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710202.pdfBUILDING DEPARTMENT I Applicant Fill PERMIT APPLICATION Inside Heavy Lines r. I NAME MAILING ADDRESS -TY TEL PH( .4ind 00W46lo ' � 40��G F O 14 Ab/RE86 Lh J �e�/e-v ✓� CtT T. STATE LICENSE NUMBER I C. xz 3 ©x 19�) Legal Description of Property (Show Bel w or YE NUMBER ,L//dD 29 RESIDENTIAL El AS LINE NEW ❑ NON-RESIDENTIAL BION ElADD ❑ ❑ typesKING DEMOLISH FENCE ALTER ❑ ORFILL ❑ .xFt.) REPAIR ❑ PRE -MOVE .......... SWIM iUMBER OF STORIES NUMBER OF DWELLING I UNITS of xj .4 a, PROPOSED USE G U 40w;/ n /7 aPLOT PLAN (Indicate Building setback, POSTED ON KROLL MAP NO.; I NUMBER 710202 —/ca e ❑ YES ❑ NO EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY COMP. PLAN ST. R/LV ............FT. ............FT. REMARKS ZONE ❑ YES ❑ NO REMARKS ^Gi v Plan Check No ..................... BUILDING ..� Streets) PLUMBING HEAT & OAS LINE FENCE SIGN RETAINING WALL BWIMMIN6 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 Stale of Washington THIS PERMIT relating to Workmen's Compensation Insurance. AUTHORIZES NOTE: Permit Limit One Year (Except DEMOLITIONS which HE WORK No ED shall be completed In ninety days; MOVED -IN BUILDINGS shall be com- pleted Ins onths.) IIONMREWNE R O� DATE SIGNED INSPECTION - WE DEPARTMENT CITY OF EDMONDS NOTE: Applicant Subject to Plan Check Fee PR 8-1307 This Permit covers work to be done on private property ONLY. Any construction on the public domain (curbs, sidewalks, driveways, marquees, etc,) will require separate permission. t Valuation ❑ YES ❑ NO Fee � • 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. L1lL1yV 1V8'O OlUri A- t � DATE / FILE i i I I S I y r a XI YM 1 T. -YI .•v ,vYf 1 !, I 1 , ' , 1 � 1 • , I 1 1 r, v j I , 1 f x , f { • �,; ii 1 .. r ,. It } RECORD OF INSPECTIONS sed 4 Date Pas I ; .' Foundation 1 Plumbing (Partial) -------- f (Rough) ---- � , � .. ..... _ Frame 1 t Furnace & Fuel Lines-le=—�- --= Final II d I It I _..., -^ RECORD:OF. INSPECTIONS ; Date_- P—edass Drainage""—. .Sewer _ parking ` I Landscaping ----- + , Fire Dept Ski 14 .a I i a i i 1 ; ( I r i G, ; I I