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710449.pdf
POSTED ON KROLL MAP NO.: I PERMIT NUMBER 1044, / "0. BUILDING DEPARTMENT PERMIT APPLICATION NAME (OR NAME OF BUSINESS) all(- 14 C,9 ATA,, lZ C ( MAILING ADDRESS Ty f� (Ay.P G—J CITY /n h,D woo a d) S &—r is i t-. I ,q Jk C - 71 7 G /n% u.-2 -I6oe, Applicant F H Inside Iieavy Lines c7a� M.P a rty (snow rielow or i on CN 1 --e A l5-n ;i. - S?1q-_Tk EXISTING STREET R/W ............FT. COMP. PLAN ST. R/W ............FT. �� ❑ YES ❑ NO DEFICIENCY THIS PROPERTY BY yy \_ -z i PERC. TENT I PERMIT NUMBER cc,n „ O C REMARKS m ❑ NEW u RESIDENTIAL ❑ GAS LINE ADD NON-RESIDENTIAL ❑ SIGN DEMOLISH RETAINING WALL ALTER ❑^ ORFILLEXCAVATE (ENC.xFt.) ❑ REPAIR I 17NSP. ^❑ 1 ! 11�� .......... WIM POOL fUb1HER OF STOIt1E8 NUMBER OF DWELLING I / UNITS )ATURE OF WORK TO BE DONE ((// 1 A- 1`7 t3' — © P (_ _ , (] YES TYPE ❑ NO O 1 Y' Plan Check No ..................... r i.f 5 e&{'` � V y BUILDING W+ PROPOSED USE PLUMBING aPLOT D 0s PLAN (Indicate Building setbacks, abutting streets) N ISWIMMING HEAT & GAS LINE FENCE SIGN RETAINING WALL POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL 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 the Labor Code of the State of Washington relating to Workmen's Compensation Insurance. NOTE: Permit Limit One Year (Except DEMOLITIONS which shall be completed In ninety days; BIOVED-IN BUILDINGS shall be com- pleted In six months.) 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, driveways, marquees, etc.) will require separate permission. TOTAL AMOUNT DUE ATTENTION THIS PERMIT AUTHORIZES ONLY THE WORK NOTED INSPECTION DEPARTMENT CITY OF EDDIONDS PR a-1107 ❑ YES ❑ NO CITY OF EDMONDS. LOCAL Valuation 0 r Fee M. l tr .b° APPLICATION APPROVAL t- This application is not a permit until signed by the Building Official or his Dep- uty; and fees are paid, and receipt is Be. knowledged in space provided. FILE I s { a, Yxrt�Y iu�'^1 �rn++wxs:v+•,w r.. .. k 4 ems' Of.41 Ji r Of TO If If 11 1 `OL tIt Of iOLL OLT, ..fn ,1 4 r+ If Of 44 Or IT Of 0 TO ILL 11 .-_Or yL ,;, (yi tt C sl If Alt, I 14 It - ILI IL ii�;TO 4, 1 it r p } r - pt _1 n� Z3 I� I -�t�r 4.l La li f;i +li, } -Jf 1 �t'� LLrl� �` If vy LL tit I 1 j .. {. (� . (' / ) .. 1 1..1 ... ' ,{ r. J ''.[ ' 1 '.i `�O.it.-. 11111,A'..+�..1�.J� ttJl.�r.I 1C, r..f'•\I•.. -f I T II ,. k If f TO 1 i u Lpf If _ F 1 f Off If " RECORD OF INSPECTIONS Or Of f Date Passed i ffr - - Foundation --- ---- Plumbing (Partial) — .... Off 4 (Rough) OFrame h� Furnace & Fuel Lines LL FinalOIL _. . } RECORD' OF-INSPECTIONSIfr If If , I IT ., I Date Passed Drainage Sewer , p 1 Parkng.:_ . —= _ Landscaping- ------ 'LL If Fire Dept.` ------ is If Of I IT Of 1LL Of... 1, f I L I 'vIT J ! �.• i i 4' i tiF _. - ..i