710473.pdfWILDING DEPARTMENT
PERMIT APPLICATION
NAMM (OR NAME OF BUSINESS)
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Applicant FIII
Inside Heavy Lines
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® RESIDENTIAL
OAS
LINE
NON-RESIDENTIAL
SIGN
❑RETAINING
DEMOLISH
El
WALL
EXCAVATE
FENCE
OR FILL
(........ ..z......... Ft. )
PRE -MOVE
INSP.
SWIM
POOL
DWELLING
UNITS
i ON KROLL YAP NO.: IPERMITNUMISM 710473
DRESS
ARD SETBACK STREET SETBACK REAR YARD BETE
EXISTING STREET R/W ............FT.
COMP. PLAN ST. R/W ............FT.
YES ❑ NO
13 YES
DEFICIENCY THIS PROPERTY
YES 13 NO
THIS SITE IS LOCATED IN THE
REMARKS CITY OF EDMONDS. LOCAL SALES
TAX SHOULD BE CODED 31.04.
Plan Check No ............. ... ...
BUILDING
PLUMBING
utting streets)
tRETAINING
I
HEAT d: OAS LINE
FENCE
SIGN
WALL
SWIMMING 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-
Ised agent of the owner. I agree to comply with city and state laws regu-
lating construction; and In doing the work authorised thereby, no person
will be employed In violation of the Labor Code of the State of Washington TMS PERMIT
relating to Workmen's Compensation Insurance. AUTHORIZES
NOTE: Permit Limit One Year (Except DEMOLITIONS which ONLY THE
wosa xoTSD
shall be completed in ninety days; MOVED -IN BUILDINGS shall be com-
pleted In six months.)
nnv�mnwm ,m�cw nw INSPECTION
I -Z I V MY OF
11 EDMONDS
NOTE: Afpficant Subject to Plan Check fee Ps s-IIn
This Permit covers work to be done on private property ONLY.
Any construction on the public domain (carte, sidewalks, driveways,
marquees, etc.) will require separate permission.
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.
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D'OF INSPECTIONS
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Plumbing (Partial)
(Rough) ;
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Furnace
& Fuel Lines ;
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RECORD OF INSPECTIONS px; C
... Date'. Passed
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7
HFUGATION r+ .CITY .OF, EDMONDS
BUILDING PERMIT (�
Building Department
CATION is hereby made for a permit to construct the following work, in accordance with the accom•
:and specifications. Two sets are submitted herewith for approval.
�f i
alter r/ Offst4y Z� Parkin.
"ddh repair ............................::-e:�-.-...................-.......................................... Parking ... .............. :r `
�R Const. type..........- Use zone..e..1.....-�? 2 Fire zone........
.......... 6
: ..?,�-.........! .................
Lot ........................ Blk......--... Addn...................................... j
...... Area ............................................ Septic tank ..............................................
— front ............................ r. side ............................. 1.
ems _ �d�cc`-roc 2Jside......./.... .. .................rear .................................
................. Address...... 2�el. No ....
p:�.%3 ' ;
%:.... ................ Address.................................................... Tel. No ........
...................................................... Address....... ........................................ Tel. No............ .-
r Remarks......................................................................................................... .. .........
,t �. ..
' .................................................................................................................................................................. ..... i
.i} .... .. .....
The above is a correct statement, and I agree to comply with all applicable Codes and State laws regulating this
..work..
Signed Owner/.Agent ............. _ Address............................................ Date... -f�.
PERMIT for the above work is hereby approved, subject to the above conditions, and to compliance with the ap•
proved plans and specifications, and Building Department notations thereon.
15?5& eae we
Valuation ........� ..-............ Permit fee .......... Recd. b J
y.....
Building Department, By..............w: l�` ... Date................. .—.. — G O
s ................... . ................ I �'
NOTE This permit does not cover plumbing, sewer, or electrical installations, nor does it permit any work to be ,
done in the Right of Way areas. Driveways and walkways must be planned to meet the official grades of streets
and alleys, and plans for future sidewalk development.
4 i ,•
i ET ry • �' /'r' !
!' APPLICATION
BUILDING PERMIT
(_
Appl. No...+n .:.'.«---.�
�t
= CRY OF EDMONDS
Building Department
Permit limit, one year
.
AlPL,ICATION is'hereby made for a permit to construct the following
work, in
accordance with the aceom•
yf,t
plans and specifications.
Two sets are submitted herewith for approval.
alter Off•St.
repair...................................................................................... Parking ._..... .........
ht
4L
....... Const. type ............................... Use zone......��.—.......... Fire zone.............
2 �....-... Z" eea-e- -!! : Lot ........................ Blk ....................... Addn....................... ........a
................................... Area ........................................... Septic tank ..............................
ront.............20 ..... r. side ............... L?............ 1. side.......... �..?`... rear ........... ,1� -P"
-e1............ Address ... .. P� .....-./0.1r ` C TeI. No%Z..9 —.37 � 7�
h
......:............................................... Address.................................................... Tel. No .............................
Address.................................................... Tel. No .............................
with all applicable Codes and State laws regulating this
Datet-'y�..` L 0-
PERMIT for the above work is hereby approved, subject to the above conditions, and to compliance with a ap•
proved plans and specifications, and Building Department notations thereon. _
B�
,.......... D .................... Permit fee ................................ Recd. by.�.........H`-�`Q....................
Valuation ....................
BuildingDepartment, By...........6 �........................................ Date........:........................................_ ` ................
NOTE —`this permit does not cover plumbing, sewer, or electrical installations, nor does it permit any work to be
done in the Right of Way areas. Driveways and walkways must be planned to meet the official grades of streets
and alleys, and plans for future sidewalk development.
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