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680074.pdf�;q 8 ING DEPARTMENT I AppUcaut FW iff APPLICAT101 Inside Heavy Lines I'VIJULAA %'J9% "A _AIAILWG ADV F� NEW MADD ALTER REPAIR or RESIDENTIJILL NON-RESIDENTIAL DEMOLISH EXCAVATE OR FILL PRE -MOVE INSP. DWELLING UNITS it GAS LINE SIGN RETAINING WALL PENCE Mt.) (J%-x .... SWIM POOL ?OSTED ON KROLL MAP NO.: PERMIT NUMBER 68007#,r OD ADDRESS )IDE YARD SEMBACK "r SETBACK STREL YEAR YARD SETBACK —VA—CANTSM USE ZONE L AREA 13 YES 13 NO HEIGHT BUILDING AREA. VARLOLNCE NUM13MR PL40T PLAN "PROVED STREET R/W EN38TING STREET R/W DEFICIENCY TMS PROPERTY COUP. PLAN ST. R/W ... . .. . ... FT, REMARKS tz CHECKinn By METER SIZE SERVICE SIZE CLEARANCE CILEOXED BY REMARKS TYPE CONNECTION VERIFIED BY PERC. TEST PERMIT NUMBER [3 YES [3 NO rinn Check No ............ ....... BUILDING HEAT A GAS LINE t N FENCE! SIGN RETAINING WALL SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL E3 YES C3 NO 9 Fee No. I hereby acknowledge that I have read this application; that the in- TOTAL AMOUNT DUE formation given is correct; and that I am the owner, or the duly author- lzed agent of the owner. I agree to comply with city end state laws regu. ATTENTION APPLICATION APPROVAL lating construction; and in doing the work authortud thereby, no person will be employed in violation of the Labor Code of the State of Washington THIS PERMIT This application Is not a permit until relating to Workmen's CompenfiattOn Insurance. AUTHORIZES ONLY THE signed by the Building Official or his Dep- e 0 * n' that M or the duty "a s' ther- ,ndU at A AMOUNT a PERM RIZ ot b a , J&Wo� th are y no Me of Washin AUTilo NLY NOTE: Permit Limit One Your (Except DENIOIMJTION8 which WORK NOTED uty; and fees are paid, and receipt is ac- RK shall be completed in ninety days; MOVED -IN BUILDINGS shall be com- knowledged in space provided. pleted In six montila.) D CT DATE SIGNED INSPECTION __DIRE9T a BIG RE It ME DEPARTMENT I CITY OF EDMONDS NOTE: Applicant Subject to Plan Check Fee Pn 6-1107 c;L This permit coven work to be done on private property ONLY. Any construction an the public donnala (curbs, sidewalks, driveways, FILE marquees, eAc.) will require separate permission. r o A t�l kt, '-B'UILDING DEPARTMENT' Applicant Fill POSTED ON KROLL MAP NO.: PZRMrr NUMBER APPLICATION Inside Heavy Lines JOB ADDRESS ,PERMIT IN AXE (OR NAME OF BUSINESS) IV' /rA u it: A/ A A/ AT Ili's SIDE YARD, SETBACK STREET SETBACK REAR YARD HETISAWL )BESS Z IV bf 1' USE ZONE LOT AREA VACANT SITE CITY TELEPHONE NUMBER YES NO 04 F HEIGHT BUILDING AREA, VARIANCE NUMBER NAME PLOT PLAN APPROVED ADDRESS STREET BIW EXISTING STREET R/W DEFICIENCY THIS PROPERTY COMP. AN ST. R/W ..... .... XT. CITY TELEPHONE N—UhjBER REMARKUP—L Ell Z or NEW RESIDENTIAL GAS LINE -RESIDENTIA NON L SIGN ADD DEMOLISH RETAINING WALL EXCAVATE Mv FENCH... ALTER On FILL Al (.24..x Y4 REPAIR PRE -MOVE INSP. swim POOL NUMBER OF STORIES NUMBER OF DWELLING UNITS CHECKED BY METER SIZE SERVICE SIZE CLEARANCE CRECKE BY RE�S U. TYPE CONNECTION VERIFIED BY PERO. TEST PERMIT NUMBER t REMARKS :T FIRE ZONE TYPE OF CONSTRUCTION STREET 'IMPROVED,� YES [jN16. SPECIAL INSPECTOR REQUIRED oc CUPANcy GROUP [j YES NO PLAN ULLECKED BY REMARKS !�7_j Plan Check No ..................... PROPOSED USE BUILDING PLOT PLAN (Indicate Building setbacks, abutting streets) PLUMBING 22 HEAT & GAS LINE FENCE SIGN RETAINING WALL SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL TOTAL AMOUNT DUE I hereby acknowledge that I have read this application; that the In- formation given In correct.; and that I am the owner, or the duly author- lzed agent of the owner. I agree to comply wiVa city and state laws regu- lating construction; and In doing the work authorized thereby. no person ATMNTION will be employed In Violation of the Labor Code of the State of Washington THIS PERMIT relating to Workmen's Compensation Insurance. AUTUORIZES NOTE: Permit Limit One Year (Except DEMOLITIONS which ONLY THE WORK NOTED shell be complated in ninety days; MOVED -IN BUILDINGS shall be com- plated In six months.) INSPECTION SIGNATURE (OWNER OR AGENT) DATE SIGNED r A/11 DEPARTMENT f"11111V nirl. Valuation Fee 00 :;IA APPLICATION APPROVAL This application is not a permit until. :i�! signed by the Building Official or his Dep- "I uty; and fees are paid, and receipt is ac- knowledged in space provided. Dlg7 EDMONDS NOTE: Applicant Sitbicrt to Plan Check Fee PR 0-1107 This Permit covers work to be done an private property ONIY. Any construction on the public domain (curbso sidawalkso driveways, marquacs, etc.) will require separate permission. INSPECTOR K ell. I