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700149.pdfA 41 x kl_ wow POSTED ON KROLL MAP NO.: PERMIT NUMBER BUILDING DEPARTMENT Applicant Fin 100149 1 PERMIT APPLICATION Inside Hemry Lines JOB ADDRE8S I NAME (OR NAME OF BUSINESS) i: 4 MA F1NEW DR"ADD F-1 ALTER F� REPAIR rUMBER or 8 TA-TURE M �; 4 1,,- — TELEPHONE NUMBEZ' 77 V- V 7 /�;; -7 or RESIDENTIAL El GAS LINE NON-RESIDENTIAL] [:] SIGN ElDEMOLISH RETAINING WALL FEXCAVATE OR FILL FENCE ( ........ _X .......... Ft.) PRE -MOVE SWIM INSP. POOL ITE S I -NUMBER OF DWELLING UNITS K TO BE DONE Aid zoo -A I . It . A­r� J -7 4> 5�zi-_eei4 I hereby acknowledge that I have read thin application; that the In- formation given Is 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 Coda of the State of Washington relating to WorltmerVa Compensation Insurance. NOTE: Permit Limit One Year (Except DEMOLITIONS which shall be completed In aluety daym; MOVED -IN BUILDINGS shall be com. pleted In six months.) � Z_ E: Applicant Subject to Plan Check Fee This Permit coven work to be done on private property ONLY. Any construction on the public domatn (Curbs, sidewalks, drivowILYS, marquess, ate.) win require separate Permission. �7 USE ZONE LOT AREA. VACANT SITE 13 YES NO KISTING STREET R/W ............ FT COMP. PLAN ST. R/W ............ FT FIRE ZONE TYPE OF SPECIAL INSPECTOR RE [:] YES z4qtr-- PLAN CHECKEDPY A-0/A.Y.- Plan Check No ............ BUILDING PLUMBING IIE, AT & GAS LINE PENCE SIGN RETAINING WALL SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL 'TOTAL A31OUNT DUE ATTENTION TIHS PERMIT AUTHORIZES ONLY THE WORK NOTED INSPECTION DEPARTMWT CITY OF EDMONDS PR 6-1107 DEFICIENCY THIS PROPERTY 0 YES Fee Z 04 I Z Wy BY I /.-I � I Z) W, 5 APPLICATION APPROVAL This application Is not a permit until signed by the Building Official or Ids Dep- uty; and fees are paid, and receipt is ac- Imowledged in space provided. 1-n V -I 3 I N'R APPUCATION BUILDING PERMIT Building Department IN CITY OF EDMONDS A U) Appl. No . ..... Permit limit, one year APPLICATION is hereby made for a permit to construct the following work; in accordance with the atow1u, panying plans and specifications. Two sets are submitted herewith for approval. Off -St. new alter raddn repair ....... ....... ............................................................................... Parking ......... . . ......... ........................ Const. type ................................ Use zone .... r ......... Fire zone ........................... Occupancy.' Lot ......... Blk ........................ Ad ....... ......................... Q Address ...... Z Lot frontage ....... A ... eL 4�1 Area ........................................... Septic tank ....... ....................... `� . ....... 1. side ............................. rear ............................... Bldg. set -backs — front ..... . ..................... r. side ...................... Z-7 . ................. Address,2.�'t4 Tel. Z<Z-�Zne�ZZ Ownew Builder............ K . ....................... Address. ................................................... Tel. No ............................. 'R Plansby ................................................................. 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. a 9 Signed Owner/Agento.._e.�Z.;. .. Address ............................................ Date.�.=Z/ ........ 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. .4-4r ........... Permit fee... Valuation ................ Xy ........ . .... ....... ............ Reed. by ...... .. ............. Building Department, By ..................... X�t/5.5� ................. . ................... Date .......... -_-2-:7 .. ....... 60 .................... ........... ... INSPECTION RECORD Fdn, OK ............................................ Frame, OK .................................................... Final, OK ....................................... This Permit does not cover Plumbing, Sewer or Electrical installations.