680394.pdfBUILDING DEPARTMENT I Applicant Fill,
PERMIT APPLICATION Inside Heavy Lines
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,D SETBACK III
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PERMIT
NUMBER 680394
o,5 Mo..
SETBACK REAR YARD SETBACK
EA WOW —BITI:
V�YEII (3 NO
TO -AREA I-VARIANOM NUM15MB
STR /W
INE NUMII0F__ nxiewNco, STREET R/W 5.(�.FT. DEFICIENCY THIS PROPERTY
COUP. PLAN ST. R/W In.
REMARKS
57- C-) Driveway slopes not to exceed thoge
_,o. I indicated on Standard Drawing #103.
J�_ /_S-0 D
CITY LICENSE NUMBER
DW or Attach Four Copies)
dr Me- .50
471 7_07 ig Id. a
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GAS
RESIDENTIAL LINE
NEW NON-RESIDENTILL SIGN
9�w RETAINING
DEMOLISH WALL
ALTER EXCAVATE PENCE
OR N7LL ( .......... x .......... Ft.)
REPAIR PRE -MOVE swim
INSP. POOL
NUMBER OF
DWELLING
UNITS
C3 YES
L,
Plan Check No ..................
PRO=813
BUILDING
PLOT PLAN (Indicate Building setbacks, abutting streets)
PLUMBING
ft
HEAT & GAS LINE
PENCE
t
SIGN
N
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 jun the owner, or the duty author-
Ized agent of the owner. I agree to comply with city and state laws regu-
ATTENTION
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
THIS PERMIT
relating to WorkmeWs Compensation Insurance.
AUTHORIZES
ONLY THE
NOTE: Permit Limit One Your (Except DEMOLITIONS which
WORK NOTED
shall be completed in ninety days; MOVED -IN BUILDINGS shall be com-
pleted In six months.)
SIGNA.TURE (OWNER OR AGENT) DATE SIGNED
INSPECTION
DEPARTMENT
CITY OF
EDMONDS
NOTE: Applicant su1ject to Plan Check Fee
PH 6-1107
,ibis Permit coven work to be done an private property ONLY.
Any construction on the public domain (curbs, sidewalks, driveways,
marquees, etc.) will require separate permission.
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jj YES [3 NO
Fee
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APPLICATION APPROVAL
0
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No.
This application is not a permit until
Signed by the Building Official or Ills Dep-
uty; and fees are paid, and receipt Is ac-
knowledged in space provided.
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Cff. OF EDMONDS
BUILDING PRUIT
Bulldng Depaftmt
Appl. No-,�Ipf ........ ............
permit limit, one year
following work, in accordance with the acoom-
ON is hereby made for a permit to construct the
i-p lins� and. specifications. T am am submitted herewith for approval.
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alter
...................... Parking ......................
addn repair ............... : . ....... ....................... ....................................
anc . .......... Use zone2�s.... ..... ...... e zone ...........................
Y ................................ Const. type... A
............
........... . ..
d ......................................
...... ... ......
............
0 0 0 ........... Septic tank ... A .... ................... ......
WAfrontage ........................................ Area-/ x ......................
..................
.7 ............... 1. side ... ......... rear.c.24 . ..............
r. side.
Tel. No .............................
r 2�� '
..................................................
............... Address..
er. ............................. ..... W .....
......... Tel. No .. .... ...
17
1&1�9r
..... ........... qd/i ... ... .. 1�1�7 0
Buile . ... ......................................... -7
... .......... . ......
Plansby ................................................................. Address ................................................. el
This pormit p.cKn Plumbert .............. . .... ... ........ .......................
................... .. 4-
............................
Heat Contr,;t
Any con0t-�'Ilot.A.Q.n ... --d-amniv ..... ................. . .............. ..... ................
................ (.45dY..0 ...... :�.: .........
dllvcl*.*��'Ys, j7,,arquFA?tct.:
etc. will re 0 ,
.... z2x-t. .................................
...........................
The'above is a correct statement, and I agree to comply with all applicable Codes and 1,ars 1� LIM
work.
....................
Signed Owner/Agent ... Vx —1 .... .............. . ... L.WUMNW..
PERMff for the above work is hereby approved, subject to the a e conditi
t otat thereon.
proved plans and specifications, and Building Pepartmen
X1000-
-F Permit fee...-.-N. �--- . ..... �- ff -= .. Recd. I
Valuation .............. ........
Building Department, BY ....................................... 1(ro 4
ur.29P ............... Date....
This Permit does not cover Plumbing, Sewer or Electrical installatiom.
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''APKJOATION
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WY OF EDMONDS
I�JUILBING PHINIT
BulkUng Depadment
Appl. No. 4�kd3 .......
....................
Permit limit, one year
�,MV%WATIOH is hereby made for a permit to construct the following work, in accordance a
with the coom,
and specificati Two sets are subminted herewith for approval.
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alter Off -St.
Few
..........
addh repair ... 7a'.'a .. .... ..............................................................................
Parking ......................
cy; ............................... 5/0 ......... Fire zone ............................
Const. type ............................... Use zone .... I .........
. . ...... A��4 ....... Lot ... BIF ............ "--- dn ......................................
frontage ....................................... Area.-/CRI.9�0.0 ...................... Septic tanke .....
....... .... .. ...........
"Bldg. saa ............................ r. side.7--:K .. .............. 1. side .... 7.f7�� ........... rear.
...................
Own ..f .. .. ... .... Address. ... ..... Tel. No .............................
............
Te
Bu . ... .. .. .... ........
il e
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Plansby .................................................................. Address .............. .... 7 .:;� .... Tel. No .............................
'This permit covers work to be done
Remarks ... 21LPK�Yal�g ... P.m.p.arty ... OIILY� ....................................................................................................................
Any construction on the Public domain
sidewal
I.
................. .......... * ...... ......... . ...................................................................................
t,(!.) will roqui�re cOrzirato Permission.
The above is a correct statement, and I agree to comply with all applicable Codes and . State laws regulating this
work.
Signed Owner/Agent.. a.-azart ..................... ... Address ............................................ Date./ 3L
PERMIT for the above work is hereby approved, subject to the above conditions, and to compliance with the ap-
proved plum and specifications, and Building Department notations thereon.
Valuation ..... Permit fee.��o . . .............. Recd.
. . ................... 1-4 .. ..
Building Department, By ....... . . ..... .... Date ... . ...............................
NOTE — This permit does not cover plumbing, sewer, or electrical installations, nor does it Permit any work to be
done in the Right of Way areas. Driveways and walkways must be planned to meet the official grades of streets
and d1leys, and Plans for future sidewalk development.
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