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710150.pdf, 1 Y+ 4t r 11.,. BV L D I I PERM11 omx sdr��(aPtI r '(r's �a n 4u DEPARTMENT I Appllcant Fill APPLICATION Inside Heavy IAnes / yZo. Description Of Probe IJ n.A(1Ls_ e- ,,. /v Ll"3 e- /" t TE''``��PRONE NUMBEI h/Z el(Il CITY LICENSE NUMB slow or Attach Your Copies) 12 le, r.✓v u —1 GAS NEW �—� RESIDENTIAL LINE ON RESIDENTIAL ❑ ADD N SIGN NINE ❑ ❑ WALL DEMOLISH ALTER EXCAVATE OR FILL FENCE (........ ..x.......... Ft.) REPAIR ❑ PRE -MOVE INSP. swim POOL NUMBER OF STORIES NUMBER OF DWELLING UNITS ti A, IL ^ . [ling streets) t w C !STED ON KROLL MAP NO-: PERMIT / / , / � I NUMBER B ADDRESS s� ' t2 d. DE YARD SETBACK STREET SETBACK REAR Y 113 1� a. as' PrN%., _ a� F^EZ[O�NE LOT AREA VACANT rD DYES i NO STREET n/w EXISTING STREET R/W 6...Q. DEFICIENCY THIS PROPERTY COMP. PLAN ST. R/W .r-I..O..FT. ... n... FT. on Standard Drawing #103. J 3 IRKED YES ❑ NO SP CIAL INSPECTOR OCCUPANC ROU .—I—YES ).NO Plan Check No ..................... BUILDING PLUMBING HEAT do OAS LINE FENCE 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 PERMIT relating to Workmen's Compensation Insurance. AUTHORIZES ONLY THE N ermif Li i One Year (Except DEMOLITIONS which WORK NOTED she jbC Dieted !n y days; MOVED -IN BOILDINOB shall be com- Diets months.) ]ION R (OWNE OR AO T) DAT 6IONED INSPECTION DEPARTMENT CITY OF EDMONDS OTE: Applicant Subject to Plan Check Fee PR e-II07 Thls Permit covers work to be done on private property ONLY. Any construction on the public domain (curb@, sidewalks, driveways, marquees, etc.) will require separate permiselon. 4 a 9 :1 Fee jRe"Celpt © i 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. 1k i I' 1. I i I i i i � I I told- A"Y 1 ti, I.-i.. r L r «r+a+ u. ...: -...0 vtt3.1 3ih 'V7 4, ! : r , , •,P 14 ? .: tl - —� 5 1 Yt I I ,_.. .__1 .. _..__ y Id do It od } 1 , x;d do ,' - .. f l do _. 1 1 iold,1 _. TIT Id I old - 1 v i ( n Ioddd Q r did ` l�. 1 {f vVt do :A I. :..•+. iC vdr, Id. r oddIddood I I I Ly .. ..- . r 11 3 .- vd- 1 \.,.�—` r - i % �; RECORD .OF,INSPEGTIONS .6 L�r1 .t rq•1 r rr_ ; tt M. a .--Iddr. Old to •r a D Passed 1 ! -- °< Foundation\ ; ddr,! ::_._..._ _' .._ . :Plumbing(Partial) ! a: (Rough) ! t 4 ±;.�., ,'Frame Idd deljI. oc .. _ u e &Fuel Lines: _.. _ rn ac , :` _ _ final I �--73 t i :jd :>f Se -dd! / G., ✓, VM t i s RECORD OF INSPECTIONS „ ,t i ! z,ld 1 3! Date Passed , L N r },y ,�x n v dItC, r. tl tl ,E F t , i• i,,i , : L , , rt{ , 1 ...J I I .i a ' A 1.. UffS S--1 I Draina1 ill..77 i.: rtl '�;. H>'' S t%.R-a. 1.t Sewer r ` 1S :'.4 'oC"k@-` t^' it V.. t,.. .t l I. t. .F e. 'h 4dVl AI''� ll , .i �r .1.,�1. s ; Parking, + , Landscaping - ,,I.. I` { 7� i t. . 44 Fire Dept �.. t t - -± t�l r ' '' .dd�.F r rl, F"icId.r 1 .,l R1. .fir. , � .SJ I"Jv�4.n ' E . _ i+ lr } n �'4 1 IL )ail ai t-, f 61 4tiQ r iv 1 i i +41t ,U f p . I i: oi .i.,t > IV dI if'hjS d 1+ 1\ t + ' n yk + fi r a't 1� "`iJY' ��An`�5�i . t�.Aryr_yvie�'�K.P�f r ..». ' �.a6i:I k'41rhAf. 1.iiii�.t`ii::!{ir'•aTXYt ., ..r Jfn'x�rv+laL�+2.:'rML19:i. .-r . .bate sv. Y t i i L i i i 9 I' i 1 1 , 1 i i ' a`