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710536.pdf
i BUILDING DEPARTMENT I Applicant FM PERMIT APPLICATION Inside Heavy Ltneb NAME (OR NAME OF BUSINESS) !� Rnn 7:�' Craeybois O ADDRESS /2 yo4 Possess ion L n C ONE NUMH]):R FQ'rnonds . U60- 1774- -_ -Z / LU .- XGAS NEW ADD ALTER REPAIR RESIDENTIAL NON-RESIDENTIAL DEMOLISH ❑ OROFILL E ❑ PRE -MOVE INSP. ❑ ❑ ❑ LINE SIGN WALLRETAINING FENCE ...x.......... Ft.) swim POOL DWELLING UNITS WgSr 7WelEZ ?W07-EC7-16'/V P! /i AIZ.,IVA- sygci� �Enn'!y/t POSED USE 00s"5� ©;Br4/NGD. 6441 I hereby acknowledge that I have read this application; that the in- formation given to correct;. and that I am the owner, or the duly authar- tzed 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 Insuranos, NOTE: Permit Limit One Year (Except DEMOLITIONS which shall be completed In ninety days; MOVED -IN NUELDINOS shall be com- pleted In six months.) 810 TURE (OWN§Z OR A NT) DATE SIGNED ✓ ill�l�i�- 1//- 9- NOTE: Applicant Subject to Plan Check Fee This Permit coven work to be done on private property ONLY. Any construction on the public domain (carhop sidewalks, driveways, marquees, etc.) will require separate permission. If SETBACK STREET 81� ARE EXISTING STREET R/W ........ ... FT. COMP. PLAN ST. R/W ............FT. FIRE ❑ YES ❑ NO PERMIT N710530NUMBER t I _ ... ) ^ It ❑ YES DEFICIENCY THIS PROPERTY ❑ YES ❑ NO THIS SITE IS LOCATED IN THE TAX SHOULD BE CODED 31.04', Plan Check No ............ ........ Valuation Fee Receipt No. BUILDING �+ PLUMBING HEAT & OAS LINE — FENCE SIGN RETAINING WALL SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL OUNT DUE ° ° t�� J 3 fATMNTION PERMIT ORIZ ES Y THE:uty; NOTEDknowledged v APPLICATION APPROVAL This application is not a permit until signed by the Building Official or his Dep- and fees are paid, and receipt is ac in space providedECTION nxnsn.vnn.a arnx CITY OF EDMONDS PR 6-1107 IN . ��ql/1 �1.-,L , 1 r' �{ 1 Ft - IN t t ( I( - 1 f .�. ' .1 �'� i✓� $' f4j r , n ' SAV Ir ,1.741'.i rri41,1t�� a �I r•, it . t 77Ol M ..._ Itt Io tt 1iII�Ik I. II "'_�.l1 x .. ,. y ,1 , ( .. ., ,, (+� �j ,• r „i _ 1 {{ It II I It p Y 1y Y. fi1FT .. t r r ,• i c5 ` , ... .( ..., �? .,i i 1 .V i 4 U01.1fr 7G Sjf _ _ _ r /,t, _ I• 4 , l yiF4� tY1) t> f s 1 FJ f y i ` 1 p t I S, _ o' - RECORD OF INSPECTIONS ` C Date Passed } i rt ' Foundation Plumbing (Partial) i (k ugh) I• Frame _ - - Furnace & Fuel Lines �' �' II II O II c. Final 1A -7 •7 /� i. Ott RECORD OF INSPECTIONS..:.,._,. l< , Date' Passed i i. Drainage" f Sewer Parking Landscaping } FireDept.;: A .j t I1 I I 1 I I It u5r I ' 1 1 i s 1 pi•5. (' .a Ai .. i., • 1