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740353.pdf! BUILDING DEPARTMENT Applicant Fill zOf� �� NUMBER 7401 J PERMIT APPLICATION Inside Heavy Linea joB , NAME (OR NAME OF BUSINESS) ^ rr�. ADDRESS /" �/ ,-rskyL1W2F G `.1 � /%� ��lJ u MT -1.ACTUAL LOT COVERAGE LOT COVERAGE C MAILI��DDRE98//�� 3s��{ 1•) PEIOI113818LE HEIGHT PRO ED HEIOH D CITY TELEPHONE NUMBER ACI UAL LOT AREA TOTAL BLDG. �/T r-�� •/ , �/ � J /1 I 1 O (r`/ NAME J - RO tED YARDSPROPOSED YA RTS— 82DE REAR FRONT 8 E REAR IRONY � A....1313 LEGA OT VARIANCE OR CONDITIUMAY USE NO PEI [IT NUMBER j U CITY TELEPHONE NUMBER PLAN O DEP AP D 8T V �,t� EXISTI STREET R/ A.-Ax-r. DEFICIENCY THIS PROPERTY C y NAME COTIP. PLAN 9T. R/W'�::? � —ADDRESS REMA"Dirveway slopes not to exceed those c indicated on Standard Nig. No. 103 w CHECKED BY h CITY TELEPHONE NUMBER zU I VL O STATE LICENSE N R tHE CITY LICENSE NUMBER METER SIZE SERVICE SIZE CLEARANCE t C ED Y / Legal Description of Properly (dhow Below or Attach Four Copies) R }UCS f �c, /97a TYPE CONNECTION VERIFIED BY W� U TEST I PER �' PUMHER 0., � IPLRC. O REMARKS W I W .i FIRE ZONE TY�P/E• OF CONSTRUCTION HTR T IMPROVED I _ V —/i/ Ee NO SPECIAL INSPECTOR QUIRED OCCUPANCY GROUP © NEW RESIDENAL TI GA8 LINE ❑ YES 0 r ��/ IJ E] NON-RESIDENTIAL PLAN CHECK B THIS SITE 15 LOCATED IN THE CITY OF EDMONDS. LOCAL SALES TAX - ADD SION � BE CODED 31.04. RETAININGSHOULD ElDEMOLISH� WALL -��- U EJ ALTER EXCAVATE FENCE !� // CO/�.s'v OR FILL (..........x..........Ft.) 0 ❑ �/ilG• n/f�r/P G 19,741 REPAIR PRE-b[OVE SWIM INSP. POOL �GI/J e•J GCl// ✓(! 6N �/t�"f/'GyW/v/(/S NUa1BER O3/ TORIES NUMBER OF .S//Z''� DWELLING I , UNITS / NATURE OF WORK TO BE DONE Valuation Fee Receipt No. 1'lon Check No__ I I [-� BUILDING G/ ,/ OO a. PROPOSED UBE 7� 7O I37' U ' .' +SGC ✓(Imucale PLUMBING :I PLOT PLAN Building setbacks, abutting struetB) HEAT & GAS LINE p LfJ /t 17 /,L %rLrJ I FENCE � SIGN RETAINING WALL N SWIMMING POOL DEMOLITION PRE-MOVE INSPECTION EXCAVATION OR FILL TOTAL AMOUNT DUE UU ��� rr• / I hereby acknowledge that I hove read this application; that the In. formation given le carred; and that I am the owner, or the duly author- lu agent of the owner. I to comply with city and .tate ]aw. raga• i deingree waling conetructlan; and In doing the work authorized thereby, no person ATTENTION APPLICATION APPROVAL will beemployed In violation of the Label Code of the Slate of Washington relatlag to Workmen's Compepeetlan Insurance. THIS PERMIT This application Is not a permit until NOTE: Permit Limit One Year (Except DEMOLITIONS AUTHORIZES ONLY THE signed by the Building Official or his De g p'---- ' which shall he completed In ninety days; lfOVED-IN BUILDINGS shall be cam- WORK NOTED Uty; and fees are paid, and receipt Is ac- pietcd p'.x months.) knowledged in apace provided. SIGN /BURR (OWNER OR (/ _ DATE SIGNED } INSPECTION DEPARTMENT ONATDRE /AGG'ENTT))Z, LAG tllL .:f�.l 1..��' / o OF - /"�-�/CITY TR]�S Applicant Subject to Plan Check Fee EDMONDSNOTE: �//This Permit carne work to be done on private propely ONLY. 775-2$2$✓ / Any eonetructlon on the Public domain (curb., sidewalks, driveways, �io rn�ir rr, rl r./ +III rrnu Ile nrparulr prrod•+Ino. 1'lLF. --US ZP1 .51 IR bZ hW- 01, X --US ZP1 .51 IR 01, X A. c6 --US kECORD OF INSPECTIONS Da te Passed Foundation 75�Plumbing (Partial) '79 (Rough) i / �� Frame Furnace & Fuel Lines Final H