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700318.pdfUILDING DEPARTMEN PERMIT APPLICATION 4 Applicant Fill Inside Heavy Lines OSTED ON KROLL MAP NO.: )B ADDRESS / gp 0 &1 — R 6"" ME YARD SETBACK STRE JOE ZONE LOT PERMIT NUMBER YES NAME I PLOT PLAN APPROVED ADDRE1313 STREET A/W EXISTING STREET R/W ............ FT. DEFICIENCY THIS PROPERTY COMP. PLAN ST. R/W ............ FT. .......... M. CITY TELE PHONE NUM13ER REMARKS V NAME Al; ADDRESS ICHECKED BY CITY TELEPHONE NUMBER L ^7 I METER SIZE SERVICE SIZE CLEARANCE ICHECKED BY STATE LICENSE NUMBER CITY LICENSE NUMBER I Q MNEW 0 �-- ALTER REPAIR low or Attach Four FIRE RESIDENTIAL NON-RESIDENTIAJL GAS LINE SIGN 0 YES [3 NO PLAN CHECKED BY m� DEMOLISH RETAINING WALL REMARKS EXCAVATE PENCE OR FILL ( .......... x Ft.) EPRE ] -MOVE INSP. swim POOL DWELLING UNITS I hereby acknowledge that I have read this application; that the In. formation given is correct� and that I am the owner, or the duly author- tzed 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 Year (Except DEMOLITIONS which shall be completed In ninety days; MOVED -IN BUILDINGS shall be com- pleted In six months.) _ f 20 NOTE: Applicant Subject to Plan Check Fee This Permit covers work to be done an private property ONLY. Any construction an the pubtle domain (curbso sidewalks# drivewayst numquees, etc.) will require separate permission. 90 0.-�, Valuation Plan Check No ..................... BUILDING PLUMBING HEAT & GAS LINE PENCE SIGN RETAINING WALL SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL [] YES 13 NO Fee 600 * "OuNT TOTAL AMOUNT DUB ArTEIMON T 1 APPLICATION APPROVAL TI us THIIS PERMIT PEPm, rAUTHORIZES This application is not a permit until TIS ONLY THE 0 TH, signed by the Building Official or his Dep- = NOTI ORK NOTED W Wo uty; and fees are paid, and receipt is ac- knowledged in space provided. I INSPEcTIO NSPECTION CITY OF EDMONDS DATE PR "7-IS-76 FILE I IF I­k,ttIl I I I e I IF IF I 114 1 1 1. L I I I I r IF It I 11.1 T elf. of 1p If 4e. 1. It to F l0I I P ;.I .. 'I", — I I I : I Pik- 14 e I to, 1, 14 FA tet), I :lr It It ii. I IF . e' Ilk - it it III I. It. -tell it, P I I m I I lj I It it It I I I Z -I ep I I' IF L 1. .*l­A tit f I It J+ r r 17 te ;t IT I It to I %; 1 11 l 1 0 IF t F 'IL to 4 r 0 0 It I Ilk- C"t te.k. . I I I I . III I I I 141!e 1 1 1 1 vl. FF el e IF I I I.F Fe I I r r 0 IF I - , , 1 .10 lki tolk, t, Coll I I III to I V V t I Ft IF I 1 .4 C. I I I lit CIA I "i"ok I A F t I it IF It I I I I I IF It I It r kL It, kmetr� x, I 1:CL It- I,' 'a "I I, "t, r e L It I L I I CIL r I I L le I I I L r r ri, it I tr I r r I IF t It tl tIL' It IF I L I I 'Ito r IF 1 .1% 1 + L v IF r r CI 'r l+ it f I-11 I I IF: r r r L L 1 4 otmookook L IF IF Lr r L I L A It I r r-, %k IF It I to"CitL' I I+ I I L L r L L m r F, ki L k . - l.k I r FI II:l I I - I I r I I I I I 5 P. IF _L," I r r r L IF 'L r !L I IF .-e L L' I It. 1 4 L' rI I it r L r L It It -P IF IF 1 .1 . r e; r L': IF L r I IF I I L I L e L [1101601 . I - I eI I F. I IL IF I r -IF 1P rr te, r i k I I I .1 it 16 t I It, t lL r RECORD OF.1 PECTIONS IF I I It L 7 1 r F, 4 r r, I Date Pa I dd., k etlt I I ,,:,I ssed r I r'A .1 1 1 .I,� 4 P'4 ' I I . I I L- :". I-. L I I I r 'L I Art, 'r I r I -I' L Fill I r., I r IF Foundation I I L L I I I I "I I I 'l I : I L I I r I ed I '4 1 Plumbing Partial) I I I (%ugh) I- I I I I I 1 1+ 1 e I l F I I I r L I I e.leil IF I 0 1 1 1 Ilk I I , .. r tkkt,:kkl e 1 1. IF _F_'Fra�M6, t­l rarn It f 5:Y rnace & Fuel Urm"k,",,omoom r r I t4 I i I L.o� I IF Fu I 1 Iew. I I, Ct., e 4, 1 it k I It 4 777.7777"1 Final; IF 14 C I I IF IF t it If- wC t N It i;p IF l RECORD bFINSPE%CTIONS' I It, I ree I IF t Date Passed I Cz 'd . j 0 I Lr L tz r Mrainage :.F. 1 L 1 4 r L. to Sewer.. L IF L" L Parking', landscaping Fire Dept, I I tt. I Clot F. L Co. q_ qf, -0, f,; APPUOATIO BUILDI "NO -,"PERMIT Appl. No. .:�'CITY OF EDMONDS Building Department Permit limit, one year A r PPLICATION is hereby made for a permit to construct the following work, in accordance with the, acwm-,. g plans and specifications. Two sets are submitted herewith for approval. new alter Off -St kaddn repair ............................ ........ ............................................................................ Parking ...................... upancy ................................ Const. type ........................ V Use zone ..... ....... Fire zon .4 ........... UJ, ('91 V,-Z%C�/z ,- ---- �tl- - ....... Blk ..................... . Address..,./.6..1.!2 ddn ............. ..................... .................... Area. ........................................... Septic tank ........................................................... Lot frcatage .................... Bldg. setbacks frontL ........................... r. side ............................. 1, side ..................... rear ............................... .......... No Owner ... (1­4� ...... ....... . ..... ..... Tel ...... .............. Ider .......... Address ................................................... Tel. No ............ Dui ......................................................... el ............................ Address .................................................... T No Plans by ............................................................... Remarks................................................................................................................................................................................. ............ ........................................... I ......................... ........ ..................... ...... ....................................................... ...... ......... I ................................................................................................ ................................ .............................................................. The above is a correct statement, and I agree to comply with all applicable Cocks, and State laws rejuliting this work. Address ............................. ........ I ...... Signed Owner/Agente..4a<A6.1LA q PERMIT for the above work is hereby approved, subject to the above conditions, and tDcompliance with the ap, proved plans and specifications, and Building Department notations thereom Valuation ........ ��CA.5 ........................... Permit fee..* . . . .................. Recd. by .... A_416�7­ ... .... .............. .................................................... . ................... Date ............ d ... . ...................................... Building Department, By. This Permit does not cover Plumbing, Sewer or Electrical insta][lations. V & WORK PERMIT C APPLICATI Application No . .......... .. ............... Building Department permit Limit, One Year CITY OF EDMONDS e rk, in accordance with the accompanying plans PLICATION to hereby made for a permit to construct th following WO d specifications: New Residence A WORK— New/Addn . ....... ..................................................................................... Ground Area ................................... NO. StOrleslm- bsmte Erpme ................... Height ..... ....... Pee Wee Investment. Inc . .................................. Const. Type ....... ........... PlansSubmitted ....................................................... . ................. 3 12.... Fire Zone .................... Use Zone ..... ...... JAWATION Address ..... ......... �..4 ...... ........ . %..** See attached .. ............................... ........... B101 ................... Add'n .............................. .......................................... . ..................... Sewerage.. Sewe red 25, Sides .... T* Front and Rear ............................... ..... . ............. . . . . ............................ WidtlL ........................... Min. Bldg. Setbacks, 6th S-1 .. ....... . ....... ee We ..!MAtment. Inc . ..................... Address ..... 0 .................. 4.x ... !Zm 9*1toneLl..2-4355 e ............. . ................. ........................... Phone ........................ ....... ....................................................................... Address ............................................. ...... Phone ........................ ....... .............................................................. Address .................................................................. ................................................................ Phone ....................... . ....... ............................................................ Address ........ ... Address ........................................................................ Phone ....................... . ....... ............................................................... . .................... Phone .................. .............. Jjj............................................................................................ Address ........................................................................ K. ...................................... ... ................................................................... . ....................................................................................................................... ....................................................................................................................................... .................................. ............................................ ................................ . ...................................................................... ............................................................................................... ........................... . .. .............................................. ........................................... ................................................................................................................................................. y with all applicable Codes and State Laws regulating the work. correct statement and I agree to compl The above is a F 'D� 1/63 Sme ..... Date..V� ... . ....... ...... Signed: Owmr/Ag .. . .... . 11 .......... Address ....................................................................... conditions, and to compliance with the approved plans PERMIT for the above work is hereby approved, subject to the above and specifications and Building Department notations thereon. 4 F VALUATION PEFJ41T FEES $ Bldg . .... ................ Plbg. ....... Heat.... $ ...... ............................. APPROVED: Elect..... $ ........................................ Date............... J ............................. BUILDING DEPARTMENT Others ... $ ........................................ So TOTAL FEE ..... V ................. . ............. BY ................ ci neer's inspection shall be covered before inspection and approval. NOTES: No work requiring B46(ng7De�partmen or Twenty-four (24) hour notice requested. Contact the city Engineer prior to construction of all site utilities, such as curbs, paving, driveways, sewer, water and street connections.