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740266.pdf�t. l 1 �4f RECORD OF.INSP,ECTIONS_ Date.Passed i Foundation I I 1 ,:,Plumbing (Partial), (Rough) Frame furnace & Fuel Lines Final 2:51 -7.S r r - t I I !i v 77 7.7 A a t 1.f 1 1 Nil /iA'q'js IMI iu vi���rq ' t N i I 1 T _ i F 3:if51't t,, i t , i 1 1 �t. l 1 �4f RECORD OF.INSP,ECTIONS_ Date.Passed i Foundation I I 1 ,:,Plumbing (Partial), (Rough) Frame furnace & Fuel Lines Final 2:51 -7.S r r - t I I !i v A ' i I 1 �t. l 1 �4f RECORD OF.INSP,ECTIONS_ Date.Passed i Foundation I I 1 ,:,Plumbing (Partial), (Rough) Frame furnace & Fuel Lines Final 2:51 -7.S r r - t I I !i v L (' I {. zip) PERMITBE740266 BUILDING DEPARTMENT nppucaDtFlll Inside Heavy Lines PERMIT APPLICATION aoB - ADDRESS NAME (OR NAME OF BUSINESS) P:�1kMIB81HLE ^o _ ACTUAL �yf �t / / r-� �P/ P J G C / .V\ n h /,/� /y/ LOT COVERAGE LOT COVES�AOE 1 U-1[7/ MAILING ADD EBB a � �. PE51I8tlIBLE HEIGHT IL PROPOSED HEIGHT p y 02/yo U ACTUAL LOT AREA TOTAL BLDG. AREA L i CITY TELEPHONE NUMBb:R / ,6_ /-%1 Q �S ,lel - 5'/3 REQUDIED YARDS PROPOSED YARDS a i NAME FRONT Slot REAR FRONT BIDE REAR I LEGAL LOT VARIANCE OR CONDITIONAL USE ADDREtlB l7 YES [D NO PERMIT NUMBER yF DATE: U C CITY TELEPHONE NUMBER PLANNING DEPT. APPROVAL STREET R/W EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY p r NAME O� ] /� /-. �w /n / C / COMP. PLAN 8T. R/W ............FT. ............FT. a W . .. REMARKS ADDRESS OR CHECKED BY CITY TELEPHONE NUMBER N I 1 METER SIZE SERVICE SIZE CLEARANCE CHECKED BY STATE LICENSE NUMBER CITY LICENSE NUMHEH I I - tydl Legal Description of Property (Show Below or Attach Four Copies) REMARKS g I , TYPE CONNECTION BY i (VERIFIED O r PERC. TEST PERMIT NUMBER c i r a 3 1 m ' REMARKS 7 ` FIRE ZONE TYPE OF CONSTRUCTION STREET IMPROVED iJ I YES I] NO SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP RESIDENTIAL OAe ❑ NEW LINE ❑ YES (:3 NO I I PLAN CHECKED DY THIS SITE IS LOCATED IN THE CITY EDMONDS. LOCAL SALES TAX El NON-RESIDENTIAL ❑ SIGN OF SHOULD BE CODED 31.04. ADD RETAIKING REMARKS ❑ DEMOLISH ❑ WALL EXCAVATE ® FF�NCE ALTER d OR FILL 1 REPAIR swim ❑ INBYbIOVE O POOL 1 NUMBER OF STORIES NUMBER OF DWELLING UNITS i NATURE OF WORK TO BE DONE Valuation Fac Receipt No. 1 Plan Check No ..................... ++ W/ W BUILDING PROPOSED UBE PLUMBING O i PLOT PLAN (Indicate Building setbacks, abutting street.) HEAT k GAB LIN£ FENCE �t d ll SIGN RETAINING WALL N SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL TOTAL AMOUNT DUE /J03 I hereby acknowledge last I have read this application; that the In- OC V / E ,.,motion given is correct; and that I sum the owner, or the duly author• Ized agent of the owner. I agree to comply with city and elate laws ago. ATTENTION APPLICATION APPROVAL lating canetructton; and In doing the work authorized thereby, no person will be employed In violation of the Labor Code of the State of Washington TRIS PERMIT This application Is not a permit until relating to Workmen's Compensation Insurance. AUTHORIZES signed by the Building Official or his Dep - NOTE: Permit Limit One Year (Except DEMOLITIONS which ONLY THE WORK NOTED uty; and fees are paid, and receipt is ac - shall be completed In ninety day.; MOVED -IN BUILDINGS shall be com. Imowledged In space provided. pteted In six months.) LSTURE (OIVNER AGENT) DATE BiGNED INSPECTIOND DEPARTMENT CITY OF CTOR' BION9 j� f—+ NOTE: Applicaut Subject to Plan Check Fee9 — 775.2525 This i'rnnll coven work to be dune on Private property ONLY. Any eo..trurthm an (lie pub to domain (curbs, sidewalks, driveways, marquees, e1r., wlll require separule permission. FILE USE PERMIT BUILDING DEPARTMENT Applicant Fla ZONE NUMBER /l PERMIT ,APPLICATION Inside Heavy Linea NAME lOR NAME OF BUBINESO) MAl NO ADORERS c. CITYTELEPHONE NUMBFH NAME ADDRESS J013— ADDRESe n •..c� (/ - J �J� J 1 �_ L.l PIi ItAfIBLE r INS ACT LOT COVERAOEc LOT COVEYIAGE O PE11MISSIBLF. HEIGHT PROPOSED HEIGHT ACTUAL LOT AREA TOTAL BLDG, AREA REQUIRED YARDS PROPOSED YARDS FRONT SIDE REAL( FRONT SIDE REAR ORCI,IAVATE LLE `Q I❑J LEGAL LOT VARIANCE OR CONDITIONAL USE YES NO PERMIT NUMBER 91 PLANNING DEPT, APPROVAL DATE: aj 61TY I TELEPHONE NUMBER cc STREET R/W DWELLING UNITS EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY COMP. PLAN ST. R/W FT. REMARKS E3 YES C] NO OF m rr kI m Y, ti t STREET IMPROVED?i ) i] YES [3 NO IOUP t •,'I rED IN THE CITY (CAL SALES TAX 31.04. NA'1'U.. us' WVKn 'lU nr3 LU.r. u RESIDENTIAL E]GAS LINE NEW ❑ NON-RESIDENTIAL 11 SIGN El ADD ❑ DEMOLISH NO WALLEl ALTER ❑ ORCI,IAVATE LLE `Q I❑J FENCx.... REPAIR ❑ INSP. PRE -MOVE POOL (UMBER OF STORIES l NUMBER OF DWELLING UNITS EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY COMP. PLAN ST. R/W FT. REMARKS E3 YES C] NO OF m rr kI m Y, ti t STREET IMPROVED?i ) i] YES [3 NO IOUP t •,'I rED IN THE CITY (CAL SALES TAX 31.04. NA'1'U.. us' WVKn 'lU nr3 LU.r. Valuation Fee Receipt No. 1 Plan Check N.....6 ' ................ r F _ / {;may, C P c BUILDING W PROPOSED USE a PLUMBING O aPLOT PLAN (Indicate Building Setbacks, abutting tree[.) HEAT A GAB LINE FENCE SIGN RETAINING WALL SWIMMING POOL � DEMOLITION i PRE -MOVE INSPECTION I r EXCAVATION OR FILL TOTAL AMOUNT DUE I hereby acknowledge that I have read this application; that Wo In. ( formation given ie correct; and that I and the owner, or the duly author- Ized agent of the owner. I agree to comply with city and state laws regu• ATTENTION APPLICATION APPROVAL toting construction; and In doing the work authorized thereby, no person , will be employed In violation of the Labor Code of the Slate of Washington THIS PERMIT This application Is not a permit until relating to Workmen's Compensation Imuranw. AUTHORIZES signed by the Building Official or his Dep - NOTE: Permit Limit One Year (Except DEMOLITIONS which ONLY TH WORK NOTED uty; and fees are paid, and receipt is ac- j shalt be completed In ninety days; a10VED-IN BUILDINGS shall be wm- knowledged in space provided. " pleted In six months.) SIGNATURE (OWNER OR AGENT) DATE SIGNED INSPECTION D!R OR'B tll l.TU F ( DEPARTMENT %AGE. CGCj�/'�. �J✓L.�C)GG CITY OF 3j EDMOND8 DATE It NOTE: Applicant Subject to Plan Check Fre 775.2525 j This Permlt cmvre work to be done on private property ONLY. Any construction on the public domain (curbs, sidewalks, drivewys, marquees, etc.) will require separate permission. INSPECTOR Q j r.