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680364.pdfBUILDING DEPARTMENT PERMIT APPLICATION 4 .1 . 1) t 02- 1 � 0 1 - (, � 2 97 ( AppReant FIH S Inside Heavy Unle8 POSTED ON KROLL MAP NO-: PERMIT NUMBER 680364 JOB 78... 81 DE YARD SETBACK SETBACK REAR YARD BEYEBAC X USE J� VACANT SITE I [] YES E3 NO XF—HONE NUMBER I BUILDING AJURA I VARIANCE NUMBER 161 HONE NUMBER HONE NUPBER 0 -(, I -L-L NEW RESIDENTIAL GAS LINE NON-RESIDENTIAL SIGN RETAINING WALL ALTER DEMOLISH EXCAVATE OR FILL FZNQJn..a.Ft.) ZAVA. . REPAIR PRE -MOVE INSP. swim POOL DWELLING UNITS t N I I hereby acknowledge that I have read Utts application; that the In- formallon given in correct; and Mat I am the owner, or the duly author- ized agent of the owner. I agree to comply With city and state laws regu- lating construction; mid In doing the work authorized thereby, no person will be employed In violation of the Labor Code of the State of Washington relating to Workmens Compensation IMMUMnes. NOTE: Permit Limit One Your (Except DEMOLITIONS which shall be completed In ninety days; MOVED -IN BUILDINGS shall be com- pleted In six months.) NOTE: Applicant Subject to Plan Check Fee This Permit coven work to be done an Private Property ONLY. Any conshim4lon an the public domain (cube, sidewalks, driveways, marquees, eta.) Will require separate Permission - ____ -1 - EXISTING STREET R/W .......... JPT- DEFICIENCY TMIS PROPERTY COUP. PLAN ST. RIW ............ Fr. ........ ... FT. 0 YES [3 YES [3 NO Plan Check No ............ ... ... [01=1 NO. PLUMBING HEAT & GAS LINE FENCE on SIGN 1�p RETAINING WALL SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL TOTAL AMOUNT DUE 'a 00 ATTENWON APPLICATION APPROVAI,,/ TWO PERMIT This application is not a permit until AUTHORIZES ONLY THE signed by the Building official or his Dep- WORK NOTED uty; and fees are paid, and receipt is ac- Imowledged in space provided. INSPECTION CITY OF EDMONDS FR 6-1101 'A I E Big -0 _W_.A�b DATE 4r- 2 - - APPLICATI( A & WORK PERMIT Application No. -;�:Ot6 ................ —3 CITY OF EDMONDS Building Department Permit Limit, one Year ATION is lie t ct the following workp in accordance with the accompanying plans APPLIC reby for a permit to cone ru And.1specifications: No. Stories ............ W01WNew/Addn . .................................................... .......... Ground Area .................................. ... ..... Height ....................... PlansSubmitted .......................................................................................................... Const. Type ............ ............ use Zone.e:� Fire Zone .................... LOCATION — Address,"a-3 .. .............................................................. i ..... Lake Ballinger Land Co.'s ubdivision 1. less North 90.18 as Recorded Lot .... f ......... BloclL. OL19.9_1P.5,9 ... W....11"arage .... ............................... ................. Lot Area ... S,-42 .. . ............... Width ........................... Min. Bldg. Setbacks, Front and Rear ................................ Sides ............. Owner ... .................. ............ ....... ...... ................ Address...-:P .... ....... —;' Phon Z.11f:�-o Address............... ......................... Phone ....................... . ....... Plans by ................. . .......... . ........................................................... ................................ ddress. ....................................................................... Phone ........................ ....... Bldg. by ........................................................................................... A Address........................................................... . ........... Phone ................................ .................... .......... ............................. P1bg. by ...... Heatingby ....................................................................................... Address ........................................................................ Phone ................................ Elect. by ...................... .................................................................... Address ........................................................................ Phone ................................ .................................... Remarks ......................................................................................................................................................... . ............................... . ........................................................................................... ..................................................................................................................................................... 74 .......................................................... . ........................................................................ .............................................................................................................. ............................................................................................................................... .............................................................................................................. The above is a correct statement and I agree to comply with all applicable Codes and State Laws regulating the work. 11-2 Signed: Ownerl.& ".dreas ............................................................................ Date ......... ............. PERMIT and to compliance with the approved plans for the above work Is hereby approved, subject to the above conditions, and specifications and Building Department notations thereon. PERNE[T FEES VALUATION Bldg. $ ........................................ .... ...................... Plbg . .... $ ........... vp�E,.... Heat.... $ ........................................ APPROVED: Elect. ........................................ Date ....... .... .................................... BUILDING DEPARTMENT Others ... $ ............................ 6 WM.,. Herbert.,, By ............................... TOTAL FEE $ .......... .......... ................ al. NOTES: No work requiring Buil g Department or City Engineer's inspection shall be covered before inspection and approv 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. 74� . ............... i ng Buil g Dep ent or Cit