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680209.pdf04 E-4 9 BUILDING DEPARTMENT PERMIT APPLICATION -NAME (OR NAMIC OF BUSINESS) k--'ft P',I_ N I (3L 6-4,0 L ILING "DRESS 09 W S�7— - CITY TIM) Applicant Fill Inside Heavy sAues JOB ADD 88 I 7t) (? (" 0 -E.D KO M'D 5 1 -77'6-S-r6b 7-N\A-L P, o\-/ ;Zal -a/- All_7A Lig—al Description of Property (Show Below or Attach Four LOT b4j'59_cLd E144,Lr-OF-,�C fS L j< -7 V F-D Kro Zvs 7F_ NEW RESIDENTIAL R GAS LINE 1:1 [:]LI ON -RESIDENTIAL N IZON R SIGN ADD MDEMOLISH R=TAINING WALL EXCAVATE FENCE ALTER OR FILL ( ........ . x ......... Ft.) El REPAIR PRE -MOVE INSP. SWIM POOL DWELLING I UNITS NATURE OF WORK TO 1519 JJU14N Ar!�yb j-T I b o' 5- /77 0 LOT AREA VAV�� SITE YES 0 ARI ow r 13ULLDING AREA V ?LAN APPROVED T RIW EXISTING STREET R/W ...... —..YT. DEF70IENCY THUS rkwr�wxx comp. PLAN ST. n/W ........ .. XT. ........ XT. r] YES [3 NO Plan Chock No ....... BUILDING PLUM33ING HEAT & GAS LINE PENCE SIGN RETAINING WALL 13WIMIUNG POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL I TOTAL AMOUNT DUE I hereby Adt owledge that I have read this application; that the in- formatlion given In 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- ATTENTION luting 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 relating to WorkmeWs Compensation Insurance. AUTHORIZES ONLY THE NOTE: Permit Limit One Your (Except DE510LJTIONS which WORK NOTED shall be completed in ninety days; MOVED -IN BUILDINGS shall be oorn pketed In six mention.) DATE - SIGNED INSPECTION DEPARTMENT CITY OF EDMONDS NOTE: Applican)lubiect to Plan Check Fee PR 0-1107 This Permit coven work to be done on private property ONLY. \.ny Construction on &be public domain (curbse sidewmakst driveways, marquees, ate.) will require separate permission. CRIOCKED BY I CLEARANCE CHECKED BY Al VERIFIED BY PERMIT NUMBER qSTRUCTION STREET IMPROVED I [3 YES NO IED OCCUPANCY GROUP I % Valuation Fee Receipt No. 0 0 L f APPLICATION APPROVAL", This application Is not a permit until I signed by the Building Official or his Dep- uty; and fees are paid, and receipt Is ac- Imowledged in space provided. DIOR 8 SIG�N�T 4 I / -S�_ t4 I L I pt It, .t 1 0 It IT I It f 13 I ff. " W� kq 00 1 1 It It i%. 1 4 � . I I . I . I 'It;f 0 ItY 0 0 1 t 14 It It 1 e P 0 1 . I . . . . I I if LL 0 LI flu ........ .. X:%� ,nrMr APPLICATI & WORK PERMIT 0. i 4'! 2 Application N .. . ..... ......... ... Building Department Permit Limit, One Year CITY OF EDMONDS ICATION is hereby made for a permit to construct the following work, in accordance with the accompanying:p1afis, Ificati 13: N aw/ ddng . ....... ............................................... Ground Ares. ................................... No. Stories.. tted .... . ..... C .... ... .. ......................................................... Const. Type ........................................ Height ... ................... ........................ Use Zone..R.—A ......... Fire Zone ........ 3 ........... Adftso .. ............ ........ . . .. ....... 4 ......... a ... 3 ...... "'1 2 of Lot 3., and all of Lot .......... 11 ...... B 1 o c k-.33 ........... Add'n ..... My .. ofEdmond ................... Sewerage ..... sewe ....................... ............................ ........... ........... X, .......... ... Width ............................ Min. Bldg. Setbacks, Front and Rear ... ................ Sides.... . . ..... . ......................... Wr ............ Addr4. ...... 5 214th S.w, PR 8-8234 . ........ . ................ Phone .............. . ...... . ....... . . ........ . . .............. ..... . Addr ess .i9� . .... . ................ Phone ....... ............................. .......... ............. . ....... by ....................... . ................................................................... Address ........................................................................ Phone .......... ...... Phone ............ Plbg. by ...... ..................................................................................... Address .................................................... . ............ ............ ....... ress .................................................. H6E�Ung:by ....................................................................................... .... ... . ........... Phone ....................... Elect. by ............................................................................. ..... ... ............. Address ........................................................................ Phone .................. .. ... 110TE- ark; Fdn, to solid soil bearing ................. ................. ............................................................................................................... Rern ............................................................................ ......................................................................................................................... 1: Bal. railing opngs. max. ................................................ . ........................................................................ Shakes - 1811 strip of 30# felt btw. courses ............................................................................................. .............................................................................................................................................. Beams, as noted ...................................... ...................................................................................................................................................................... I ........................................ The above Is a correct statement and I agree to comply with all applicable Codes and State Laws regulating the work. Signed: 0;v%er/Agent._e.jetr4J ... U-) ........... Addrei� .............. Date*.. ... ........ t ....................................... b 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. FERN" FEES VALUATILON Bg . .... ld PIbg- $ / .... ......................... APPROVED: Heat .... $ ....... 7�5 ......................... Date....... q .......... &? ............................ Elect. ................................ ........ BLTMDING DEPARTMENT Others ... $ ........................................ TOTAL FEE t--1V4t9 .......... ... ... ....................... ........ ... . .. By ....................... approv NOTES: No work requiring Building Department or City Engineer's inspection shall be covered before inspection and al. 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. I- m