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750284.pdf1.7. , ._.... - _.... � PEanirr v� BUILDING DEPARTMENT I Applicant 1`111 NUMBER 750284 ZOO PERMIT APPLICATION Inside Heavy Lhles JOB /��— ADDRESS 'C � ��(. I NA/1ME OR NAME OF NESE) pgT;aIIH�IDL)in J ACTUYYYAL / w HUS �i . z. LOT COVERAOE � IL "le!", £81 I 9a,7nGo LEGAI, LOT vA,u nrve:r. �.. w........,.. •._ ___ l.,W ADDRESS F 'J Pion Check N. ..................... 0 YES NO PERMIT NUMDER PLANNING )EPT. APPROVAL DATE: -, TELEPHONE NUMDER BUILDING CITY I PERMIT NUMBER STREET DEFICIENCY THIS PROPERTY PLUMBING EXiBTING STREET R/tV ............FT. NAME COMP. PLAN 8T. R/W ............Fr. ............FT. � PLOT PLAN (Indicate Hulmmg eatbaCke, abutting streets) KEMARIfS Driveway slopes not to exceed those FADDItEBB� indicated on Standard Dwa No. 103 O []YES E)NO CHECKED BY C11'Y TELEPHONE NUMBER I L I METER SIZE SERVICE SIZE CLEARANCE CHECKED DY V-_ —^ •-_^`•^^ ...,.,..�.. r�ITY LICENSE NUMDER I I I O � V W A a Pion Check N. ..................... -, 't 7 BUILDING PERC. TEST REMARKS I PERMIT NUMBER PROPOSED USE PLUMBING FIRE ZONE TYPE OF CONSTRUCTION STREET IMPROVED � PLOT PLAN (Indicate Hulmmg eatbaCke, abutting streets) HEAT @ GAS LINE FENCE I []YES E)NO RETAINING WALL SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP Vll RESIDENTIAL ❑ OAS LINE ❑ YES ❑ NO BY LOCATED IN THE CITY ❑ NEN !'•' PLAN CHECKED THIS SITE 15 OF EDMONDS. LOCAL SALES TAY, ❑ NON-RESIDENTIAL ❑ BION TOTAL AMOUNT DUE "OLDIE CODED 3104. ❑ ADD rormatlon given le correct: and that I am the owner, or the duly author• I to comply with City and state laws reg.- I•IIrNG RETAINING RE�ARK9 Ized agent of the owner. agree Iating construction; and In doing the work authorized thereby, no person be In violation of the Labor Code of the Stale of Washington ATTENTION TINS PERMIT This application Is not a permit until ❑ DEMOLISH AUTHORIZES signed by the Building Official or his Dep - � NOTE. Permit limit One Year (Eicept DEMOLITIONS which ❑ ALTER ❑ EXCAVATE Iy❑1� r �t �EAyLL T.1.vK•.R.aj7....Ft.) pleted In six menthe.) SIGNATURE (OWNER R AG£N'r) DATE SIGNED ❑ REPAIR ❑ NSPnIOVE ❑ swim POOL . AT NUMBER Or STORIES NUMBER F -WE-ING I UNITS �/.X/b�.( �� Pion Check N. ..................... -, 't 7 BUILDING •. �V PROPOSED USE PLUMBING PLOT PLAN (Indicate Hulmmg eatbaCke, abutting streets) HEAT @ GAS LINE FENCE SIGN RETAINING WALL N ISWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL J�� /�QQ TOTAL AMOUNT DUE Ihereby dcknowledge that I have read this application; that the In r+� rormatlon given le correct: and that I am the owner, or the duly author• I to comply with City and state laws reg.- APPLICATION APPROVAL Ized agent of the owner. agree Iating construction; and In doing the work authorized thereby, no person be In violation of the Labor Code of the Stale of Washington ATTENTION TINS PERMIT This application Is not a permit until will employed relating to Workman's Compensation Insurance. AUTHORIZES signed by the Building Official or his Dep - NOTE. Permit limit One Year (Eicept DEMOLITIONS which ONLY TRE WORK NOTED uty; and fees are paid, and receipt is Be shall be completed In ninety days: MOVED -IN BUILDINGS shall be com- Imowledged In space provided. pleted In six menthe.) SIGNATURE (OWNER R AG£N'r) DATE SIGNED INSPECTION Dl TOR'8 SIGNATURE DEPARTMENT CITY OF f . AT ED➢SOND9 NOTE: Applicant Subject to Plait Check Fee 1( _'I, �__,_.._—•-- -- 775-2525 td This Permit a• cork to Iw don n prlyntn properly ONLY. Any eonetructlunt on Ibe public dontoin (c.rbe. eldewWlle, driveway., FILE . marquees, els.) will require ep—le permleeisn.