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700336.pdf114 I I Z 8 KROLL MAP NO. PERMIT BUILDING DEPARTMENT —Applicant Fill I NUMBER 700336 PERMIT APPLICATIO14 inside Heavy Lines JOB ADDRESS I NAME (OR NAME OF BUSINESS) 7',,9 or - �j �j - ;T ONE I 10 L-1100.14 11. ZV-0 STREET RIW EXISTING STREET R/W ............ FT. COUP. PLAN ST. R/W ............ FT. FIRE ZONE I TYPE OF NEW ADD ALTER REPAIR E'IDENTIA LNO'N ,SIDELNTIJAL _Rr DEMOLISH EXCAVATE OR FILL PRE -MOVE INSP. GAS LINE SIGN RETAINING WALL PENCE ( .......... x .......... Ft.) SWIM POOL_ 0 YES NO PL�t �N CH ,,ECgEDABY YA-4z NEMARV I IUMBER OF STORIES NUMBER OF DWELLING UNITS Plan Check No ..................... BUILDING PLUMBING HEAT & GAS LINE FENCE SIGN I tRETAINING WALL N SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL TOTAL AMOUNT DUE 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- Ized agent of the owner. I agree to comply with city and state lawn regu- ATTENTION 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 PERMIT relating to Workmen's Compensation Insurance. AUTHORIZES NOTE: Permit Limit One Year (Except DEMOLITIONS which oNLY THE WORK NOTED shall be completed In ninety days; MOVED -IN BUILDINGS shall be com- pleted In six months.) I ATURE (OW ER OR 0 NT) DATE I 8 GNED INSPECTION DEPARTMENT _/AG, CITY OF EDMONDS NOTE: Applicant Subject lo Plan Check Fee PR 6-1107 This Permit coven work to be done on Private property ONLY. Any construction on the public domain (curbs, sidewalks, driveways, marquees, etc.) will require separate permission. Valuation [] YES [3 NO F-V �, - THIS PROPERTY 10 YES 11110 r Ahomp- � I No. I — 1,3"0&1 rcTli - -9� APPLICATION APPROVAL This application is not a pern-dt until signed by the Building official or his Dep- uty; and fees are paid, and receipt Is ac- Imowledged in space provided. FILE I 11 1 0 APPLICATION BUILDING PERMIT Appl.,No . ..................... CITY OF EDMONDS Building Deparmen? Permit limit� one year APPLICATION is hereby made for a permit to construct the following work, in accordance with the accom, panying plans and specifications. Two sets are submitted herewith for approval. new It Off'st. _,a eF Work addn repair ...... ..................................... Parking ...................... :;,Use zcZne-.-,,-�- ........ Fire ........................... Occupan,2�,-,,;,.-O ............. Const� typez� ........ W ....... zone er 'ef A 5( t 5�VT4�—�� _K1 .2k . Lot ........... Blk ........... ...... Addn Address ...... / ..... ;"� ........................................ ....... Lotfrontage ........................................ Area ........................................... Septic tank ... ...................................................... Bldg. set -backs — front ........................... r. side ............................. 1. side .............................. rear ................................ eje� f� -T Owner..�� ....... ........ ....... ....... �Addrm ....... -rZF .. . .... 1. No .... X�-Z f-- I I Builder.................. e45!!�� .................... Address .............................. ...................... Tel. No ............................. Plansby ........................ I ......................................... Address .................................................... Tel. No ............................. Remarks.................................................................................................................................................................................. ................................................................................................................................................................................................ ................................................................................................................................................................................................. Ile above is a correct statement, and I agree to comply with all applicable Codes and State laws regulating this work. Signed Owner/Agent—oe.;i<.. ........... Address ............................................ Date..�=.��/. 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. ........ Reed. by ... ............. Valuation ............... (!-�' .... ........................ Permit fee ....... ......... e� ............................................. D ate ............. ................... Building Department, By .............. This Permit does not cover Plumbing, Sewer or Electrical installations. k a ...... - ----- ------------- BUILDING PERMIT Appl. No. ........... 57 ...... APPLICATION C ITY OF EDMONDS Building Depadm"t Permit limit, one year e in accordance with the accom- APPLICATION is hereby made for a permit to construct th following work, panying plans and specifications. Two sets are submitted herewith for approval. Off -St. -a ter new _.ej 0 ......... . ........... ..................................... Parking Work addn repair .. ............................................................ Occupancy ....... .. ........... Const. type ....... .............. Use zone....,/r._._..Z ....... Fire zone ........ ........ Lot ........... � �ZO ... Blk ........................ Addn.Z/�-�--:: ....................... Address.................................................. W .............. Lotfrontage ................ ......... Area ............................................ Septic tank ........ .................... . ............. .................. 1. side .............................. rear ............................... Bldg. set -backs — front ......... . / ................ r. side.. 0 1 ;;�' �440/' ..................... Address. .... ........... Tel. Nk ...................... Owner... ................................. ........... Address ................................................... Tel. No ............................. Builder............ 4/_ ............................. Plansby ................................................................. Address .................................................... Tel. No ............................. Remarks........................................................... ......... *,*** --------- . i regulating this The above is a correct statement, and I agree to comply with all applicable Codes and State laws J work. Signed Owner/Agent...Z(2�_t ..... ........... Address ........................................... Date. ...... I ................. 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. I . ........ Recd. by ... ........ � ....... Valuation ..................................................... Permit fee ......... t�� . ..... .......... Date .......... zr� - .......... / ...................... Building Department, By ...................................................... ......... INSPECTION RECORD OK.................................................... Final, OY . ....................................... Fdn, OK ............................................ Frame, This Permit does not cover Plumbing, Sewer or Electrical installations.