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BUILDING DEPARTMENT
PERMIT APPLICATION
NAME (OR NAME OF BUSINESS)
Vow 'D / �e b
"MAILING ADDRESS
740
C1TY / T
�Ed/7%0,-;
NAME
I N O i7 G
9
0n et
Applicant Fill
Inside Heavy Lines
775-/02 --2-
or
PERMIT
NUMBER
9go5 - 915
SIDE YARD SETBACK
STREET SETBACK
REAR YARD SETBACK
'
I
I
USE ZONE
LOT AREA
VACANT SITE
p YES �_rn NO
HEIGHT
I BUILDING AREA
I VARIANCE. NUMBER
NEW
1�!
RESIDENTIAL
FJ
GA
LINE
NON-RESIDENTIAL
EJ
1/t1 ADD
RETAINING
El
DEMOLISH
WALL
El ALTER
❑
OR FIILTE
❑
PENCEx
Ft.)
..........
REPAIR
❑
PRE -swim
INSP.
El
POOL
!UMBER OF STORIES
NUMBER OF
One
DWELLING
UNITS
VATURE OF WORK TO BE DONE
1/
-- I
l A
I
PROPOSED USE /
,a PLOT PLAN (Indicate Building setbacks, abutting streets)
� 1 .7 in• rf �� / /•�)
P
yn:'a J�d6
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l
PLOT PLAN APPRUVh;LJ
EXISTING STREET R/W ............FT.
COMP. PLAN ST. R/W ............FT.
FIRE ZONE I TYPE
❑ YES J!� NO
DEFICIENCY TIiIS PROPERTY
............FT.
0 YES ❑ NO
THIS SITE IS LOCATED IiN THE
REMARKS 1..
TAX SHOULD BE CODED 31.04.
,ALL- W69K POZ 0!3C /976
. u-ts Lse -r r6 I D / Pec7lo
/:l/C M Plan Check No........
BUILDING
OD�
PLUMBING
HEAT A GAS LINE
,id�c r
FENCE
SIGN
RETAINING WALL
iSWIMMING
POOL
j�-----
to
DEMOLITION
PRE -MOVE INSPECTION
„ \I
EXCAVATION OR FILL
;238-
7 7
/ 110 u.TC :,
I hereby acknowledge that I have read this application; that the In.
formation given in 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
relating to Workmen's Compensation Imurance.
NOTE: Permit Limit One Year (Except DEMOLITIONS which
shall be completed In ninety days; MOVED -IN BUILDINGS shall be com-
pleted in six months.)
NNn vn AUZ"i! /
NOTE: Applicant Subject to Plan Check Fee
This Permit covers work to be done on private property ONLY.
Any construction on the pubBe domain (curb@, sidewalks, driveways,
nurquees, etc.) will require separate permission.
TOTAL AMOUNT DUE
ATTENTION
THIS PERMIT
AUTHORIZES
ONLY THE
WORK NOTED
INSPECTION
DEPARTMENT
CITY OF
EDMONDS
PR 6-1107
Valuation
Fee
LJ
No.
rS, " I (39*Z4 1
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-
Imowledged in space provided.
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IN
` RECORD OF INSPECTIONSId-
Date Passed I t,,
`.No
Foundation — ' - 7/ yr _
_.: __
Plumbing (Partial)
(Rough)
d000d
y.
IN tz
FrameILI
1.
;<
Furnace & Fuel Lines t l
Final
---- _
RECORD OF,..INSPECTIONS
No I
Date Passed
Drainage
Sewer � o
do
rking °
Par
Landscaping : ,
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-I'dFire' Dept, .0
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