710471.pdf,,
�� ,y`s � ')`ti'h�`t �X'fi � Y �i��f �}� q �.4 �� y( I�;;'
�. i -- --
af4��.w-..w-..w.�...-.-. __
i
t �+
LD;1N6- `REPARTMENT AppLt�nt P7ll
IT `APPLICATIpN Inaiae Heavy Lil1eB
OP BUBINi88)
a'
. � �'fi-S!_��b
i.{;. _.;
� �..
`.! V
t(on^ of
V'� r
�. ,
-01— l� �,¢lt.P�
CARD SETBACK I STREET BETHAOK REAR YARD l��B
0 i ash S✓
L � vi►uw�-iI31H-�-'
ww LOT wREw I
•�I o� I ❑ TIDB �NO
C [ [eCe
61'ar.+'.a a�v
EXI8TIN6 STREET R/W ............DR'. DEFICIENCY THIS PROPERTY
COMP. PLAN 8T. R/W ............FT. ............FT.
NEw
RESIDENTIAL
�
LINE
NON-RESIDENTIAL
❑
BION
j��
i YI ADD
RETAINING
�Y'['
❑
DEMOLISH
�
WAIT'
ALTER
❑
ORCFILL E
❑
FEN...z..........Ft.)
REPAIR
�
IN8PM0�
�
POOL
1UMBER OF STORIES
NUMBER OF
DWELLING
/
UNITS
!IAT/U jE OF WO TO HE DONE ^�
A/iy/ �w J� .�ln � _ / /o /y 1�
C� PROP08ED UBE
^q PLOT PLAN (Indicate Bulldln
Sc� p � t....[,,.,.
FIRE ZONE I TYPE OF CONSTRUCTION STREET IMPROVED
I❑YEB ❑No
SPECIAL INSPECTOR REQUIRED
❑ YEB ❑ NO
(OCCUPANCY GROUP
PLAN CHECKED BY IS LOCATED IN TH
CITY OF ED��10NDS. LOCAL SA
REMARKS 5 IgULD EE CODED 31.0
P4a Check No....
BUILDING
PLUMBING
HEAT d: 6A8 LINE
FENCE
BION
RETAINING WALL
N
ISWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOIINT DUE
I hereby acltnowladas that I have read thL aDPllcatloa; that the 1n•
formation Blven le correct; sad that I am we owner, or the duly author-
ized agent of the owner. I aerea to eomDlY with city and elate laws neu- ATTP'NTIOIV
latlai coastructloa; and fh dotn[ the work auWorWd tbanby, no Denoa
will be employed In violation of the Labor Code of the State o! WaehIDaton THIS PERMIT
relatla� to Workmaa'e ComDeasatioa Insurahae. ADTHOBIZEB
ONLY THE
NOT ermit Limit Ons Y r (Except DEMOLITIONS which WOHK NOTED
e clad 1a ninety days; VED-IN HDILDINOB shall be com-
Dle slz mon f
DATE BIONED INSPECTION
Q. DEPARTMENT
8 � �� � OITY OF
EDMOND3
NOTE: Applicant Subject to Plan Check Fee PH a-Iiov
This Permit coven work to be done oa DNvate DroDert7 ONLY.
Any ronstructloa on the DaDUe domalo (corbe, sldewalW, driveways,
marpuees, eto.) wW reQWre separate permission.
Valuation 1 Fee
L<'
.
i
i.
,A
. .
1
i
�
I
li
E
i
•
No.
APPLICATION APPROVAL
This application is not a permit until
signed by the Building Officlel or hiB Dep-
uty; and fees are paid, and receipt ie ac-
knowledged in space provided.
DATE ^ ,
�/ �' �/ /tom/
FILE
J
l ?✓�J Yl ' j. Y 4 }
,.r
I.
i E
I p
s
.. � •�; ,r :'. •.I � ... .. 1 trl .. r l .1. ', (,5r ,'• ��. ly ri ' 7
'
�,hH 1..... ..
t
,
i
x,
,
! t t
t.It
14
tl
j
i•
"1 t 3I L I I IIt
r
ILL
a 1 '. - Y f t.�Ay - %11 r
It
40
tL
aly, 4_
�1 Y
-'fir x K,rI
>' L}}'r7s h _r a.t r .
)VJIt I L
w .:+ }WlFYr oW w n w Yin1.
i
1
f _ I
If
i
t i J. RECORD OF INSPECTIONS
L I tt LYo��lad Date Passed 4 J 1, N" _
_l //. . ///��� /�ry�y {yam (/,,J G
1 I _ o'V ',
_ 22� F%mbksg (Partial)
7
.: �. (Rough) }
a•: .; -
�haumne
ar=e
Yr"
� &Fuel Unes'
JGOPy
It
�: q
-tom Ittr! .+�
apt
it
A
f
t y i INSPE.C.TIONS, i
RECORD OF
a,. 4 J i
Date Passed '; i
t
It'I
', r Drainage
Cp ii 5 l.K lL 'k'a 1 a
a"f w VVWer ' ,.j �1 i �.1 1
arkin P g' 1
,
3 Landscaping ,
{ v1I} 1 r a t •�, !1 Y UM1 Ih-
Fire Dept: 1 41 „ray f
I t
}
i
,
J IIIIt.
J Y�1 J
l