700125.pdfW POSTED ON KROLL MAP NO.: PERMIT -7
BUILDING DEPARTMENT Applicatilt Fin NUMBER 100125
PERMIT APPLICATION Inside Heavy Lines JU13 ADDRESS -012/
NAMIli (OR NAME OF BUSINESS) /JP r ;1, 0 — ? 0 C 4
SIDE YARD IIFTIIACK STREET SETBACK REAR YARD HETF ACIC
F)e,!V& LEIFER cop5T.- I
AILING ADDRZ-155 /0
USE ZONE Low AREA ALJ VACANT SITE
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CITY TELEPHONE NUMBER WES [3 YES 0 NO I
F=ZOI I HEIGHT BUILDING AREA VARIANCE NUMBER 04
NAME YOND-S
HAHII-TL961 70AI.S.-IoN PLOT PLAN APPROVED
;Q ADDRESS V
STREET R/W
223//-25- PL. EXISTING STREET R/W 6:kxT. DEFICIENCY THIS PROPERTY
CITY TELEPHONE MU—MBER Ir
COMP. PLAN ST. R/W FT. Jq ..... FT.
E,0 m o Al _S REMARKS
NAME
A /V F�5 g Driveway slopes not to exceed those
ADDRESS indicated on Standard Drawing #103.
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CITY TELEPHONE NUM13ER
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8 1 METER SIZE SERVICE SIZE CLEARANCE CHECKED
STATE LICENSE NUMBER CM LICENSE NUMBER . 11 _4Y
_310� �/A
,22�,-:F-6Z REMARKS
Legal Description of Property (Show ow -or Attach Four copies)
L01: AID, - -7 oF _s 1-1,41f o Al TYPE CONNECTION VERIFIED BY
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6 //T,5 SEC - /9 7�Z 7AI, PERC. TEST PERMIT N 7v
UMBER
/V e
REMARKS
NEW
RESIDENTIAL
'
LINE
NON-RESIDFNTIAL
F�
SIGN
RETAINING
WALL
DEMOLISH
ALTER
EXCAVATE
OR FILL
FENCE
( X Vt.)
REPAIR
PRE -MOVE
INSP.
........ . ..........
swim
POOL.
NUMBER OF
DWELLING
UNITS
A T;4, c- H
FInEE
TYPE ��TRUCTION REET IMPROVED
YES 13 NO
SPSCI&L INSPECTOR REQUIRED
[3 YES XNO
OCCUPANOV_G
-Rou"J,
PLAN CHECKED
BYr_ I
REMARKS*
&. Id &J;a/V sj'@ �Qomr #RL6*.
toic—
Flan Check No ........
tion
Fe
BUILDING
PLUMBING
HEAT & GAS LINE]
PENCE
SIGN
tRETAINING
WALL
N
SWIMMING POOL
DEMOLITION
PRE-UOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE
AMOUNT B
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 author-
ized agent of the owner. I agree to comply with city and state laws rogu- rAlTMNTION
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 rElIMIT
relating to Workmea'a Compennatton Insurance. AUTHORIZES
ONLY THE
NOTE: Permit Limit One Year (Except DEMOLITIONS which WORK NOTED
shall be completed In ninety days; MOVED -IN BUILDINGS shall be c�ro-
plated in six months.)
3 0— -70
NOTE: ApplicIdt Subject to Plan Check Fee
This Pernilt covers work to be done on private property ONLY.
Any construction on the public dompAn (curbs, sidewalks. driveways,
maxQuees, ate.) will require separate ;mradsalon.
INSPECTION
DEPARTMENT
CITY OF
EDMONDS
PR 6-110.7
0A //100
I / /01 SO 1 =5_30
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.
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rum
6�
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No
RECORD OF INSPECTIONS
N�
,Date Passed
Foundation
Plumbing (Partial)
70617
(Rough)!�
'Frame
Furnace & Fuel Line 7 /a
zN 70 1&
Final
RECORD OFANSPECTIONS,
Date Passed
Drainage
se,wer,
Parking
Landscdpi,ng...
Fire Dept
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