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700550.pdf101� LL 39" NO.: PERMIT BUILDING DEPARTMENT Applicant FM I NUMBER PERMIT APPLICUION Inside Heavy Lines JOB ADDRESS I NAME (aw ME ar7ommmur- 700550 YES El NO EXISTING -STREET R/W ............ FT. DEFICIENCY THIS PROPERTY COMP. PLAN ST. R/W ............ FT. ............ REMARKS IiI ADDRESS -7 0�-r Z CHECKED BY CITY TELEPHoisiru NUMBER METER SIZE SERVICE SIZE CLEARANCE CHECKED BY STATE LICENSE NUMBER CITY LICENSE NUMBER REMARKS Legal Description of Property (Show Below or Attach Four Copies) TYPE CONNECTION VERIFIED BY PERC. TEST PERMIT NUMBER REMARKS FIRE ZONE TYPE OF CONSTRUCTION STREET IMPROVED 13 YES 13 NO SPECIAL INSPECTOR REQUIRED 0 YES [3 NO OCCUPANCY GROUP GAS NEW LINE SIGN ADD RETAINING DEMOLISH WALL ALTER EXCAVATE PENCE Q OR FILL I .......... X ......... Ft.) REPAIR PRE -MOVE swim INSP. POOL PLAN CHECKED BY REMARKS NUMI ER OF STO ES NUMBER OF DWELLING UNITS NATURE OF WORK TO BE DONE Plan Check No ..................... Valuation Fee —Receipt No. BUILDING PROPOSED USE PLUMBING PLOT PLAN (Indicate Building setbacks, abutting streets) HEAT & GAS LINE PENCE SIGN RETAINING WALL SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL 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. 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 Cimit One Year (Except DEMOIJT16NS whUh shall be completed In ninety days; MOVED -IN BUILDINGS shall be com- pleted In six months.) &bTE: Appticant Subject to Ptan Check Fee This Permit covers work to be done on private property ONLY. Any construction on the public donvain (curb@, sidewalks, driveways, marquees, etc.) will require separate perndaslon. TOTAL AMOUNT DUE 1 107 1' =-� ATTENTION APPLICATION APPROVAL THIS PERMIT This application is not a permit until AUTHORIZES signed by the Building Official or his Dep- ONLY THE WORK NOTED uty; and fees are paid, and receipt is ac- lmowledged in space provided. INSPECTION DIRECTOR'S IGNAT E DEPARTMENT CITY OF DATE4�� EDMONDS PH 6-1107 FILE Jettell I 1.11l. 111, .1 1 Ne, I f It. 14 1 . 1 19 1 -1 .1 .91 9 J` 11 1 1 111 .1 9. 1 91, t I ..I. '1 4- 'tIoll 4 It 4q "t $f-t It, I IA It'll 1 4-, Ill' 1. 1 1 l 0 1 It t It I, It rt, "ApIt It Ill e.N eer._, J,J IN ed. k I It t J t j Ill ol , IlItl Ift , r I lt et, I It I d, klt- 34 'It 91 1 1 -1 1 11 1 9 It I 1 14 lw� I -p p I'llp, ... v 11,9- 1 it t 14 'L 11.9 It ".e el� "Jl l"ell-Il, t I Ite, 4 1 t I el A I it ft�. j tl r It f toll" 4 16, 1 Ie NJ OF INSPECTIONS :0. ILI. 7 Ittl. Date pawa A)% elk Plumbing (PartTaT) J (Rough) 1-9 0 4 It 1 91 Ill 1.� It kje T It I N' 19 1, t l ��i 1 0 Frame +I 1 L I z I I I I I ): c Flu rhapce & Fuel Li nes..�� - p 11 0 1 "d 1 6 91 It i. !P,-,� tj t 9 1 1 It el' IN tr nal It 9 Fi 1. t . I . . . It l I% r I� I 4 L t J� All ILI- 1 9 Ill If st tl It : l4K. Aeoo N�L I It III'lit til lot ;It jl, IN If 14% 4p /'k-tiRECORDIORINSPECTI p + v �ql I ll 4tt Item j Ill 1 1'. 11 L I:J, lot An!= I'T I� lel f, k I ,,o I Ite p I * I I I 9t t p, 11 1.- I lt. It e, I. I It p-It I I p, 9, DVV Ir A� I i . i ftwM6 rp �Y(.rj I k I ell S e,wpr I .1p I .4tl tl It -ts el A I, let kt� A III ell 'Itee. Ill,lp"IltI 1 13 It l, Wng Jt�v w 9 '1. p zl;llf �il, t a seq pingti ell let l 4 M 11 ell .1 t. I.I. lt J It ire'Deot it, j l, I, + r 4 1. �.F' ell; :,uet4l:L�, APPLICATk.N & WORK PERMIT Ap plication No . ...... ..... CITY OF EDMONDS Building Department Permit Limit, One Year is hereby made for a permit to construct the following work, in accordance with the accompanying Plans krea. ................................... NO. Stories—�/ ........... :Tzi--=/�4.eight .... 2�..a ........ Use Zone& .............. ,,,f-.K4-1re Zone ... 4;2� .......... Sewerage..Aei-�* .. .. ................... 7" evr--� .......... ....... . ...... .. ... Width,,9-.2 Z ..... Min. Bldg. Setbacks, Front and ................. .............. . . ................... Addresfi.