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730130.pdfi rBUILDING DEPARTMEN PERMIT APPLICATION rI A j �Ui Applicant Fill Inside Heavy Linea 72�9— x6 z2 USE ) �PERMIT ZONE NUMBER ADDRESS / Fie e 3 /. PERM18813 y� �7 r /CI LOT COVERAGES- 37 0 1 0 730130 Ti . //<o S D 94ARDS D YARDS FRONT SIDE RPAjt FRONT BIDE REAR tit' i;) 2, iL� 22/7 z rYr KISTI" STREET R jVr ,J KW.FT! DEFICIENCY THIS P; J0,�,` COMP, PLAN ST, RDFT, ,.1. 1FT. I Driveway slopes not to eRceed PIF'ta l 19 ❑ YES ❑ NO RESIDENTIAL OAS O LIME PLAN CHECKED BY ®R THIS SITE IS LOCATED IN THE CITY NON-RESIDENTIAL SIGN OF EDMONDS, LOCAL SALES TAX ADD SHOULD BE CODED al 04 DEMOLISH ❑ ALL NINE REMARKS ALTER ❑ CE ORCFILL EE FE❑ (...I4.at_........Ft.) REPAIR O NSPIiOVE O SWIL NUMBER OF STORIES NUMBER OF DWELLING UNITS NATURE O WORK TO BE DONE ValuationFee Recel Plan Check .No...._.._...... _... O V- BUILDIN6 0 PROPOSED / a d. E / f/ h go PLUMBING -{ / , YD a PLOT PLAN (indicate Building setbacks, abutting streets) HEAT d: OAS LINE aC- E • O '+ FENCE SIGN RETAINING WALL _ N SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL 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 or the owner, I agree to comply with city and state laws retu• lating construction; and In doing the work authorised thereby, no person will be employed In violation or 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; MOVED -IN BUILDINGS shall be com- plated In six months,) TO / 7 Z NOTE: Applicant Subject to Flan Check Fee This Permit coven work to be done on private property ONLY, Any construction on the public domain (curbs, ►'••walks, driveways, marquees, etc.) will require savants' 1181lon. TOTAL AMOUNT DUE I 13. �'D I �y/17 1 ATTENTION APPLICATIONP! APPROVAL J THIS PERHIT This application is not a permit until ONLYTHE Osigned by the Building Official or his Dep- NLY THE WORK NOTED uty; and fees are paid, and receipt is ac- knowledged in space provided, INSPECTION DIRECTOR'S IGNAT DEPARTMENT CITY OF EDMOND$ PH 0-1107 a i ( i • i I I i t j, w� \ 1 < I tli:1 ^¢: "C ,.I'. F ! L{ o _ ;;i L ':a ( r I. ,xy`` _. - . i a _;+ ., .... ... rt. . b .. !_ . .. n, :rC nd, 1..; .'.1. _.... at.wl t { Yti C .... a.4•If A�. .,.. t �Ir�`«S-t� t�..t r tyf�15+ ! µ h,.,\ a ':..r 1� .« 1.: u•� t y a,A�Yltlr.3,11' 1 ,.[[rM,Yzy .,L v+ ' ,o.1 r.�Tt�-_I �L �I,.tt. j- I. LtI. .Ir ," 1I l6If'I.ATLt .I1.�. L IT,, ..I. �L r 1 L.T. � � LII I ,.II I.I-,,IIInt,. " II tI .," I �I' . ,,I1 .�I-� ./' I A",- .:.tII� I;I I�I.LI . I -`--T Iir LL,L "'4 I4I �4".�, IjI� I 'III-b I :,r L".-tt. -_,..;.,d L i r r1"I,):. r ,- r �tL . I.",�. -k�PIItrrII � INI�, " . 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