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690428.pdfMNEW ADD ALTER REPAIR 4 MEN noN Applicant FM Inside Heavy Lines Lj RESIDENTIAL R GAS LINE NON-RESIDENTIAL SIGN El DEMOLISH RETAINING WALL F-1 EXCAVATE OR PILL PRE -MOVE INSP. El M PENCE ( ........ . x .......... Ft.) SWIM POOL DWELLING UNITS I hereby acknowledge that I have read thin application; that the in. formation given In correct; and that I am the owner, or the duty allthor. Ized agent of the owner. I agree to comply with 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 DE51OMTIONS which shall be completed In ninety days; MOVED -IN BUILDINGS shall be oorn. Plated In six months.) /104161 NOTE: Applicant Subject to Plan Check Fee 'IMIG rcrmlt coven work to be done on private property ONLy. Any Construction on the Public domain (curbs, sidewsaks, driverwayn, marquess, etc.) will require separate Permission. EXISTING STREET R/W ... ........ rT. COMP. PLAN ST. R/W ........ .. X7. [j YES 0 NO Plan Check No ............... BUILDING PLUMBING. HEAT & GAS LINE PENCE SIGN RETAIMNG WALL SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION On PILL TOTAL AMOUNT DUE ATTENTION Tins PEIMUT AUTHORIZES ONLY TILE WORK NOTED INSPECTION DEPARTMENT CITY OF EDMONDS PR 6-1107 DEFICIENCY THIS PROPERTy [3 YES M No 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. I 7,71- C-P POSTED ON KROLL M.A B.PIADING DEPA�RTMENT- AppIlcant F1111 PEERMIT APPLIC F�IN!AME JOB ADDRESS (OR NAME. OF B USINESS) SIDE YARD.SETBACK 44 PERMIT 2 NUMBER .6904 . ;ET SETBACK VARD SETBACK AREA 6 0 YES [03 N I i,nING FAREABOW y ZME PLOT PLAN APPROVED DDRESS STREET H/W EXISTING STREET R/W ............ FT -DEFICIENCY THIS PROPERTY TELEPHONE NUMBER COMP. PLAN FIT. R/W ........... XT- ............ t: REMARKS 'AME ,DDRESS IA CKED BY ,ITY TELEPHONE NUMBER METER & CHECKED BY MATE LICENSE NUMBER CITY LICENSE NUMBER I.CLEARANCE REMARKS 6egal Description of—Fr—operty(Show Below or Attach Four Copies) TYPE CONNECTION VERIFIED By E ir, PERO. TEST PERMIT -NUMBER. �r REMARKS tl FIRE ZONE TYPE OF CONSTRUCTION STREET IMPROVED YE13 NO I —RE SPECIAL INSPECTOR REQU D OCCUPANCY GROUP 1 2:1 GAS RESIDENTIAL LINE 0 YES NO CHECKED By El NEW PLAN NON-RESIDENTIAL SIGN RETAINING EMARKS DEMOLISH WALL EALTER EXCAVATE PENCE ] OR FILL .... X .......... In.) ..... 3WIM L.. PRE -MOVE F REPAIR POOL INSP. P e_-J, I k -R—UMBER OF STORLE13 NUMBER OF DWELLING 1 _4_ UNITS 'iATURM Valuation Fee Receipt No. Plan Check No .................... A,_1 BUILDING I PLUMBING P i:T50affi streets) EeT'Pti!4'ZIndlcat HEAT & GAS LINE FENCE SIGN tRETAINING WALL N SWIMMING POOL DEMOLITION PRE-MOVD INSPECTION EXCAVATION OR FILL TOTAL AMOUNT DUE I hereby acknowledge that I have road this application; that the in formation given Is correct; and that I am the owner, or the duly author- lawn regu- APPLICATION APPROVAL ized agent of the owner. I agree to comply with city and state ATTENTION lating Construction; and In doing the work authorized thereby, no person T1118 PERMIT This application is not a perinit until will be employed In violation of the Labor Code of the State of Washington AUTHORIZES by the Building Official or his Dep- relating to Workmen's Compensation Insurance. ONLY THE isigned uty; and fees are paid, and receipt is ac- NOTE: Permit Limit one Year (Except DEMOLITIONS which WOIUE NOTED knowledged in space provided. shall be completed In ninety days; MOVED -IN BUILDINGS shall be Cooll- plated in six months.) -91 51,11ET—OR AGENT) DATE 81 JNjl;W INSPECTION DIRECTOR-.8, SIGNATURE NA-URE kU.- DEPARTMENT CITY OF DAT12 j EDMONDS NOTE: APPlicant Subject to Plats Check Fee rn 6-1107 Thin Permit covers work to be done on private Property ONLY - Any construction on file public domain (curbs, sidewalks, driverWILYS, INSPECTOR marquees, etc.) will require Be parate permission. j t A P P UICAtION & WORK P.' E R41#` T Application No . ............................ CITY OF EDMONDS Building Departmept Permit Limit, One Year APPLICATION is hereby made for a nermit to construct the following work, in accordance with the ac and specifications: companying plane WORK — NTe /A ............. Ground Area ............. .............. ...... No. Stories Plans ....................................... Height ........... W;d ...... ... .. .......... Submitte ....................... ... Const. Typeo LOCATION — Address ............ ..... Use Zone .................... Fire Zo ne .................... Record ....... ........ ......... 0. ed Lot.. Block .. ............... Add'n . ..... Sewerage. Lor Area ........................................ Width ............................ Min. Bldg. Setbacks, Front and Rear ............................... Sides .............................. Owner.. ............................................... Address ...... OEM Phonee� .. ....... 7d Plans by ....... Address Phone........................ ....... . .. .. ......... . Bldg. b3 .. ... . C4 ......... �_* ............................... Address..:�� =ag --,<-�.hone Plbg. by ........................................................................ ................... Address ......................................................................... Phone .................. .............. Heatingby ....................................................................... ................ Address ........................................................................ Phone .................... 7 Elect. by ....................................................................... .................... Address Phone....................... . ....... . Remarks ....................................... ....... .................................................................................................................................................................................................................................... .............. ....................................................................................................................................... ................................................................ ............................................ ................................................................... ........................................................... ....................................... ............................................................................ ove a is corre tatem The above is a corre tatement and I agree to Comply with all applicable Codes and State Laws regulating the work. 0 Signed: Owner/Agent . . ... .... . .. ........... . .. .... . ...... Address.. j ........ ... ...... ....... . ....... .... ..... ........... ... . .... Date ..... ....... .. ..... . ? low PERMIT for the ab've work is hereby approved, subject to the above conditions, and to compliance with the approv and specifications r Building Department notations thereon. ed plans VALUATION PERMIT FEES ,000� .............................. Bldg. $ ............... 44:11�r Plbg. $ ................. APPROVED: Heat . . . . $ Date..................... ........ . ...... .. ............. .. Elect. $ .......... .............................. BUILDING DEPARTMENT Others . . . $ J By ............................ ................. TOTAL FEE ...... ........... . 70 $ ................ 00 ............... 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 A curbs, paving, driveways, sewer, water and street connections.