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740112.pdf1 BUILDING DEPARTMENT I Applicant Fill ONE NU -ER 7401 12 PERMIT APPLICATION Inelde Heavy L1Dee .ros _ ADDREHB NAME (OR NAME OF BUSINESS) �/) !Y� PEItM18BIHLE ACTUAL 9 / //M®AI /'sOI� t� LOT COVERAGEA.15-/1 LOT COVERAGE 11 MAILING DRESS U, O �D� �� PERMISSIBLE HEIGHT ,��/ PROPOSED HEIGHT CST /�/If J TELEPHONE NUMBER ACTVA70/.�� E� TOTAL BLDG. AREA e/e Wi O N6JR(1 REQUIRED YARDS PROPOSED YARDS NAME FRONT SIDE REAR FRONT SIDE REAR .,;�v �Sf ADDRESS LEGAI. LOT VARIANCE OR CONDITIONAL U IW., e 'ONO PER. IT NUMBER UPLAN DEPT P R A ATE: - N CITY TELEPHONE NUMBER - < BT ET EXI 1E STREET R/W ............FT. EFICIENCY THIS PROPERTY NA�M - t / C REMARICB LAN BT. R/ W ............FT. ...FT. - C ADDRESS 3 / CHECKED 8Y r~ •T -/TELEPHONE NUMBER , /-?o METER SIZE I SERVICE BlZE I CLEAR ��ANCE ( 'CKED BY I' U ���7%ATE LICE//NBID NU/M�BE^R/c / CITY LICENSE NUMBER y7 rs 3 (1� / ✓Y J `O REMAliKe p�� — F ii Legal Deecrlptlon of Property (Snow Below or Attach Four Capital A TY E CONNECTION VERIFIE�D BY h4& FERC. TEST PERM Ua18EA Q. n d O REMARKS to I a � A FIRE ZONE TYPE OF CONSTRUCTI N STREET IMPROVED 0, NO I! SPECIAL INSPECTOR RREQUIREDOCCUPANCY GROUP ❑ YES , T © RESIDENTIAL GAS NEW LINE PLAN ECKED Y THIS SITE IS LOCATED IN THE CITY NON-RESIDENTIAL SIGN OF EDMONDS. LOCAL SALES TAX /AKS ADD ❑O RETAINING DEMOLISH WALL RE F] ALTER EXCAVATE FENCE l��l/• I%%J t r/Q �P✓ J j�7� OR FILL I.....................Ft.)/(J ❑ ❑ awl REPAIR PRE -MOVE O INSPPOOL l j NUMBER OF STORIES NUMBER OF DWELLING UNITS Valuation Fee Receipt No. I I Plan Check No. ................ i NATURE %7ORK TO DE DONE Z F BUILDING W PROPOSED USE /` ^� PLUMBING a=1 HEAT & GAS LINE P/L/yO7T PLAN (Intlfeate 8ullding eetbo.cke, abutg etreete) tin PENCE SIGN RETAINING WALL - N 1 SWIMMING POOL DEMOLITION ' PRE -MOVE INSPECTION EXCAVATION OR FILL TOTAL AMOUNT DUE U� I hereby acknowledge that i have readt1L■ application; tont the in. formation given 1■ correct; and that I am the owner, or the duly author- tied agent tr the owner. I loin t0 comply with city riz and state carr■ roam• Idlingeoa■tructtoD; andW doing the work authorized thereby, a0 Denon ATTENTION APPLICATION APPROVAL will be employed In violation Of the Labor Code of the State of Weabfagton workman .0 THIS PERMIT This application is not s permit until relating to ComDeneatlon Ia■uraaa. AUTHORIZER NOTE: Permit Limit One Year DEMOLITIONS Signed by the Building Official or his Dep. >----`— ONLY TICE which WORKNOTED uty; and fees are paid, and receipt is ac- -IN