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690219.pdfr BUILDING DEPARTMENT I Applicant FIU I Inside Heavy Line!! PERMIT APPLICATION 11 P NO.: PERMIT NUMBER 690219 � LNG �11 Ai IMAILLNU "�J�00 SITE 4 / USE ZONE I LOT AREA Z 0 [3 No 6 Ea [3 YES D CITY TELEPBONE NUMB CITY 6 �. 'BUILDING AREA �NUMBER 11EIGHT JV 0, 14-0 TEIE VACANT 0 a Z/,- V ERIANCE NUMBER NAME PLOT PLAY APPROVED- %J40 r1Jr V1 k �4 tAD D R E 8:8 REET /W =0 STREET 13656 S 0 A) f_,09 R/W ... ....... F-r. DEFICIENCY THIS PROPERTY - CITY HONE NUM.B.K__ EXIB 6-1—Ty COMP. PLAN ST. R/W ............ ............ 6— 3,503S" REMARKU NAME 5-m—A "VAR CEAJ Z NA' '"' :4 rADDRES8 ' KED BY Of Y I TELEPHONE NUMBER CITY E4 'CKED BY A M.ETER SIZE SERVICE SIZE CLEARANCE CHE STATE LICENSE NUMBER CITY LICENSE 14UJU--- _ff EMARKS LeFa—I Description of Property (Show Below or Attach Four Copies) y�� v .-tt� W �� iol� AW4— do 16 TYPE CONNECTION VERIFIED BY *L 4 .1 epr lesy 0 FIRE ZONE or C SPECIAL INSPECTOR RE9 r _AT C] YES 0 RESIDENTIAL LINE PLAN CHECKED BY NEW NON-RESIDENT AL SIGN /;///7 ADD ElDEMOLISH WALT ALTER EXCAVATE FENCE F� OR FILL El ( ......... A .......... REPAIR PRE MOVE swim INS;. POOL TR OF DWELLIZ40 UNITS NATURE ulp wor.1, xu BF, DONE :6 plan Check No ............ . ....... BUILDING —PROPOSED �USE J V PLUMBING HEAT & GAS LINE A PLOT PLAN (Inuicarle, Jsullul-15 abutting streets) PENCE SIGN tRETAINING WALL N SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL TOTAL A31OUNT DUE I hereby acknowledge that I have read this 51)1111cati0n; that the in- formation given is correct: and that I am the owner, or the duty author- Ized agent of the owner. I agree to comply with city and state Iowa regu- ArrrJMNTION lating construction; and In doing the work authorized thereby, no person Labor Code of the State of Washington THIS PERMIT will be employed In violation of the AUTHORIZES relating to Workmen's Compensation Insurance. ONLY TILE NOTE: Permit Limit One Year (Except DEJ%1OIATIONS which WORK NOTED shall be completed In ninety days; MOVED -IN BUILDINGS shall be com- pleted in six months-) INSPECTION IE I I 1 1 � 111 IT) DATE SIGNED SIGNATIJRE (OWNE �,N �515 T) , �1" DEPARTMENT 6 19 CITY OF EDMONDS UNOTE: APPlicant Subject to Plan Cbech Fee PH, 0-1101 This Permit covars work to be done on Private property ONLY. domain (curbs, sidewalks, driveways, Any oopjtructlon on the public marquees, etc.) will require separate permission. Valuation 4, 13 YES Fee I Receipt No. S6-1 APPLICATION APPROVAL This 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. UIRECTOR'S SIGNA'�URE� L-7 D FILE Sewer Parking Landscaping Fire Dept. 11 - _­ ".. - I- ­.- -1-1 ­_­_ ....... ... ATION & Wr' JING PERMIT No .... 4_1 DMONDS Building Department Permit limit� me year 4 is hereby made for a. permit to construct the following work, in accordance with the accom- d specifications. Two sets are submitted herewith for approval. alter Off -St. ir ....................................................... Parking ....................... r....... ....... Use zone.A�_.Lk ...... Fire Zone ..... ............. --- Blk ........... . .... . .. . . ....... ------------ ( 11 -W 7 -V-) x4 ................ . ........... Septic tank.� ... ...... .......... . ........... ......... rontage ........................................ Area. t f f Bldg. front ------- - ...... )�' r. side ........ ............ 1. side .............................. rear ..... ................. set Owne . .... ........ Address.2,P el. No.?,G =..Vd 2b 0 r .. ;�� ( e Builder................................................................... Address ................................................... Tel. No ............................. Plansbv ................................................................. Address .................................................... Tel. No ............................. Remarks............................................................... The above is a correct statement, and I agree to comply with all applicable Codes and State laws regulating this work. Signed Owner/Agent .... ..................... Addres� ................................... . ....... Date ......... ... PERMIT 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. .1-1 L7 Valuation .............. .......... Permit fee ..... ::5.0 ........... Recd. b ......... ...................... BuildingDepartment, By .......................................... 0j.4.4 - - ----------- 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. tj ----------- ... ..... APPLICA��..,ON & WORK PERMI�- Application No . ..... CITY OF EDMONDS Building Department Permit Limit, One Year APPLICATION is hereby made for a permit to construct the following work, In accordance with the accompanying plans. and specifications: WORK — New/Addn . ............ .............. .. .................................... Ground Area ..................... . ............ No. Stories..__.. Plans Submitted ....... Const e .... Height. ..................... 5) C, .... 3"K­ ;r .... ......... LOCATION — Address. .... . . . . ........... .. % .. . ..................................................... Use Zone..�65.f Fire Zone .................... RecordedLot ........ . ......... Block. ................... Add'n ............................... .......................................... . ..................... Sewerage .... ....................... . .... Sides ....... Lot Area .................. .................. Width ............................ Min. Bldg. Setbacks, Front and Rear .............................. . . ...... . .. . ......... Owner ..................... . . .............. ...................................................... Address .......... / ....... . ........................... . Plansby .... . ............ . ........ . . . ......................................................... Address ........................................................................ Phone ........................ ....... Bldg. by ...... . .......... ............. I .......................... , Address .................................................... . .................. Phone ......................... ...... PIbg. by ........................................................................................... Address ........................................................................ Phone ............ Heatingby .............................. . ....................................................... Address .......... ............................................................. Phone ................................ Elect. by ............................................................................................ Address ........................................................................ Phone ................................ Remarks The above Is a correct statement and I agree to comply with all applicable Codes and State Laws regulating the work. Signed: Owner/Agent ...... z .Or,_./4z ................................. Address ............................................................................ Date.. �6 14rzu� 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. .1 VALUATION PERMIT FEES 0 $ ......... ... Bldg . .... $ .................. 1-:: . .. ..... ... ...... PIbg. . . . - $ ........................................ APPROVED: Heat .... $ ........................................ Date............. ....... ................. 11 ....... ........................ Elect. ........................................ BUILDING DEPARTMENT Others ... $ ........................................ .... (Lq -!e TOTAL FEE $ ........................................ By.................... . ........................... NOTES: No work requiring Building Department or City Engineer's Inspection shall be covered before inspection and approval. 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.