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710154.pdf
i POSTED ON KROLL MAP NO.: PERMIT BUILDING DEPARTMENT A HeantFin I NUMBER 710154 PERMITAPPLICATION. M, Inside Heavy Lines JOB ADDRESS / (//J� •��r P a (/ C/\ ' / l J / C r ./" • W ••w•c NAME (ORw c HTIRf NERR� - ►ZaN:w.� SID�SETBACK 7�.' Y�,;,t.) I STREET SETBACK REAR YARD SETB �—. '� l;l� I /e n)..- E3 MAILING ADDRESS 1 V U8 NE � � g FF�� LOT AREA VACANT SITE I I j3 YES � NO O CITY TELEPHONE NUMBER HEIGHT BUILDING AREA I VARIANCE UMBH I UD Cf idCtiC �?� w ... EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY COMP. PLAN ST. R/W ............FT. ............FT. REMARKS 1 Description of Property (Snow nciow or ®GAS ❑ YES ,RESIDENTIAL � LINE PLAN CISEC BYO El NEW NON-RESIDENTIAL ❑ SIGN ADD RETAINING REMARKS DEMOLISH WALL ALTER ❑ EXCA ATE, ❑ PENCE qe���+ OR FILL (.......... x.......... Ft.) 5% �eN ❑ 40 REPAIR ❑ PRE-MOVE SWIM FOOL iUDSBER OF BTOl21E8 I NUMBER OF DWELLING ' UNITS Mcs, PATURE OF WORfKf TO BEDONE z +- A V t `- �+lJ ,1C a -(A t V'} tl�� 'J 1'-3 `- .11 �'t'� Plan Check No ..................... BUILDING JSE PLUMBING HEAT A GAS LINE (Indicate Building setbacks, abutting streets) 1 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 NOTE: Permit Limit One Year (Except DEMOLITIONS which ONLY THE WO NOTED shall be completed In ninety days; MOVED -IN BUILDINGS shall be com- pleted In six months.) IIGNAT RE OWNER OR AGENT) DATE SIGNED INSPECTION `r \ DEPARTMENT ,Q CITY OF EDMONDS NOTE: Applicant Subject to Plan Check Fee Pn g-Iloz This Permit covers work to be done on private property ONLY. Any construction on the public domain (curbs, sidewalks, driveways, nutrquees, etc.) will require separate permission. G AUCTION STREET IMPROV) a Q . YES i] NO Valuation Poe Receipt No. r. 1[26�.C?e� IE„o ?j 1 1 { 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. FILE r+ 4 t„ r 9d t , , y" , g , 1 ; ' , , f .•� 1 - >; as � f � , l J ' t 1 f l{ 1 , {y Y ` i a' 1 A RECORD OF INSPECTIONS I _ I Date' Passed 5 s _.... _ _ _... ..._._ ;.Foundation Plumbing (Partial) F _ .: _ ... (Rough) _ .71 �c . Frame -. Furnace &Fuel Lines Final Lo RECORD OF INSPECTIONS i ,Date Passed . I �-1 Drainage E j � . �' �• �© �/�� .. .:.:y `.. ry„ me r .; , 1 :f Sewer.,. ,:. Parking ..;. _ . ,...,,?:. Landscaping d 41 ' •Fire_ .Dept. '' '' .�• r .1 ' _ _ _ _ _ �' +. i r .1 ' ,� u.. .��-v,c..n C . ...{: �f.:. , ,._3. ui w w .1 � ,i._ 4. .Y1hk �i1h•l V,'atD6� 4;Zr <1 h., J� Li ! { , ?n D S •.4 ut 01 a hY�U77i..Fi 1