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690156.pdfBUILDING DEPARTMENT Applicant rm PERMIT APPLICATION Inside Heavy Lines -jo—i NAMM (OR NAME ' 9P BUSINESS) goke4 S - JffAEEJNG ADDRESS j 14 :� -� 9 U1 7 �V - /4 q 5- ot k 0- Pie V %fil 3g ONE NUMBER 'CITY TrT 5 -q I I 5,ea� Ij I 4"tj 1 1:12.5 PERMIT NUMBER— T 'SETBACkt 14 rrZ YES X—N 0 VARIANCE AWMFITIR E1aSTZNG STREET R/W COUP. PLAN ST. R/W ...... _.FT. REMARKS FIRE ZONE TYPE OPEC [3 YES E3 NO GAS RESIDENTIAL EEII NON X IDENTIA -RESID El L El SIGN Nr RETAINING DEMOLISH WALL ALTER MCCAVATE PENCE 11 OR FILL El ( ........ . REPAIR 13 PRE -MOVE El SWIM INSP. POOL I PLAN CHECKED BY REMARKS NUMBER OF STORIES NUMBER OF DWELLING UNITS �A�"o 0-vt MIND Chock PROPOSED UBE BUILDING PLOT PLAN (Indicate Building setbacks, abutting streets) PLUMBING 4 HEAT & GAS LINE FENCE t SIGN RETAMING WALL SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION IMCCAVATION OR FILL TOTAL AMOUNT DUE I hereby acknowledge that r have read thin application; that the in- formation 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 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 Two PERMCIT relating to Workmen's Compensation Insurance. AUTHORIZES NOTE: Permit Limit One Your (Except DEMOLITIONS which ONLY THE WORK NOTED shall be completed in ninety days; M0VEII,-IN BUILDINGS shall be oom. plated In mix months.) 0 AGE DATE SIGNED SIGNATURE r R NT) INSPECTION ,fR DEPARTMENT su;� CITY OF EDMONDS NOTE: Applicant Subject to Plan Check Fee PR 6-1107 This Permit coven work to be done an Private property ONLY. Any eonsftgcttcn an the public domain (curbs, sidewalks, driveways, marquees, ote.) win require separate Permission. 690156 DEFICIENCY THIS PROPERTY 0 YES 0 NO 3.'s-0 0 �0'u I / 4z- S'0- 4k No. I eo-b I j4?s-4 APPLICATION APPROVAL TMS application is not a permit until signed by the Building Official or his Dep- uty; and fees are paid, and receipt is ac- knowledged in space provided. Z' t' 11 N ::I F p L T',y dL L L 19 d Z4 I 14 Ig I d ol at HPILICATION SUILDING POW Appl. No.-.2 WY OF MMONDS BulMing Depafflftnt ..... . . . ..... Permit liznit� one year ON is hereby made for a permit to construct the following work, in accordance with the acoom- g plans aiid specifications. Two sets are submitted herewith for approval. alter repair ................... Off'St. Parking ....... Const. type ... ............................. Use zone ... ?f ..S� ........ Fire zone ........................... te- e4z? � (Z^� ........ ... Lot ...... ta ......... Blk ........................ Addn ...................................... A ritage ....................................... . Lrea .... aa:�I,.7..z ........... Septic tank ........ ........ ........................ ............. r. side ......... ......... 1. side ...... ............. rear ..... .............. Addrem ... /J—Z .... Tel. No .... 6... ....... .............. ................ ............. Addrew ..................... ............... ............. Tel. No.... ................. by ................................................... . .... ...... Address ...................... .................................................... .................................................. Tel. No ............................. ,The above is a correct statement, and I agree to comply with all applicable Codes and State laws regulating this work., e'Q Signed Owner/Agent . ...... ddress ........................... ................. Datel ................... PEMff for the above work is hereby approved, subject to the above conditions, and to compliance with the ap- proved plans and specifications, and Building Department notations thereon. Valuation ... .................... Permit fee ..... :Z�.(92 ......... Recd. by -A .... ... .. Building Department, By ..................................... 1�� . .................. 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 alleys, and plans for future sidewalk development.