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700372.pdf71 BUILDING DEPARTMENT Applicant FiU PERMIT APPLICATION inside Heavy Lines NAME (OR NAME OF V"PIAN I MAILING ADDRE 2-1 es" P -Zi—LTY TELEFJWN� �UM�Z" EF .4 VA..J., I ID#- 6 S-2 6 to — I E4 Z M or RESIDENTIAL I R GAS LINE NEW NON-RESIDENTIAL SIGN RETAINING WALL ALTER DEMOLISH EXCAVATE on FILL PENCE I x Ft.) .......... .......... E] REPAIR PRE -MOVE INSP. swim POOL IUMBER OF STORIES NUMBER OF DWELLING UNITS C ON KROLL MAP NO.: PERMIT /12 hl J- NUMBER 70037f DRESS LL vl- ARD SETBACK I STREET SETBACK REAR YARD BETE 0 __—T LOT A—REA VACANT SITE NE YES E] NO *��S'��NG'STREET R/W ............ FT. DEFICIENCY THIS PROPERTY COMP. PLAN ST. R/W ............ Fr. ............ F.T. REMARKS [3 YES [] NO -Z> C r-la e- V,% r I 4t it T4! r- Plan Check No ..................... Z 0 BUILDING PROPOSED USE PLUMBING Q PLOT PLAN (Indicate Building setbacks, abutting streets) HEAT & GAS LINE PENCE SIGN RETAINING WALL 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 laws 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 PER511T relating to Workmen's Compensation Insurance. AUTHORIZES ONLY TILE NOTE: Permit Limit One Year (Except DE51OLITIONS which WORK NOTED shall be completed In ninety days; MOVED -IN BUILDINGS shall be com- pleted In six months.) ED INSPECTION 3IGNATURE (OWNER OR AGENT) DATE SIGN �q.eA"�,� ;( 2; DEPARTMENT CITY OF EDMONDS NOTE: Applicant Snbject to Plan Check Fee PR 6.1107 . This remit covers work to be done on private property ONLY - Any construction on the public domain (curb@, sidewalks, drlvewx7s, nuxrquees, etc.) will require separate permission. [] YES [] NO Valuation I Fee I A - 0 0 Ly&ar) APPLICATION APPROVAL ---- This application is not a permit until signed by tile Building Official or his Dep- uty; and fees are paid, and receipt is ac- knowledged in space provided. FILE IUILDING PERMIT Building Department N Appl. No. ....... Permit fimit� one year 1"is hereby made for a permit to construct the following work, in accordance with the accom, iia specifications. Two sets are submitted herewith for approval. alte.r Off -St. An' repair ...................... * ............... I ......................................................... Parking ...... . . ........... 1. - - 7 e ....... ...... Fire zone ........................... cyi ....... t t. yp ................ use zo T ............ Addn Lot Blk ............ -6-Kom2� ......... .. .. ............. ....... ....... ............ e ...... ...... AM ............................................ Lot frontag /.V Septic tank ..... A-4.-L-rj ............ ....... front ........ 1-4-7 1. side ............. 7 ........... rear ....... ........... Bldg. set,backs ...... ........ r. side .............. 7 ........... Owner... Address.4?�—.S&r'-��.&4 Tel. No/0eV&.e ZA!e ......... Builder.............. ............................ Address. ................................................... Tel. No ............................. 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. 1 11 Signed Owner/Age ...... ddress ........................................... Date.. PERMIT for the above work is hereby approved, subject to the above conditions, and to compliance with the ap, proved plans d ecifications, and Building Department notations thereon. Valuation ....... Z ........ 0--VE-0 ................ Permit fee ..... ;;;�� .............. Recd. by ... BuildingDepartment, By ................ ...... 4 ...... .................... Date .................................................................. INSPECTION RECORD Fdn, OK ............................................ Frame, OK .................................................... Final, OK ................................. ...... This Permit does not cover Plumbing, Sewer or Electrical installations. V-- . it I APMOATION BUILDING PERMIT CITY OF EDMONDS Building Department Appl. No. . .. ......... 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 berewith for approval. new,-— alter Off -St. repair .... .......... Work addn ....... ............................................................... . ..... Parking Occupancy ................................ Const. type ............................... Use zone.'...,,.'.\ ... . .. 5� . . ...... Fire zone ........................... . 417 X ................. Address ..... A-i �. ...................... 3� .... Lot/).f 6..�IAlk ....................... Addn ... 4_�r ri. ��-d .................. .... 01 Lot frontage ....... .... Ar ea. ........................................... Septic tank ........ .. ................... . ........ ....... 4Z ez Bldg. set -backs front.... r. side ............. K:�E side** ...... ... rear,.. ... .................... Owne-9d� dress ...... Plans by Address. ................................................... Tel. No ............................. Address.................................................... Tel. No ............................. Remarks.................................................................................................................................................................................. The above is a correct statement, and I agree to comply with all applicable Codes and State laws regulating this Wo . Signed Owner/Avt�eb . .... alelef &4,5- W./444AUdress ............................................ Dam�;;;,-6c). ........... PERMIT for the above work is hereby approved, subject to the above conditions, and to compliance wvith he ap, proved plans and specifications, and Building Department notations thereon. Valuation .......... ............. Permit fee ...... ........... Recd. by... 7(1-- Ale ....... .. ........ . .. Building Department, By ................................ 1-JU-14 . . ................... Date .... ... G..f.0) ...................... INSPECTION RECORD Fdn, OK ............................................ Frame, OK .................................................... Final, OK .............. This Permit does not cover Plumbing, Sewer or Electrical installations. NO,! MATION F, EDMONDS BUILDING PERMIT Building Department Appl. No . ...... Z�A ............. Permit limit, one year onstruct the following work, in accordance with the accom- ATION is hereby made for a permit to c lam and specifications. Two sets are submitted herewith for approval. :P -St. Off new Z*alteF Parking ..... . .. . ........... "An repair ................................................................................................................. of ........................... I RIF ......... Fire zone. ccupanq ............................... Const. type ............................... Use zone. Address...7.W .. �Kw .... .. . ... ........... ..... Blk ....................... Add ............... . Area ........................................... Septic tank ......................................................... 1: Lot frontage ........................ ............ rear ........... front ........ AV ............ r. side .......... ...... 1. side ........... Bldg. set,backs f':7;.e 4Z 2 7 3 Tel. No . ......................... ...... Address..A a .. ........................ ..... ..................... Owner ... . ....................... Builder ........... 4-Al ............ Tel, No ............................. Address ........................................ Plans by ..................... 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. e. ......... Dat Address ...... Signed Owner/Agent 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. ...... Recd. by.... ..... Z Valuation ........ Z4 ..................................... Pexmit fee .... &ZO ........... Building Department, By ........... .................... .................... Date ........ /24 ... n!.L51 .......................... Fdn, OK INSPECTION RECORD Frame, OK Final, OY . ....................................... This Permit does not cover Plumbing, Sewer or Electrical installations.