710184.pdfr, ..,.... t.. t. ... ,.. .. ..A . .. _,
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POSTED ON KROLL MAP NO.:
ITS
PERMIT
I -7I0184
BUILDING
DEPARTMENT
Applicant Fill
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PERMIT
APPLICATION
I Ineido Hcnvy Lines
IOB ADDRESS
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NAME l
AILING ADDRESS )�
)PZf— 12
CITY TELEPHONE NUMBER
/L .'1 s�i 4P r e &Y 5 17 7A,
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Cg4 ADDRESS
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CITY I TELEPHONE NUMBER
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S STATE LICENSE NUMBER I CITY LICENSE NUMBER
Legal Description of Property (Show Below or Attach Four Copies)
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� The North 85.00 feet of I,ot 11,
Sharon Heights
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NEW
IN I RESIDENTIAL
a
AS
LINE
❑
NON-RESIDENTIAL
SIGN
ADD
❑RETAINING
DEMOLISH
WALL
EXCAVATE
PENCE
ALTER
OR I
FILL
❑
REPAIR
❑
PRE -MOVE
INSP.
..........Ft.)
swim
POOL
DWELLING
UNITS
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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 tb). Labor Code of the State of Washington
relating to Workmen's Compensr.ilon Insurance.
NOTE: Permit Limit One Year (Except DEMOLITIONS which
shall be completed In ninety days; MOVED -IN BUILDINGS shall be com-
pleted In six months.)
K X A ;4 ' x 7 w.
CARD SETBACK STREET SETBACK REAR YARD SETS
` Yh casl
;O (� .y LOT AREA VACANT SITE
l� P —1_ I I IdYES ❑ NO
EXISTING STREET n/W .:"..FT. DEFICIENCY THIS PROPERTY
COMP. PLAN ST. R/W S�...FT. ...p....FT. 0
REMARKS
Driveway slopes not to =ax exceed those
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indicated on Standard Drawing #103. w
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❑ YES
Plan Check No .....................
BUILDING
PLUMBING
HEAT A GAS LINE
FENCE
SIGN
RETAINING WALL
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
.4f �57_ 7-7 .e�- ;1� - 3 (/-"- 7/1
NOTE: Applicant Subject to Plan Check Fee
This Permit covers work to be done on private property ONLY.
Any construction on the public dumnln (curbs, sidewalks, driveways,
marquees, etc.) will require separate permission.
TOTAL AMOUNT DUE
ATTENTION
THIS PERMIT
AUTHORIZES
ONLY TUE
WORK NOTED
INSPECTION
DEPARTMENT
CITY OF
EDMONDS
PR 0-1107
I N 1 ❑ YES ❑ NO
Valuation I Fee
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No.
0t•50 1 (boa-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-
Imowledged in space provided.
FILE
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ILIt IONS
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R INSPECTIONS RECORD OF INSP
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J DatePassed r
;Foundation —�
Plumbing (Partial)
1. (Rough)
i. Frame
-�-�,.00
Furnace & Fu
el Lines ..
. Final
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RECORD OF INSPECTIONS
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Date,Passed
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Drainage. ---- i
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Sewer.. ---'—'—? `
a , ParkingIt ILI
Landscaping
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71.
Fire Dept,
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