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710128.pdf0 BUILDING DEPARTMENT Applicant Fill PERMIT APPLICATION Inside Heavy Lines e 0. Blackwell .NIAIUNG ADDRESS . Y� 15625 - 75th Place West CITY I TELEPHONE NUMBER Edmonds, Wn. 743-1415 or See permit # 700132 RESIDENTIAL NEW ❑ NON-RESIDENTIAL ADD ❑ DEMOLISH © ALTER ❑ ORCFIIs E REPAIR I l PRE -MOVE � t INSP. DWELLING UNITS GAS LINE SIGN RETAINING WALL ❑FENCE I........ x.......... Ft.) SWIM POOL PERMIT NUMBER 15625 - 75th Place West R S 20 10128 i7 YES p NO -, .. EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY COMP, PLAN ST, R/W ............FT. ............FT. REMARKS Nail up prefinished panels over existing' Plan check No.. zlplasterboard - seperating wall - plywooa on floor - false ceiling BUILDING PROPOSED USE c?�q PLUMBING Q PLOT PLAN (Indicate Building setbacks, abutting streets) BEAT h GAS LINE O FENCE SIGN st RETAINING WALL N ISWIMMING 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 slate 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 PERMIT relating to Workmen's Compensation Insurance. AUTHOBIZES ONLY THE NOTE: Permit Limit One Year (Except DEMOLITIONS which WORE: NOTED shall be completed In nloetY days; MOVED -IN BUILDINGS shall be com- pleted In six months.) SIGNATURE (OWNER OR AGENT) DATE STONED INSPECTION ,a DEPARTMENT ( U �7f CITY OF EDMONDS NOTE: Applicant Subject to Plan Check Fee PR 6-1107 This Permit coven work to be done on private property ONLY. Any construction on the public domain (curbs, sldewatks, drivewsys, marquees, etc.) wilt require separate permission. a Valuation Aa , Fee No, 76 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. m 46 -.-- J �•` `i f. i P i. i i. 1 i r 11 r 1 P a i i t S \ L ee t' Ki t r t 't + •§ aU f J h If I �J {k...,�i+i� 'mri f7�� _ ,\ ..a. '.4',i? f t,, j ) t .r• ,Io '; IIF>il. K, £j 7iSiTJ JY' d, \'6fJ€R. J'kifYst L N.xLd,G\,fl �.' }y ._._. •- t, }Y ,•'a{:. 1 If „, i; } __ fie' : ' ', ;CrIff d4L IN lot Id w'.YWMt Y,'+•'•,✓iINC[' ,v'nS2�NP�.n Mnp. ,If I , a `Il .l .l ' I If If }>�diJ 1 + l !!: I.YJa9-,.({ 1,.U'r \•1 �a i S idid. $l1 Vol aIf If I I rti , a t'IN lA — _..... _._. 3,t i `.. ... __.. -I- IN ._.._ zo2'l 6P4t do It t� "IFr 7?ry,,ll l t xR tl✓� t )'Lli'.1' t .,. , ` i !i do of IT 'gyp t4Idd ° b + ..I k _ '•H",j "l �l{t. a;f i'�S.ii.:I It rr7 T� ito. 1 [! t�d. �'ttif 4, t; F14 td.- �l NS [ IT IN ._ _ .... ... -.. .. . ti, ._. .... rt� ' 7 ' p NIL T .11.{ If...i __.. _ .. __ .._.. _.. I TIN f If )i \'.' li 7 .,t,7, .`:xn 5\ li.. 1 In, —. 4 t _..N.TN .; i F „ .. Y INN !+f 1 4 �._. _._ ...... ;. .Lr ;R It: I _ _ i IT IT IN I IN 5 sl do i} 1 _. __. _. } x I a,3 .. .., GG (I ' 411 If , �I rl -'1 .5.4 j, t . _ _ _- l Ijn q , _ l U 'u , t 1 " ); Ft ° ('IIIIIdLITodt4 IN I'd I I A}\F ++ e y , -.. ..� r`t e•>.hRttS ,u J� r.\a',px: a+.. u k .z v iIILIIN ' 1 fed' aF'AS o ap,,! ' 1' .__ i ri. 5 - %fr i ra I nr '9,I!'7 ,1 L i Ha q�. i , __ _ uIt -- _ a iI 7CI i+ i .-. .. _. ... - _ _ ....._ •3 ali ) `fl, ter•(. ,.'ui! °y \" !. ° ._. .. a'.-_,. 'I +1•� ir l `itl.. :1.+ :J1.. .•I^ I AF I; J {}IT )I �� - , A ' RECORD OF"INSPECTIONS -;41 dfddf _ - . Date Passed + s — *� w t 7, TIN -- .. _ .; ation a Found 1 LLa I _ - rr tlt az .i.,rl ,xPlumbing (Partial) I: ' i ._... iIN lough) i. r. - l i {' ,. i R > t _.__......... me? t c4 3L' F L kfurnace & uel ines }. .. i%Final , .. " �i .{ ._.. _.. _ a R , i.. I , �.ff 3 '• y ..... _.. ... _. _.. , I y f I 0It F_..__... .,. ._ 7 qTfdd:- RECORD'OF INSPECTIONS ! fof a 1 - '.k . x ::::Date. Passe,. .µy j 4 a t•i, I,5 ' ,. d :T )1,..., f -- t o ae nrl,U ] y�� 4 , I ] S] ! . 1 7 e I 3 ,jFR .2 Yi F 14 r Ji 07 ni1 is l 1 SC F Drainage + IdN, ti ,'F + Y.�• ! 1 { 'I :11}( 1' �. ,,''x ' •7 r r 1 ,..\, , I VCR4ti 7At'•¢rr. ' [?' old (: ! Sewer }'r 1 ty,I , f t J _31 kta tr.AA, Y..Fii �+ ... >, U, .I)i 1 I)!` u ( rIf Ih 'Parking Landscaping' If s> IN Fire Depttfd�n ]•T b}• 'c 4f3 �s r..sx3'�rfi:%�s r .. r • t- , ..-.. __. .. .5 y( did i I l t„ 1 I ';t 1;I� "1 �} I IT IN f + > If A ..IN JI . C e 2 ) I I -.6 1 ... _ i , , ! I I i 11 It