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680365.pdfC' t C BUILDING DEPARTMENT Applloantm PERMIT APPLICATION Trial de Heavy Lines N (OR NAME OF BUSINESS) one v,4 e v 0,WX%,r & w CITY TELEPHONE NUMBER Ji5W T `TL t� �'v ,2 �:5�Y 6 NAME Property (Unow Below or Ac2T/B.1 0 AZ %CV90/vire 6Jc A o,4 erlN e '7` 7 5 i "'0 I NUMBER 680365 �t:0L IK STREET SETT 1 2s s�s oao m& o/ n EXISTING STREET ��1i R/W A10— FT. DEFICIENCY THIS PROPERTY COMP. PLAN art R/W ..to ..MO ... CL... In, REMARKS Driveway slopes not to exdeed those indicated on StainTaird Drawing #103. U Iff NEW RESIDENTIAL LMTLINE NON-RESIDENTIAL ❑ SIGN ❑ ADD DEMOLISH RETAINING ALTER ❑ OR EXCCE AVATE II ❑ (•....N..x.......... Ft.) REPAIR ^ PRE -MOVE ^ SWIM ' { INSP. I ( POOL h N1 S-Ee AZ\ AC/ rr. d T N I I hereby acknowledge that I have read this appllcatlon; that the in- formation given is correct; and that I am the owner, or the duly author- ised agent of the owner. I agree to comply Vith city and state laws regu- 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 relating to Workmen's Compensation Insurance, NOTE: Permit Limit One Your (Except DEMOLITIONS which shall be completed in ninety days; MOVED -IN BUILDINGS sball be com- pleted in six months.) NOTE: Applicant Subject to Plan Check Fee This Permit coven work to be done on private property ONLY. Any construction on the public domain (earbs, sidewalks, driveways, comquees, etc.) will require separate permission. 9 c( 0 MEM Valuation Plan Check No, .......... No. BUILDING az 2Zr PLUMBING s HEAT d: OAS LINE AT FENCE SIGN RETAINING WALL SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL TOTAL AMOUNT DUE ATTENTION APPLICATION APPROVAL THIS PERMIT This application is not a permit until IZES ONLY THE Signed by the Building Official or his Dep- NLY M WORK NOTED uty; and fees are paid, and receipt is ac- lmowledged in space provided. INSPECTION DIRECTOR'S SIGNATURE DEPARTMENT CITY OF DATII ` EDMONDS 9 PR d-1101 FILE // rA ' LI=E4ALSCRjkT1 2A ALL TMr ftniioN .of LAr 4 fd' .1111.94K X ; "K C t3A�N616R LOA Cott A SO anw Is.. ab, I A�'j �B� s' ryLL/1I r BErrN�f1A!�'l�7 F1►iE N•R►' . .T ee ILN.I � +t y1.rD LOT A�.. Alto OF A tfil , RK- r 004* vt� �F AMD fi►«eK,v EA v� or ADrliy Rom f at !lr..to >Fi; �o;�• ,o P �� w� ;-��►w�t t Es vi N � Nits Ck''R' t� /ttAR $1/t t' lot RECORD OF INSPECTIONS - Date Passed, coo Drainage q Sewer Parking Landscaping t Fire Dept. — -RECORD OF INSPECTIONS IL Date Passed y ' lJ � Foundation b Plumbing (Partial) (Rough) —�- Frame Furnace & Fuel.Line � Final