740416.pdfr
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PERMIT
NUMBER 740416
ACTUAL
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CITY (TELEPHONE NUMBER
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EXIST STREET R/W ............FT.
NAME
COMP. PLAN ST. R/W ............FT.
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CITY r TE PHONE NUMBER
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STATE LICENSE NUA(BER CITY LICENSE NUMBER
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.NT AIDE REAR
BUILDING DEPARTMENT I AppllcantFHl
PERMIT APPLICATION Inside Heavy Lines
USE
ZONE
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ICIENCY THIS PROPERTY ;Oa
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NAME (`_OR NAME,OF BUSINESS)
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MAILING ADDRESS
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TELEPHONE NUMBER
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PERMIT
NUMBER 740416
ACTUAL
W ADDNEBd a 0 NO V PE MIT NI
N
a� P 6 DE AYP AL
CITY (TELEPHONE NUMBER
\V
EXIST STREET R/W ............FT.
NAME
COMP. PLAN ST. R/W ............FT.
Ci/r_4, f/
ADDIiEBd
e n n ��
CITY r TE PHONE NUMBER
METE
STATE LICENSE NUA(BER CITY LICENSE NUMBER
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n,^ t / / nFM.
.NT AIDE REAR
IITIONAL UBE
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ICIENCY THIS PROPERTY ;Oa
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............FT. [a
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CHECXED BY
PERMIT NUMBER
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CHECKED BY
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REMARKS
C Pian Check No .....................
Z
(O. BUILDING
4 PROPOSED USE
PLUMBING
PLOT PLAN (Indicate Building setbacks, abutting streets) HEAT A GAS LINE
m
FENCE
1 SIGN
RETAINING WALL
1^ D rj N
,v �"' Jf)•, , I SWIMMING POOL
{
1 _
DEAfOL1TION
PRE -MOVE INSPECTION
I� EXCAVATION OR FILL
i
i 9s0
IHereby acknowledge that I have read this np a t6Ti;'iha-E the In.
TOTAL AMOUNT DUE
formntlon Elven le correct; and that I am the owner, or the duly author -
(.ad agent of the owner. I agree to comply with city and elate laws ragu. ATTENTION APPLICATION APPROVAL
lating construction; and In doing the work authorized thereby, no person
will be employed In violation of the Labor Code of the state of Washington TIHB PERMIT This application is not a permit until
relating to Workmen's Compensation Insurance. AUTHORIZES signed by the Building Official or his DONLY THE
Permit Limit One Year (Except DEMOLITIONS which WORE NOTED uty; and fees are paid, and receipt Is ac -
shall be completed In ninety days; AIOVED-IN BUILDINGS shall be coin- Imowledged in space provided.
pletcd In It. month,.)
BI ATUtiE (O\VNER OR AGENT) DATE SIGNED INSPECTION R'—
TU
DEPARTMENT /
CITY OF
EDMONDS ATELOV
NOTE: Applicant Subject to Plan Check Fee
775-2525This Pern,lt ea rare walk to be don an private Property ONLY.
Any rnn.l tact inn on the pnhllc dmmnln (rurbe, 01—n1ks. drh'awaye.
iryuri •,'I") .,111 r,.inl r,• HeLa... p,•r 11-1,n. FILE
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TYPE CONNECTION
VERIFIED BY
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PERC. TEST
PERMIT NUMBER
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REMARKS
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FIRE Z� TYPE OFYCO!7 TI)DN STREET IMPROVED
A
I YE8O
SPECIAL INSPECTOR REQUIRED
E] YES O
OCCUPANC GROUP
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GA8
RESIDENTIAL LINE
NEW
If NON-RESIDENTIAL SIGN
El ADD RETAINING
FJDEMOLISH WALL
ALTER ❑ OR FILLTE ❑ FENCi..........Ft.)
REPAIR ❑ PRE-74OVE SWIM
IN8P. ❑ POOL
PLAN CHECKED Y
THIS SITE IS LOCATED IN THE CITY
OF EDMONDS. LOCAL SALES TAX
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NUAIHER OF STORIES NUaiDER OF
DWELLING
UNITS
NATURE OF WORK TO BE DONE
Valuation
Fee Receipt r
C Pian Check No .....................
Z
(O. BUILDING
4 PROPOSED USE
PLUMBING
PLOT PLAN (Indicate Building setbacks, abutting streets) HEAT A GAS LINE
m
FENCE
1 SIGN
RETAINING WALL
1^ D rj N
,v �"' Jf)•, , I SWIMMING POOL
{
1 _
DEAfOL1TION
PRE -MOVE INSPECTION
I� EXCAVATION OR FILL
i
i 9s0
IHereby acknowledge that I have read this np a t6Ti;'iha-E the In.
TOTAL AMOUNT DUE
formntlon Elven le correct; and that I am the owner, or the duly author -
(.ad agent of the owner. I agree to comply with city and elate laws ragu. ATTENTION APPLICATION APPROVAL
lating construction; and In doing the work authorized thereby, no person
will be employed In violation of the Labor Code of the state of Washington TIHB PERMIT This application is not a permit until
relating to Workmen's Compensation Insurance. AUTHORIZES signed by the Building Official or his DONLY THE
Permit Limit One Year (Except DEMOLITIONS which WORE NOTED uty; and fees are paid, and receipt Is ac -
shall be completed In ninety days; AIOVED-IN BUILDINGS shall be coin- Imowledged in space provided.
pletcd In It. month,.)
BI ATUtiE (O\VNER OR AGENT) DATE SIGNED INSPECTION R'—
TU
DEPARTMENT /
CITY OF
EDMONDS ATELOV
NOTE: Applicant Subject to Plan Check Fee
775-2525This Pern,lt ea rare walk to be don an private Property ONLY.
Any rnn.l tact inn on the pnhllc dmmnln (rurbe, 01—n1ks. drh'awaye.
iryuri •,'I") .,111 r,.inl r,• HeLa... p,•r 11-1,n. FILE
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RECORD OF INSPECTIONS
Date Passed
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Foundation O
Plumbing (Partial)
(Rough)
Frame -----
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Furnace & Fuel Lines —
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Final
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