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750004.pdfBUILDING DEPARTMENT USE AppIlTt FID e W PERMIT APPLICATION Inside Heavy LID6s JOB NAME (OR NAME OF BUSINESS) ADDRESS A ^ O IAY --1V-1 ,Sn�/ f /f53t W AD REB. CITY I TEI 7. � ADDRE88 2Zo /Zy h CITY) S E] NO I PERMIT 30004 � 1 NUMBER / 7if z? i Or , ' ACTUAL // LOT COVERAGE PROPOSED }{EtOHT TOTAL BLDG. AREA i8 PROPOSED YARD9 REAR FRONT BIDE REAR ATTENTION RIANCE OR CON ITIONAL U8E Rh,IT NUAIHER .7 Ir�•� LYi�010 i�lc•I DATE. STREET /lV i EXISTIN STREET R/W ,..../..FT. DEFICIENCY THIS PROPERTY COMP. PLAN ST. R/W ..........FT. „4 F7• REMARKS Driveway slopes not to exceed those Z'1 Four Copies) REMARKS • TYPE �/t PE CONNECTION PER TE6T I RPERM EMARKS ��I sTi 1JGr. FIRE ZONE I TYP�(E Hr CONSTtR�7UCTION NEW U RESIDENTIAL ❑ NON-RESIDENTIAL ❑ ADD EJ DEMOLISH ALTER ❑ OR CFILLTE lu MOVE VE REPAIR ❑ INSP. UMBER OF STORIES I NUMBER OF LINE SIGN RETAINING WALL FENCE g..'.'...Fl,) SWIM POOL ❑ YGASES j -NO PLAN CHECKED DY THIS SITE IS I OF EDMONDS REMARX9 cH0 I D B t T r`. f''� / \ Ieyzlorn -- 'ZCIROV�W`I n .F1 n©� r✓') tl/1 _• # I W �l..1/ l♦,l y�D DWELLING / UMTS Plan Check N. ..................... BUILDING PROPOeED USE ./ �/ �) H �'/7"�✓ir'Ni/.��y /7/lf�'Y PLUMBING Sir/'E�Ir•1 a PLOT PLAN (Intllcata Bulltlmg actb¢cka. abutting atreeta) r 5 ' EAT &CAS LINE RL(n� I J FENCE SIGN _ ZX Win/ RETAINING HALL SWIMMING POOL 1. --- DEMOLITION %"/i/L/LcNp /9✓.E PRE -MOVE INSPECTION JEXCAVATION OR FILL I hereby acknowledge that I have read this application; that the in. TOTAL AMOUNT DUE formallan given iscorrect; and that I an, the owner, or the duly author. ized agent of the owner. I agree to comply With city and state Iswa mgu. lacing construction; and In doing the work authorized thereby, no person ATTENTION will be employed In Vlo)at10n of the Labor Code of the State of Washington relating to Workmea'e Compensation Insurance. THIS PERMIT NOTE: Permit Limit One Year (E,cept AUTHORIZES ONLY TILE DEMOLITIONS which .hell ha completed In ninety day.; MOVED -IN BUILDINGS shall be corn WORK NOTED pleted In sig month,.) Il T IiE (0 NEU, OR AGENT) DATE 8IONED INSPECTION DEPARTMENT CITY OF NOTE: Applicant Subject to Plan Check Fee EDMONDS This Permit Covera -'.be be done on prlvate property ONLY, Any PR 6.1107 construct inn nn the, put Anmaln (curb., .Idra'nik., drl.'eware, irrlur,•n, rl r.l mill rryulrr srparutc rn:lasl J 111 YES �NO !GROUP �CATED IN THE CITY LOCAL SALES TAX )ED 3104, Fee kjAJvci> I APPLICATION APPROVAL This application is not a permit until signed by the Building Official or his Dep- uty; and fees are paid, and receipt is ac- ltnowledged in space provided. IRE O 81ONA' UAE ! l � n. n /J n . 7�1- vM"c I C' ) r � N t i 1 2 I 1 4 i r r Kz i � I f.1 i � I 1 1 1 rl i RECORD OF INSPECTIONS lDate I Passed _ _ FoLtrd^tion g Pium!3iaa (Parti t1) (Rough), Frame. W__I_7_7_r6m�*V Furnace & Fuel LinesFinal I h �a.�-•moi__. t r .. .,. .. :.i E t cif � 1 7ff{ :1 C I 1, 1 jJ r , Al