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720301.pdfi= UILDING DEPARTMENT I AppIIatatMll PERMIT APPLICATION Inside Heavy Lines T N H' ! q3•o S JG a5?-7isi ON KROLL YAP NO,: PERMIT NUMBER I '72030 I DRESS W r o I "1 �IQCe. Waw57 'ARD YETBACK I STREET SETBACK REAR YARD eETHA 50 ONE LOT AREA VAOANT SITE ^�U I A v 0Qd I ❑ YES WNO C BUILDI G AREA V%AL& )eS NUMBEI THIS PROPERTY Q w D ee K� C indicated on Standard Drawing #103o n 6 A9ri Z121 CA �s r w — CHEC D Y CITY (/) /� / TELEPHONE 1�Y['�li. �a /S e -<rCVG•Al7 130; y� % 4.7 METER SIZE SERVICE SIZE CLEARANCE CHECKE Y STATE LICENSE NUMBER CITY CEVIE MBER 3 7 7 CJ a�l� YFl � LegalDescription of Props ry (show Heto—or Attach Four CoDlae,)j^��� U �A - / a 70 (mil/, /� Geo e7 / w C�S ^2.5 (4! ; TYPE CONNECTION I VERIFIEDBY ZW z L / S6mc SIMJK 'uP,pi e ill, r, rry P,4 &T e4 TEEM TEST I PERMIT NUMBER W - REMARKS d5 1'T6.. A91F `t' NO FWIi 1kYDr-'iJr5a Fc1i,.-, d s' t"111,014AW 00ty w9c ig 75z" PL'� FIRE ZONE TYPE OF%C'ONSTR'UC/T/ION STREET IMPROVED �Ir I zrl� S ❑ NO SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP GAS ❑ YES RESIDENTIAL ❑ LINE PLAN CHEC D BY r• © NEW THIS SITE IS Lr!'.'• � -`) till T IHE ❑ NON-RESIDENTIAL ❑ SIGN ITY OF ED"�';'.;,, I-.^1'I , r- ❑ ADD RETAINING MARKS ❑ DEMOLISH ❑ WALL TAX SHOULD BE CODED 31.04.G ❑ ALTER ❑ EXCAVATE FENCE OR FILL ❑ (........ 'A ....... ...Ft.) 3i�� ❑ REPAIR ❑ swim INSP,PRE-❑ POOL SaW496 y�7 QA) X172ew .y1A0/.QWhV /9r"*:oJ NUMBER OF STORIES NUMBER OF--'7f�/�� �SSu �/, l"� ��D•�• DWELLING I UNITS NATURE OF WORK TO BE DONE Valuation Fee Receipt No. Ne- W Plan Check No, ........... ........ -- BUILDING PROPOSED USE PLUMBING Q PLOT PLAN (Indicate Building setbacks, abutting streets) HEAT d: GAS LINE Zoe FENCE SIGN RETAINING WALL IBWIMMIN6 POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL TOTAL AMOUNT DUE L I hereby acknowledge that I have read this application; that the In, % / �d V 1 cw formation given In correct; and that I am 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 authorized thereby, no person will be employed In violation of the Labor Code of the State of Washington THIS PERMIT This application is not a permit Lentil relating to Workments Compensation Insurance. AUTHORIZES signed by the Building Official or his Depw NOTE? Permit Limit One Year (Except DEMOLITIONS which WORK uty; and fees are paid, and receipt is ac- shall be completed In ninety days; MOVED -IN BUILDINGS shall be oom- knowledged in space provided. pleted In all months.) SIGNATURE4(0ER OR AGENT) DATE SIGNED INSPECTION DIRECTOR SIGNAT DEPARTMENT qx�liV2 / 7 CITY OF EDMONDS DAT EF J� NOTE: Applicant Subject to Plan Check Fee PR e-1107 This Permit covers work to be done on private property ONLY. Any construction on the pabHo domain (curbs, sidewallu, drlveways. � marquees, etc.) will require separate permission. I ! I I I I ; 1 1 i j i if .41 VC tit In i f 17 / J,•Y i in I T, r % qt S,. i .. .j y YJ ff •I�aT- �"' ` .. - ..I I I I i it u 13 C 4 ' z j't� �/✓'/cam � � r'�/; �irJ �=•- � C �.V � �i'ti� ✓�:U �� � r� � 6``r ,,..'" w, t G5. ' Nl : in IN in n ;n Cl " . w atgqA10 0 PIf l' .. __ _ .. a kt 00. ^: fl t A.v i Y -. p`K �GthN ...' -' u � , tr t _l t , 3 _.—. .. _ ._ .__. i 6 I .. 1 t is ! 7 i V {i � 1 S C RECORD OF INSPECTIONS Date:Passn f:> f t, /7—T- t ;Foundation V"v W"-` I Plumbing (Partial) t _ (Rough)/3/. fPr Frame Furnace & Fuel Lines anal } w; yy; :, _... {. "RECORD OF,INSPF.ff IAP!!� .Doe,1'S�YCt]' Irxsi Seh/t'r ri f Parking ;, it Landscaping Fire Dept. v I Pill r i i .i 1 l t r� LA 1 APPLICATION &WORK PERMIT rK..1 ' �u%CITY OF EDMONDS Building Department 1TION is hereby *K 4&WAddn. ins Submitted ......... AG r i It Application No.:...yL1� Permit Limit, One Year be for a permit to construct the following work, in accordance 0 the accompan /�,GGei✓(f . Ground Area..1�J.Q.fc?...Oak �o. 8torles....(./.�ii'� ......... ................................%........................... Conte Type........ Height... 7 Z — 7J� ln. 1�,., l/(/ . ...,.,. Use Zones o20. Fire Zone...., ............... i..,.f ....Y .. ......... .. Block................... Add'n................ .............._............................................................... Sewerage ............... .... ...... ........... ' ''// f .... Width....7.,1............... Min. Bldg. Setbacks, Front and Rear., .......... 7L..•.. Sides... v.... , „l�l� Address.. l..�ate ... .............................. ................ Phone.!— .. west ............ v , Addrese............................................. P/h%o�"new......................._....... ,! i C/ G ,Address.._ rjf o : �" hone'" .•'••••:••.• ' 7 + rAdd eas........................................ ...•.......... ....... Phone .... ...................»....... } Address...•.................................................................... Phone.. ..... ............. ......... .. .I. Addrpsa........ .............. ...... ........................................ a... Phone., ......... ........0... 6...... .. Et. of Lot 6 and the North 15._fte••_of„Lot„7.,,,Block„28,,_.Meadowdale,,,Beachs,,,,, ................................................................ to the plat thereof recorded in Vo. 5 of plats, page 38, rdcords of County, .Washington ( Together,.with„that,,,port... *0 of ,vacated.; street on,,,,,, adjoining and attaching to said lots of by Operation of Law.) ................. ... ........... I ................ .................. ...1.......... I ............. 0 •........................ •..•............................................... ........ ............. ......................... ........ ........ ................................. ............... ......... ....................... .....@...... ............... .. The above is a correct statement and I agree to comply It Signed: Owner/Agee ............ ae--e ........� f all applicabl Codes we re '%rg the work. ' ....... Date.../0 dr7?...3 to PERMIT for the above work is hereby approved, subject to the above conditional and to compliance with the approved plans i and specifications and Building Department notations thereonO VALUATION PERMIT FEES Bldg. .... $•• �•... �•-....... Date...! .../.................. .......................... Plbg• ....$..... .... 4.............................. . Heat....$........... a .... I...............9......0 Elect. ....$............... a .............. 4.... 0... a BUILDING D ARTMENT Others ...$........................................ /f `/ '1i78k 3mII Uyk, Bldg. Official B �! 1. TOTAL FEE $••�%-•........... NNW NOTES: No work requiring Building Department or City Engineer's inspection shall be covered before inspection and approval. Twenty -Your (24) hour notice requested. Contact the City Engineer prior to construction of all site utilities, such as curbs, paving, driveways, sewer, water and street connections. 1 { } i� I' 1 i 1 r I i i R % yl<I JYf .LFil - inf r tFA N r f1-1 Jr7i^ i ttd1i'V✓ l �.n Y k k- �IFF,Y nr I FoF A(NT•/, ttt�t.i �M11 11 tv 4. FIE r3dhr4' y, i'> F :S t F4V!k 1 1r Ry1i'.r':' ,l t l' to „ +y 4.• 1 I ftC If L + a k NJ' a 'oo, t7 4 'r .% t+11 r<ft• IF r ' t •.� y t k c vl �i .i. ': xs \ II t it t/ \ A..1) r:..lr Li •_ .. 1 erf / 1 .Ji„r rfLT.h. JI k .,X f l ijf ,4 .i t.11,1 C..h .. F.t, ,ppay ,I!^ ..•r -1 \'• yt 9 d'.. l l; j'o-s5'.,t�'.,t(is�'lY+i!G(•J k(ctii�`1 a.F. .r sn ,ti X ,.,. - ; e } y +L ItI pA 7 rvt tr, drt r I�t '3 At 1-,4i R , ' I, 1n!'. . ,'1„ ., i,: i . i[rl ii Ac lP t k ft y �$YfySFt } I:•:[i e 7 S:fi."� — - • ,. -.. � .. .. .' f O'r}e LL <... — a L , 1 y 1 r. r tv " ., .. : 'r i i rr _�! v t rt - ao -.._ _ ,,.2...,. ilr.. _ t; , y a dl.'l `i. ... .,.... .. .. .t �et4LL CltIII `+ I YS jvF ' ff�t?•i`F'�iFatUr.. . (tT ._ i o, {� CJ vxtSt tF'{ IC t�4 ti) Il4 , M i4 f .. t�Y sgip it 3� " f ; .. .. .... :,iI , 5 t.J» } 3 9�wt, (IY A�^"o1S)1 TI 5 ` i i u .`.. .. .1: t . :. '• S { �Y St 1L ' r 4ri'tr by k •• r t 1. t r lr i 4 e 1 ,i r` - 1 .1L7if L tint t + n 7 ¢1 4 J IIL .� .... t .. , r �. r� f,3t .a1 t 3 T 3 e, x vy to , y It y r...IF It ... _ r , I r4 a1 tit r _ r 1 YS ?� I i :r - .. .. , :.. IF ,.. - ! :e.H 'ii., ir.i[.S 3 , ti. �. •;(� ... ;', .. r .. ,. 3: i .. .. .. .. •t 1 n or ) rif"�6ai �'tl or 9 ; i / ,t. , ,. 1. :. t ,.. 4. IL RECORD OF INSPECTIONS` ,. 19 R Date Passed i i Foundation , ' Plumbing (Partial) (RoughjL Fro.o Frame Furnace &Fuel Lines Final _. I i." l dr