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740252.pdfBUILDING DEPARTMENT Applicant Flu ZEE ub lis-� NUMBER -740252 PERMIT APPLICATION I Inside Heavy Lines ,G 7 ��O Q/ti 1 S NAME (OR NAME OF BUSINE88) ADDRESS9 2f O ) J 7 - ••tea ........�.,aa�ry I VERIFIED BY O R PERG. TEST PERMIT NUMBER W1 /17s1 of A10, Zf 7r— Tu rd W_L, l A O REMARKS ai, �.g,r,���so T.✓c i -- N DD 8 / 3 /� LE 6 LOT VARIANCE OR CONDITIONAL USE g NO PERMIT NUMBER I-- /�.Pn.PA ,4 v� /✓ rpt CI Y TELEPHONE NUMBER PLA O DEP Y AL � D T �% t%©Q - EE MST EXIST 6/MSTREET R/W . �j_v...FT. DEFICIENCY THIS PROPERTY COMP. PLAN ST. R/W .:.:,...FT. ....Y.....FT. NAME (J ADDRESS DrivewayslopesndardDnot to exceed those PLUMBING NEW indE RI edNo 103 F CITY TELEPHONE NUMBER ( GAS LINE ICHECX By 7 - ••tea ........�.,aa�ry I VERIFIED BY O R PERG. TEST PERMIT NUMBER W1 /17s1 of A10, Zf 7r— Tu rd W_L, l A O REMARKS Plan Check No ..................... -- [Or^ 4 PROPOSED USE I-- In YES 0 NO BUILDING �% t%©Q 00 (J SPECIAL INSPECTOR REQUIRED OCCUPp{VCY G qUP PLUMBING NEW RESIDENTIAL ❑ GAS LINE [3 YES NO op Jj1-�1t- d1CCL I HEAT do GAS LINE NON-RESIDENTIAL ❑ — 'W-7Jl'7f} THIS SITE IS LOCATED IN THE CITY Z ❑ ADD DEMOLISH E]WAS SIGN KING OF EDMOND1 LOCAL SALES TAX ewel n p f•nnrn it red REMAKES El ALTER N EXCAVATE FENCE ���j ,( /J F<=./(�-"/7 SWIMMING POOL ❑ ❑ .x .......... Ft.) REPAIR O INBP.MO� SWIM POOL //J� )�/C.. �D vAJDA_r16A/ 61 y UMBER OF STORIES NUMBER OF DWELLING Z UNITS D Plan Check No ..................... -- [Or^ 4 PROPOSED USE BUILDING �% t%©Q 00 (J PLUMBING PLOT PLAN (Indlenle IIDlltling aetbneke, nbntling etreele) 9 HEAT do GAS LINE O FENCE SIGN tRETAINING WALL N SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL TOTAL AMOUNT DUE D I hereby acknowledge that I have read thl. application; that the In. formation le given correct; and that I am the ownar, er the duly author. lied agent at the owner. I ages to comDiy with city aad elate lawn regu• latlnL eanetnetiop; and 1. dotng the work authorized thereby, no penoll ATTENTION APPLICATION APPROVAL will be employed In violation of the Labor Code of the State of Wnebmgton relating to workmen'■ Compenution Iuuranoe. TIUB PERMIT This application IS not a permit until NOTE: Permit Limit One Year (Except AUTHORIZES THE signed by the Building Official or his Dep - DEMOLITIONS which .hall be completed to ninety dnye; MOVED -IN BUILDINGS Shall be com- WORK NOTED Uty; and fees are paid, and receipt Is ae- Pleted in elx month..) hnowledged in space provided. B16NATU NER OR AGE T) DATE SIGNED INSPECTION i DEPARTMENT V :DIfRIE,"'.glGNTURECITY OF NOTE: icanSubject to Plan Check Fee EDMONDSt PD 6-1107 IQ This Permit coven work to be dope oa private property ONLY. ell Any toO.tmctlon on the paella donut. (--'be. eldewalke, drlvewan, n�nrguree, Ne.) will rrq,lre .ep—t. perml.elan. FILL