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710305.pdfOUILDInU utrArl1 men 1 Applicant Fitt PERMIT APPLICATION Ingtdo Heavy Linos - NA (OR NAME OF BUSINESS) G ADD SS i O CC THY r TELEPHONE NUMBER r - �, 77J/ Sao -�' - NAME ADDRESS CITY TELEPHONE NUMBER - � NAME i a ' to AD�RE88 r � f jjZ!jj , CITY TELEPHONE NUMBER pE r 8 STATE LICENSE NUMBER CITY LICENSE NUMBER �• `.. Legal Description of Property (Show Below or Attach Four Copies) Zoe No i'a7N- W � � i..�./�7 • ,�-��-Ion � GAS Q 0 NEW LINE RESIDENTIAL L ❑ LEI NON-RESIDENTIAL ❑ SIGN ❑ ADD RETAI❑ DEMOLISH � ❑ ALL KING ALTER ❑ OCE R FILL I........ EAVATE ❑ EN..x.......... Ft.) REPAIR PRE -MOVE swim ❑ INSP. POOL NUMBER OF STORIEB I NUMBER F DWELLIUNITSNG SETBACK STREET SETBACK REAR YARD SETBACK i AREA VACANT SITE YEB ❑ NO ,DING AREA (VARIANCE NUMBER l � F' A EXISTING STREET R/W W�K..FT. DEFICIENCY THIS PROPERTY % COMP. PLAN ST. R/W rao..FT. ...n....FT. ""'Driveway slopes not tom exceed those indicated on Standard Drawing #103._ 4 wAxa—, twin uGr Tq(L c1Pc 1970 ❑ YES O Plan Check No ............ _....... HUZLDIN6 PROPOSED USE PLUMBING a 5 n PLOT PLAN (Indicate Building setbacks, abutting streets) 1 N ISWIMMING HEAT h GAS LINE FENCE SIGN RETAINING WALL POOL DEMOLITION I hereby acknowledge that I have read this application: that the In- formation given Is correcti 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 the Labor Code of the Stale of Washington relating to Workmen's Compensation Insurance. NOTE: Permit Limit One Year (Except DEMOLITIONS which &hall be completed In ninety days; MOVED -IN BUILDINGS shall be com- e plated In six months.) SIGNATURE (OWNER OR AGENT) DATE SIGNED NOTE: Applicant Subject to Plan Check Fee This Permit coven work to be done on private property ONLY. Any construction on the public domain (curbs, sidewalks, drlvew475, marquees, etc.) will require separate permission. PRE -MOVE INSPECTION EXCAVATION OR FILL TOTAL AMOUNT DUE I ❑ YES CITY OF EDMONDS. LOCAL Valuation 3 . 4=V l Fee ATTENTION APPLICATION APPROVAL THIS PERMIT This application is not a permit until AUTHORIZES signed by the Building Official or his Dep- ONLY 'nM WORK NOTED uty; and fees are paid, and receipt is ac- knowledged in space provided. INSPECTION DEPARTMENT CITY OF EDMONDS PR 6-II117 FILE e i_ 7 �a E .ES 1 jp i j 4 1. t 1 i ii , 1 '; r '1 i � �. f { ( p( r t Y t 9 1 1 , r , �'>}� s` r( 1 r I * Y it tl �lw I i� 1'1t 1 � byfl b '. s},t ,t h � �y Il 32 It��J �akc t ,T iy �,y � .1 � � ., y ,t I �. }„t: Y t S J 1 1 �� 1 t � n t t `k , b l 1 i 1 ".. :./ 7 � } $ v A x�.. 4'�t �i ' �� rNM.niir 1m�•v..r.N.+bew..e.r.w ��{ . .. 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