700011.pdfBUILDING DEPARTMENT
PERMIT APPLICATION
NAME (OR NAME OF BUSINESS)
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MKILING ADDRESS
CITY
NAME
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CITY
NAME
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ADDRESS
CITY
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POWIED ON KROLL MAP NO.:
PERMIT
NUMBER
700011
Applicant F11l
7-
Inside Heavy Lines
JOB ADDRES13
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'SETBACK
SIDE YARD SETBACK
STREET SETBACK
RNAIL YM17
/40
OP
USE ZONE
LOT AREA
VACANT SITE
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13 YES ONO
030f
HEIGHT
BUILDING AREA
VARIANCE NUMBER
NEW
RESIDENTVLL
GAS
LINS
NON-RESIDENTIAL
SIGN
RETA.INING
DEMOLISH
WALL
EXCAVATE
FENCE
ALTER
n
OR FILL
( x Ft.)
REPAIR
1:1
PRE -MOVE
INSP.
........ .......
SWIM
POOL
NUMBER OF STORIES
NU31MR OF
DWELLING
C2
UNITS
I hereby acknowledge that I have read this application; that the In.
formation given to 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-
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 WorkmeWs Compensation Insurance.
NOTE: Permit Vimit One Your (Except DEMOLITIONS which
shall be completed in ninety days; MOVED -IN BUILDINGS shall be oom-
pleted in all months.)
9 01 WA FA ff rd 14 F", =FW RI; W � W&IIIIIII UNFIA F, a G40
NOTE: Applicant Subject to Plan Check Fee
This Para -At coven week to be done on Prints PMPwtY ONLY -
Any construction an the public domain (earbo, sidewalks, drivewars,
marquess, so.) will require separate permission.
EXISTING STREET R/W
COMP. PLAN ST. R/W .......... XT.
CJ YES [3 NO
Plan Check
DEFICIENCY THIS PROPERTY
............ 11T.
Valuation
U-2
REET IMPROVED
YES rl NO
No.
BEAT & GAS LINE
PENCE
SIGN
REMAINING WALL
SWIMMING POOL
DEMOLITION 1 17'
PRE -MOVE INSPECTION
EXCAVATION OR PILL I I
TOTAL AMOUNT DUE
ArEENMON APPLICATION APPROVAL
THIS FERN" This application is not a permit until
AUTHORIZES signed by the Building Official or his Dep-
ONLY THE
WORK NOTED uty; and fees are paid, and receipt is ac-
knowledged in space provided.
INSPECTION
CITY OF Iz-g- rZ4 dwen
EDMONM DA0W
PR 4-3.167 1 /_/ �Z - 70
WN
T.-'7
J
NOTICE
T( AND/OR OWNER
PARTIAL APPROVAL
r111PLT
LJ
CTIONS REQUIRED
T
7LO"
A "
4 r2l-
NO PERMIT — STOP WORK — REMOVE CONSTRUCTION OR OBTAIN
PERMIT AND MAKE WORK COMPLY WITH BUILDING LAW S.
fe.,
CONSTRUCTION IS NOT IN ACCORDANCE WITH APPROVED PLANS
E)[ISTING WORK COMPLY WITH
ElAND
PERMIT — STOP WORK. MAKE
APPROVED PLANS AND PERMIT OR REMOVE IT.
STOP WORK — UNTIL AUTHORIZED TO CONTINUE By INSPECTOP
ElCORRECTIONS
LISTED BELOW MUST BE MADE BEFORE WORK CAN
BE "PROVED.
WORK DESCRIBED BELOW HAS BEEN INSPECTED AND IS APPROVED.
p -
oCONTACT
INSPECTOR AND RECALL FOR INSPECTION.
FOR APPOINTMENT
ARRANGE
EV(-
THE ACTIONS OR CORREC77ONS INDICATED ABOVE ARE REQUIRED
N.-
WITHIN .................... DAYS OR PENALTIES IMPOSED BY LAW MAY BE
APPLIED R INS IONS CALL: PR 6-1107.
INSPECTION
DEPARTMENT
-11PECTOIR
ASUILDMG CITY OF
PLUMMNG EDMONDS
DATE
IONS
RECORD OP] 4SPECTIONS
Date Passed
Foundation
Plumbing (Partial)
m
(Rough)
Frame
Furnace & Fuel Lines -
Final
OFANSPgCTIONS
Date Nssed,
Drainage
Sewer'
Parking
1an ca n
Fire Dept.,
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