700230.pdfC,
/VILDING DEPARTMENT Applicant FM
PERMIT APPLICATION inside Heavy Lines
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PERMIT
NUMBER
700230
lACK
REAR YARD SETBACK
VACANT SITE
C3 YES PrNO
LEA
VARIANCE NUMBER
STREET R/W
EXISTING STREET R/W ............ FT. DEFICIENCY THIS PROPERTY
COMP. PLAN ST. R/W ........... XT. ............ 7T. 0
REMARKS 1 6
0 YES 0 NO
GAS
RESIDENTIAL LINE
C) YES [3 NO
PLAN CHECKED BY
NEW
I
E] NON-RESIDENTIAL SIGN
RETAINING
REMARKS
DEMOT28H WALL
F� ALTER EXCAVATE FENCE
1:1 OR FILL ( x Ft.)
.......... ..........
REPAIR PRE -MOVE SWIM
1:1 INSP. POOL
NUMBER OF STORIES
NUMBER OF
DWELLING
UNITS
NATURE OF WORK TO 33E DONE
Valuation
Fee
No.
—Receipt
Wrpj�
Plan Check No .....................
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BUILDING
PROPOSED USE
PLUMBING
PLOT PLAN (Indicate Building setbacks, abutting streets)
HEAT & GAS LINE
FENCE
SIGN
RETAINING WALL
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE
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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 ragu-
ATTENTION
APPLICATION APPROVAL
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
TIUS PERMIT
This application is not a permit until
relating to Workmen's Compensation Insurance.
AUTHOIUZES
signed by the Building Official or his Dep-
NOTE: Permit Limit One Year (Except DEMOLITIONS which
ONLY THE
WORK NOTED
uty; and fees are paid, and receipt is ac-
shall be completed In ninety days; MOVED -IN BUILDINGS shall be com-
knowledged in space provided.
pleted In six months.)
URE (OWNER OR AG�;N DATE SIGNED
INSPECTION
DEPARTMENT
T
DIRE T R.S SIGNYU
ag�ZT,.,?1I
CITY
NOTE: Applicant Subject to Plan Check Fee
EDMONDS
DATE
PR 6-1107
This Permit covers work to be done an Private Property ONLY.
Any construction on the public domain (curbs. sidewalks, drivewaYs,
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marquees, etc.) will require separate permission.
5
7-Z
_BUILDING PERMIT
Appl, No. ................
Bulkling Departmot
Permit limit, one year
hereby made for a permit to construct the following work, in accordance with the
specifications. Two sets are submitted herewith for approval.
.,ter Off -St.
.........
..... ...... ........ ......... .......................... Parking .......................
...... Use zone ... e..? .............. Fire zone .......
.............. ..... Const. type ..........................
.....................
... ........ 1,ot ......... ............ Blk.../ ............... Addn ......................................
'16 'frontage. ................... K-104 ........... Septic tank ... ve� .. .. ....
ot .................... Area .... ka.
...................
front ..........
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................. r. side, ........ ............... 1. side ............... ............. rear ...............................
------- ...... . ..... ............
rm ..... .
IL ... ... .. .. .......... .......
if_ .4.. Add
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Builder......... ............................................. Address ................................................... Tel. No ......................
am............................................................ Address .................................................... Tel. No ...............
Reifif
..................................................................................... ...................................................... .............
............ ................................................................................ ................................................................................................
........................................... I ...................................................... ................................................................................................
The above is a correct statement, and I agree to comply with all applicable Codes and State laws regulating this
work.
Signed Owner/AgdIZ41 . ...... .. ..... ........ Address .............................. I .............. Date-q
.670 4� . . .....
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.
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Valuation J&n. ..d ............................ P t f .......... 44�
a ermi ee . ............. Recd. by../_XA.1A4t..
Building Department, By ...................................... 16- � ............ ate...
D . ....... 6.,rL
This Permit does not cover Plumbing, Sewer or Electrical installations.
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t
��IBVILOMG PERM
BuMIng DOPMhnftt
Appl. No. 7'
Permit limit, one year
.,Is , heriby made for a permit to construct the following work, in accordance with the accom
.I.. .' � �
amifications. Two sets are submitted heremth for approval.
OffSt.
lier
Parking i ...................
pair..................................................................................................................
..........................
..... Use zone.4nl .......... Fire zone..
.......... ........ Const. type ...........................
. ................ Lot ....... ..... Blk ...... ................. Addn.
... Area ...... 7jQXII-�r ............ Septic tank....e<2.0 ...........................
........... r. side ............................. 1. side .... i� . ................... rear. ..................
............. Address..A?
.................................... Tel. No4&s
........................ Address ..................................................... Tel. No .............................
........................ Address .................................................... Tel. No .............................
-T
....................................................
. . .. . .....
ME! . .......
... ... ...........
.................................................. j ....................................................
. .......................... ...................................................
The above is a correct statement, and I agree to comply with all applicable Coder- and State laws regulating this
work
'.7
.......................... Date . .. ...........
Signed Owner/Agentd?�.i ... ......... Address ..................
PERM 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.
............ / ... ....
Valuation Perrait fee ......... 5 ... Z--r .. ... Recd. by.
Building Department, BY ......................................... b..-1=4� .......... Date ....... V., . . ...... . ....................
NOTE — This permit does not cover plumbing, s,wr, or electrical installations, nor does it permit any workr to be
done in the Right of Way areas. Driveways and walkways must be planned to meet the official grades of streets
and allays, and plans for future sidewalk development -
I.,
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