700397.pdf04
P NO.: PERMIT 7nn.,i
NUMB.
BUILDING DEPART ENT Applicant Fill ;Ll 0 ar I
PERMIT APPLICATION Inside Heavy Lines JOB ADDRESS -CAd
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UMBER
EXISTING' STREET R/W-��."I/.T.Y.FT. DEFICIENCY /rHIS PROPERTY
COMP. PLAN ST. R?2g FT- R00 FT.
ZZ5
NUMBER
REMARKS I
Driveway Slopes not to exceed those indicate
4TELEPHONE
on Standard Drawing #103.
I
r-og_ AWY ClIgEr
cur-157
CHECKED BY
N-T
1
14
T PHONE NUMBER
7�3
METER SIZE I SERVICE SIZE I CLEARANCE
it tj
I C;;�CKIN WS
CITY LICENSE NUMUZlt
RE?ffARI--
ow Below or Attach Four Copies)
PnNEW
1XI RESIDENTIAL
D
GAS
LINE
E]
NON-RESIDENTIAL]
D
SIGN
I
ADD
RETAINING
WALL
ALTER
DEMOLISH
EXCAVATE
FENCE
OR FILL
I ........ . x .......... Ft.)
REPAIR
EL
PRE -MOVE
INSP.
SWIM
POOL
NUMBER OF
DWELLING
UNI
PROPOSED UBE
Q
PLOT PLAN (Indicate Building sotbacFST—V
I J*YES [j NO
SP414A INSPECTOR REQUIRED OCCUPANCY Glijr.
0 YES YNO
1_2&A10ij
Plan Check No .....................
BUILDING
PLUMBING
HEAT & GAS LINE
FENCE
SIGN
RETAINING WALL
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE
lh In -
I hereby acknowledge that I have read this application; that the In-
or
formation given Is correct; and that I am the owner, or the duly author-
'I U�l
r ,u
Ized agent of the owner. I agree to comply with city and state laws regu-
ATTENTION
0 person
lating construction; and In doing the work authorized thereby, no person
'shtngton
will be employed In violation of the Labor Code of the State of Washington
THIS PER511T
relating to Workmen's Compensation Insurance.
AUTHORIZES
NOTE: Permit Limit One Year (Except DEMOLITIONS which
ONLY THE
WORK NOTED
be com-
, com_
shall be completed In ninety daY3; MOVED -IN BUILDINGS shall�j
pleted In six months.)
NL
SIGNATURE WNER Oft AGENT) DA;fE 1310 ED
INSPECTION
DEPARTMENT
CITY OF
EDMONDS
N'WTE. AppilraW Sisbir f4o4la�ec* �Fee
PH 6.1107
Thin Perrult covers work to he done on private property ONLY.
his X-C
_r��Zconlrtmlarquees,
An construction on the public domain (curbs, sidewalks, driven,
ny t�)
etc.) will require separate permission.
6-
7661
Valuation Fee
cP�i� I �#01 0 F6,
M
No.
Ian, !;�O LL.In
0 L/
APPLICATION APPROVAL
This application is not a permit until
signed by the Building Official or his Dep-
uty; and fees are paid, and receipt is ac-
knowledged in space provided.
:DIRECTOR SIONA r4 E
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RECORD OF INSPECTIONS
Date Passed
7d NA/
Foundition
r I P t�,
Plumbing (Partial)
(Rouph)
I L I
FramrA
Furnace A Fuel Lines
1. 1
Fin a4l .":I
doodP7
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RECORD; MINSPECtlo"
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ate PbssecJ7
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SewE� r.
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Landsca
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Fire Dept,
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