-7—,/- .76.x: Phan ... .. . ... .. .. .. ... .. .... ......... ......... . . ... ... .. .. ........ .............. Address .. ...... ...... Ph e . .... ............. . ....... by.- ......... . ............... eFl--irr- L / 6317*7-*� ............. Address ........................................................................ Phone ....................... . ....... by . . ... ............ . ...... ...................................... .............. Address ................................................... ..................... Phone ........ ........................ Plbg. by ............................................................................. Phone................................ "Heatingby ....................................................................................... Address ........................................................................ ....................... Address ........................................................................ Phone ................................ t .......... ............... Elec . by ....................... . .................................................................... Remarks............................................................................................................................................. .... : ........ . ........................... ........................................ ............................................................. ....................................................................................................................................... ... ....................................................... . .......................................................................................................................................................................................... ................................................... ..................... ...................................................................................................................................................................... The above Is a correct s ment and I agree to comply with all applicable Codes and State Laws regulating the Work. .7 Signed n 0 Date.4 L.",2z,.. owner/Age 4z . . ....... Address ............................................................................ PERMIT for the above work is hereby approved, subject to the above conditions, and to compliance with the approved plans and specifications and Building Department notations thereon. VALUATION PERMIT FEES zz;? Olt," 0-V Bldg s..K7#y9 . ..................... ................................... Plbg. $... ..g:8 f ........................ Ale- lw�44� Heat .... $ ........................................ APPROVED: 2-- Date................................................................................ Elect. ....$ ........................................ BUILDING 9 RTMENT Others ... $ ........................................ "A TOTAL FEE $ ..... 0 By..4'� ........... it ................ I ........ NOTES: No Work requiring Building Department or City Engineer's inspection shall be covered before inspection and approval. 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. &o" 000� No �,ot - v 1 .1 . I o .. 11 000. o .1 d oo, to ol�l co, 1. o.- o L I I to I d .,I,. do r, r r 1 11 r I d r, r 14 t To, 4.o,,t.tfl 10" o o 'No L d oo , o , I r , o. . , r I I . I . . , 1 0 r T It . q - I r ok or F of 1 k ol 4 1 p .1 r 0 r:lp - f�� .. , — e t 4 i o k po� ot L I I I o t r o to, I L I I d op 't :4 1. d ot 4 1� -oo, k k I I . I o4 k d ilv y� * I or I r 14 ol 0000� i I L t of 0 k r r 1p ? d "P d 'orl IL d 44 k L 747 r or jo p o d L: L . o1.1 P, r 4 1 or L d L, d ro o'f j t . .. . . . . . . . .. . . . ot L I 'lei 6 oy J i 3' J Date pa ssed FOundation Numbing (partj Z� al) S y 17 (ROUgh) Frame Furnace Fuel Lines Finai z"A