit to construct the following work, in accordance wl e accom. panying plans and specifications. Two sets are submitted herewith for approval. Off -St. new alter Opp..................... Parking ......... . ........... addn repair ................ ............................ WWI ........... Fire zone ............................ Occupancy ............................ .. Const. type ................................ Use zon '�A ress ......... .. ...................... ..................... a ....... Lot ....... . .... Blk ................. t'frontage ....................................... Area ........................................... Septic tank.� ....... / ............................................. -4� 1. side .............................. rear ............................... 1 Bldg. set -backs front ........ .... .............. r. side ......................... ............. Tel. NoA-747!5�-E- Address ...................................... .. ................................................ ............... ....... Tel. No ............................. ... Address ............................................ Builder ................................................................ 4 .............. e ............................. .................... Address ...................................... Plans by .............................................. ................................ Remarks...................................................................................... ........ ly with all applicable Codes and State laws regulating this The above is a correct statement, and I agree to comp work. Signed Owner/ Date.sP-2�-_4�v . l�� 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. _ P gee ........................ Permit fee ..... ............... Recd. by .............. 0.; .......................... Valuation .14. 7' .It, BuildingDepartment, By ..................................................... . ................... Date .................................................................. INSPECTION RECORD Fdn, OK ............................................ Frame, OK .................................................... Final, OK ....................................... This Permit does not cover Plumbing. Sewer or Electrical installations.