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710190.pdfs G 0 PUSTF.D ON KROL MAP NO.: PERMIT BUILDING ®EPARTMEI4T I NUMBER Applicant Fill PERMIT APPLICATION - Inside Heavy Lines JOB ADDRESS I NAME (OR NAME OF BUSINESS) 8716 185 Sews Edmonds I � N Pr. 8 7452 North Pnrlc Heating Co.,inc. ADDRESS 4 19204 Ballinger Rd. N.E. V CITY I TELEPHONE NUMBER 3 Seattle, Wn. Em. 5 1414 ETATE LICENSE NUMBER CITY LICENS19 NUMBER 223- 023647 RESIDENTIAL El AS LINE EI NEW ❑ NON-RESIDENTIAL El SIGN ADD ❑RETAINING DEMOLISH FENCE ALTER ❑ OREXCAVATE FILLj Ft.) .......... REPAIR ❑ PRE - INSP. swim POOL (UMBER OF STORIES NUMBER OF DWELLING UNITS ❑ YES ❑ NO EXISTING'STREET R/W ............FT. DEFICIENCY THIS PROPERTY COMP. PLAN ST. R/W ............FT. ............FT. ZONE ❑ YES ❑ NO instal-1- furnace Plan Check No ..................... y BUILDING PROPOSED USE PLUMBING J PLOT PLAN (Indicate Building setbacks, abutting streets) HEAT a: GAS LINE n FENCE SIGN tRETAINING WALL N ISWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL TOTAL. AMOUNT DUE I hereby acknowledge that I have read thin 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 NOT °ermit •^'i? Ne Year xcept DE➢fOLITIONS which ONLY TILE WORK NOTED chL111160 co plated i r et days; DIOV -IN BUILDINGS shall be com- ple d In a month .) BIG ATU (OWNER ENT) DATE SIGNED INSPECTION , �eb DEPARTMENT r CITY OF EDMONDS NOTE: Appfican ubject 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, sidewalks, driveways, marquees, etc.) win require separate permission. ❑ YES ❑ NO Valuation I Fee 30 K.W- 1 Q ©- f7 Z z 4 a v w d W W e No. 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. FORt4lvi M I L I i I I a M •_�� ref / / ,, „ 1 RECORD OF INSPECTIONS Date Passed` Foundation Plumbing (Partial) (Rough) Frame �7/ (ft/ 'Furnace &Fuel Lines I �� Final I'7/ JA , , :RECORD OF INSPECTIONS :,.. Date Passed. Drainage — - Sewer Parking Landscaping" - - 1, Fire Dept. . t 't '1 1 I I 1 I i •4 1 1 i i 1 I i •i i� t.