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740532.pdfUSE -•moi PERMIT �i A OF�Z v BUILDING DEPARTMENT A,,UeantFill ZONE X NUMBER /eI PERMIT APPLICATION I Inside Heavy Linea JOB ADDRES8 '? - N (OR NAME OF BUSINESS) � PERMISSIBLE IAT COVERAGE ACT AL JJ LOT COVEItAOE i J Oil L, MAILIN ADDRESS PERMISSIBLE HEIGHT Q PROPOSED HEIGHT [k, �„r hl1?r Gtr a 7 7 C_ / S�sC sl TOTAL BLDG. AREA c p TDLEPHONE N MBHR ACTUAL LOT AREA REQUIRED YARDS PROPOSED YARDS FRONT e.DE REAR' F_RO'NT' SIDE REAR NAME L el� cAiL W ADDRESS LEGAL LOT VARIANCE OR CONDITION/yL " W YES ❑ NO PERMIT NUMBER rC// N VPLANNIfJ6, APPR VAL q' CITY TELEPHONE NUMBER (ir/ I EXISTING DEFICIENCY TH�PROPERTY NAME I PLAEBT. R W N REMARKS �' roC ADDRESS `�✓ x N +j hn� U-QfU�.tPpjL� CITY T LEPHONE NUMBER / I CHECKED BY p ( METER SIZE SERVICE SIZE CLEARANCE CHECKED BY 1 V STATE LICENSE CITY LICENSE NUMBER I W I I 1 /NUMBER REMAItKH Leg¢I De crlptlon of Property (Show Below or Attach Four CODIee) TYPE CONNECTION VERIFIED BY % o /I, I /`�,5 v '�I -�� PERMIT NUMBER U I L l—'� _t / ._ PERC. TEST a ~ W .I REMARKS � CjC%sr. i C 111RE E TYPFI_QjiCONII i STREET IDSP❑ROVED jITeP( ' I .'Jll/'t�,41� IRU YESNO SPECIAL INSPECTOR REQUIREDOCCUPANCY GROUP ❑YEB 'No I B— 3 If` CAS RESIDENTIAL ❑ LINE NEW PLAN CHECK. BY THIS SITE IS LOCATED IN THE CITY OF EDMONDS. LOCAL SALES TAX NON-RESIDENTIAL ❑ SIGN ® ADD REMARKS SHOULD BE CODED 31.04. ❑ DEMOLISH ❑ "AT�A.IMNC O�` r 9- (.•! �� ALTER ❑ OFILL EXCAVATE ❑ FE NC X. -Ft.) - 7-40 PRE -MOVE swim ❑ REPAIR ❑ INSP. POOL � r�•T`- �J�� OAW-iZU&7 / /(��J 1� '-�lu" �v� NUa[HER OF STORIESNUMBER OF Z ;Fe7sw I J z�Y �rrJ �/ % DWELLING •�/ LrlfJ� ©/ 1^Y' / UNITS NATURE To BE DONE Valuation Fee Receipt No. LOFWORK �j Plan Check No ...................... BUILDING �' �,p —10. PROPOSED USE PLUMBING `+ /G' O 9 PLOT PLAN (Indlcalo BUIICln6 setbacks, abutting elrecta) HEAT & GAB LINE FENCE 0 t' PIMPS SIGN RETAINING WALL N SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL TOTAL AMOUNT DUE I 0 I hereby acknowledge that I have read 161e application; that the In- formatlon given le correct: and that I = the owner, or the duly author- ized agent of the owner. I agree to comply with city and state laws regu. ATTENTION APPLICATION APPROVAL lating construction; and In doing the work authorlred thereby, no person will be employed In Violation of the Labor Code of the State of Washington TINS 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 days; MOVED -IN BUILDINGS .hall be was- knowledged In space provided. pleted In elz months.) SIG ATURE (OWNER OR AGENT) DATE SIGNED INSPECTION DEPARTMENT DIRECTO '8 SIONA / Fee CITY OF EDbIONDS DATD �/ 1 �' Z�- NOTE: Applicant Subject to Plan Check 775-2525 This Permit coven work to be done on private properly ONLY. Any conelruetlna on the public domain (..be. sidewalks, driveways, FILE n�., re nrrv, rl r.� „III rrilelrr eel�nn,ir prrminnlon. 7ya53Z l RECORD OF INSPECTIONS Date Passed i i Foundation Plumbing (Partial) (Rough) Frame Furnace & Fuel Lines Final -7,-5 i