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740089.pdfBUILDING DEPARTMENT Appu�DtFmll USE 13/N PERMIT APPLICATION I1(Dslde Heavy Line- ADDRESS �c LOT I O D r ADDRESS OTAL AMOUNT DUE LEGAL LOT VARIANCE OR CONDITIONAL USE PERMIT NUMBER // I _y! yN (zed agent or the owner. I agree to Comply with City alaw. regu- L YES❑ NO lalln6 Construction; and In doing the work authorized, no person PLANNING DEPT. APPROVAL DATE: SPECIAL INSPECTOR REQUIRED TELEPHONE NVM R R/W NOTE: Permit limit One Year (Except DEIONS which JaIGNED ONLY TIS WORK NOTED .hall be completed In nicety days; MOVED -IN RUnMall be wm- zik(O / STREET EXI8TIN6 STREET R/W ............FT. COMP. PLAN ST. R/W ............FT. DEFICIENCY THIS PROPERTY ............FT. O (d IGNED NAME REMARKS ❑ GAS LINE Fj�7 ❑PLANY QQ ❑NEW EDMONDS C CHECK'A I CHECKED SY JiT �y� �c//��./yTE�LEPHONE Any conetrnetinn on the public domain (curbs, sidewalk., drivew'ars, hill _rra Wra 12, rrat,z.�undsAon NON-RESIDENTIAL ❑ NU[�MR HE � J ❑ ADD ❑ DEMOLISH ❑ RETAINING METER 81'LE I SERVICE BIZE I CLEARANCE I CHECKED BY aaam FEN Cx..........M.I _TQ • T! � STATE LICENSE NUMBER CITY LICENSE NUMBER .7 r Q � q ..(J —3"9,/3 ❑ REPAIR ❑ INSP. ❑ REMARKS Legal Dsecrlpllon or Properly (-B/now At Below or taen Fon[ Copies)Cr' Pze4" AC r+ NUMBER OF STORIES/ NUMBER OF TYPE CONNECTI--ONI, VER 1IED BY LD' /�`Y' u/ S / w PERC. TEST I PERMIT NUMBER a x NATURE/ OF�%WORK �TO� HE DONE �1 F.�/ m � REMARKS //! U /1'��+ 5 ,4 7` 7-�y� Pian Caecit 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- lmowledged in space provided. �_3- 7��j FILE OTAL AMOUNT DUE I hereby acknowledge that I have read this application;that the In• // I _y! I Q YES I] NO (zed agent or the owner. I agree to Comply with City alaw. regu- ATTENTION lalln6 Construction; and In doing the work authorized, no person will be employed In vlolatlon of the Inbar Coda of the Washington SPECIAL INSPECTOR REQUIRED OCCUPANCY OR UP NOTE: Permit limit One Year (Except DEIONS which JaIGNED ONLY TIS WORK NOTED .hall be completed In nicety days; MOVED -IN RUnMall be wm- YES F-- Z I IGNED INSPECTION ❑ RESIDENTIAL ❑ GAS LINE ❑PLANY ❑NEW EDMONDS NOTE: Applicant Subject to Plan Check Fee CHECK'A THIS SITE IS LOCATED IN THE CITY Any conetrnetinn on the public domain (curbs, sidewalk., drivew'ars, hill _rra Wra 12, rrat,z.�undsAon NON-RESIDENTIAL ❑ eiax 01 EDMONDS. LOCAL SALES TAX SHOULD BE CODED 31.04. ❑ ADD ❑ DEMOLISH ❑ RETAINING REMARKS /rte ALTER ❑ ORCANAi.TE ❑ FEN Cx..........M.I /' / Al—e- wo44 D /t( / /ar / l ❑ REPAIR ❑ INSP. ❑ POOL Pze4" NUMBER OF STORIES/ NUMBER OF DWELLING I UNITS NATURE/ OF�%WORK �TO� HE DONE �1 F.�/ Valuation Fee Receipt No. /1'��+ 5 ,4 7` 7-�y� Pian Caecit No.. ................... p6e t�etl7 v r/ I G / V/ I�/�r HUILDIN6 �D .S [.0y., 4 PROPOSED USE a GD/" PLUMBING U aPLOT PLAN (Indicate Building setbacks, abutting streets) HEAT & GAS LINE O � FENCE SIGN RETAINING WALL N SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL 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- lmowledged in space provided. �_3- 7��j FILE OTAL AMOUNT DUE I hereby acknowledge that I have read this application;that the In• formation given 1n correct; and that I Lm the Owner, uly anthor- (zed agent or the owner. I agree to Comply with City alaw. regu- ATTENTION lalln6 Construction; and In doing the work authorized, no person will be employed In vlolatlon of the Inbar Coda of the Washington THIS PERMIT relating to Workmen's Compensation Insurance.AUTHORIZES NOTE: Permit limit One Year (Except DEIONS which JaIGNED ONLY TIS WORK NOTED .hall be completed In nicety days; MOVED -IN RUnMall be wm- pleted to six monlhe.) SIGNATURE (OWNER OR ADEN ) IGNED INSPECTION DEPARTMENT 7 CITY OF EDMONDS NOTE: Applicant Subject to Plan Check Fee eR e•uoT This Permit coven work to be done on private property ONLY. Any conetrnetinn on the public domain (curbs, sidewalk., drivew'ars, hill _rra Wra 12, rrat,z.�undsAon 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- lmowledged in space provided. �_3- 7��j FILE 7 (7 7 Q Sc zo, YV0 ..At-'AWI .. .. . ... f. C 74r, 3"IJ Di -C "k -ro L wQ-wWfl, o) �% :if `�+1 i. SAID -i — W_ fvir rn� "Vol 0(99 'A 15 T/ /J • %i h r_7 C1 RECORD OF INSPECTIONS SI Date Passed Foundation Plumbing (Partial), (Rough) Frame Furnace & Fuel Lines_ qAl "0 SWUM; Jt D lil _qYGV"f 'L"sI MAT