Bt ehaR b1 completedO.t In ninety any■; MOVED -IN BUILDINGS eRetl be Som• knowledged in space provided. pieled In elz months.) INSPECTION R'S O TURE DEPARTMENT SIONATURE�O NER O G) / DAT£ IGNE 7C, CITY OF - EDIVIONDB DATE PH 41.1107 � `� _ NOTE: Applicant Subject to Plan Check Fee Permit Goren work in be done private property ONLY. Anyny cnnetruclinn nn 0..a public dnmNn (. (curbs, eldewNke, drlr'ewaye, �.'` PERMIT NUMBER JOB ADDRESS 6f /4;:--/.P/.�%� ❑NO PF.RDHT — STOP WORK — REMOVE CONSTRUCTION OR OBTAIN PERMIT AND MAKE WORK COMPLY WITH BUILDING LAWS. ❑CONSTRUCTION IS NOT IN ACCORDANCE WITH APPROVED PLANS AND PERMIT — STOP WORK. MAKE EXISTING WORK COMPLY WITH APPROVED PLANS AND PERMIT OR REMOVE IT. ❑ STOP WORK — UNTIL AUTHORIZED TO CONTINUE BY INSPECTOR. ❑ CORRECTIONS LISTED BELOW MUST BE MADE BEFORE WORK CAN BE APPROVED. BE WORK DESCRIBED BELOW HAS BEEN INSPECTED AND IS APPROVED. ❑CONTACT INSPECTOR AND ❑ RECALL FOR INSPECTION. ARRANGE FOR APPOINTMENT. /. fit= PgPi/tr!art/" 17cu�i �/� Su�•v co,2cT' �- z, //%A`c� �X/ ,3�i3,P-.D //✓G /l/e-�T' //Yl/Z�, THE ACTIONS OR CORRECTIONS INDICATED ABOVE ARE REQUIRED WITHIN .................... DAYS OR PENALTIES IMPOSED BY LAW MAY BE INSP CTI NS CALLWXX 775-2525 INSPECTION 77� DEPARTMENT INSPECTOR ILDIN6 CITY OF el--- 9 -° PLUMBING EDMONDS DATE THE ACTIONS OR CORRECTIONS INDICATED ABOVE ARE REQUIRED WI N .................... DAYS OR PENALTIES IMPOSED BY LAW MAY BE APP SOP PINS EC IONS CALL: XRM)M- 775_2525 ttt / INSPECTION I ,.I 7 / DEPARTMENT —1N11PE=OCTOOR I / — affILDIN6 CITY OF ° PLDMBlNG EDMONDS DATE I -CORRECTIONS REQUIRED ' PERMIT NUMBER JOB ADDRESS- , c PERIIHT — STOP WORK — REMOVE CONSTRUCTION OR OBTAIN _ ❑NO PERMIT AND MAKE WORK COMPLY WITH BUILDING LAWS. ❑CONSTRUCTION IS NOT IN ACCORDANCE WITH APPROVED PLANS AND PERMIT — STOP WORK. MAKE EXISTING WORK COMPLY WITH - APPROVED PLANS AND PERMIT OR REMOVE IT. ❑ STOP WORK — UNTIL AUTHORIZED TO CONTINUE BY INSPECTOR.- ❑CORRECTIONS LISTED BELOW MUST BE MADE BEFORE WORK CAN BE APPROVED./ / ❑ WORK DESCRIBED BELOW HAS BEEN INSPECTED AND IS APPROVED._ RECORD OF INSPECTIONS ❑CONTACT INSPECTOR AND RECALL FOR INSPECTION. ARRANGE FOR APPOINTMENT. ❑ Date Passed Foundation sa4 =fir{ 1 �---- — L1:Z Plumbing (Partial) /y /Ei (Rough) ;Frame Furnace & Fuel Lines (Final THE ACTIONS OR CORRECTIONS INDICATED ABOVE ARE REQUIRED WI N .................... DAYS OR PENALTIES IMPOSED BY LAW MAY BE APP SOP PINS EC IONS CALL: XRM)M- 775_2525 ttt / INSPECTION I ,.I 7 / DEPARTMENT —1N11PE=OCTOOR I / — affILDIN6 CITY OF ° PLDMBlNG EDMONDS DATE I