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740270.pdf"I Q S,q / Co avT `, Nj) Z%4 TE, Y7 FIRE ZONE TYPE OF CONSTRUCTION— E ST BTR ET IMPROVED l I�B ❑ NO { BUILDING DEPARTMENT Applicant Fill USE ( PERMIT ZONE 2J ✓ NUMBER 7402702�0 PERMIT APPLICATION Inside Heavy Lines JOB --AL AL INSPECTO�REQUIRED f y OCCUPANCY GROUP NAME (on NAME OF BUPNES/�cw ADDRESS SDI / ' �A�CJyCAA I I� IE 9 ,e.0 o.0 aEL M Ci G MAILING ADDRESS LPOET COVERAGeoE/ LOT' OVAOEWWWW" 1, C3 YES O C/ V ?0Y V /c. rT �/ PERMISSIBLE HEIGI T O PROPOSED HEIGHT O f CITY /,�/ a ONE NUMBER 17 ACTUAL LOT AR:• A REQUj — TOTAL. SLUG. A F.A PROP ' I1 ' " ,1—S EU YA [U--( fl NAME FRONT BID REAR FRONT NIP. REAR N Gy) RE RKB � / 1 j!I Ny ADDRESS LEG B LOT❑ NO PERA ITCN PL ING DEP A i Olt NDITI°AL IIeE UMBERN O C AT CITY TELEPHONE NUMBER ❑ ORCFII.AL ❑ NAME ICEE /W IXIST O STREET I /W ............FT. DEFICIENCY THIS PROPERTY L M O G Co.". PLAN BT. R/W ............FT. REMARKS FT. W a7 ADDRESe SIEeRa REPAIR ❑ INBP MOVE ❑ awl POOL ,II -.IU..� �UIJ�/L //.a /J✓ y� CITY TELEPHONE NUMBER � /� CHECKED BY L/ / F oz EIJMon/OS� (/i/A_ I 71Y-1o7SC N METER SILL BLRV CE DWELL NO I V STATE LICENSE NUMBER CITY IJCE118E NUMBER SIZE CLEARANCE CHECKED BY ) I REMARKS -- I ��✓I Legal Description of Property (Show Below or Attach Four Coplea) Valuation Fee Receipt No. SS _Ly 1 lI Plan Check N 0 ...... .......... TYPE C NNECTION VERIFIED Z /J / v s / o A/ �+ PE PZ- A T a n PAOPOBED U8E Core 9C- n //✓ V01-- /8 of FERC. TEST PERMIT IBER i m �Gl1T O N %�14 ecc 3 �E G o/e'vs REMARKS L X I S I'7iu'to "I Q S,q / Co avT `, Nj) Z%4 TE, Y7 FIRE ZONE TYPE OF CONSTRUCTION— E ST BTR ET IMPROVED l I�B ❑ NO t --AL AL INSPECTO�REQUIRED OCCUPANCY GROUP i X RESIDENTIAL El a LINE C3 YES I �L^ NEW NON-RESIDENTIAL PLA ECK B THIS SITE IS LOCATED IN THE CITY EDMONDS. ' " Blax © ADD El 11 WALL KING RE RKB OF LOCAL SALES TAX 1 j!I ALTER FENCi.... / ❑ ORCFII.AL ❑ [ 7 O// �,'f ...... Ft.)El REPAIR ❑ INBP MOVE ❑ awl POOL ,II -.IU..� �UIJ�/L //.a /J✓ y� NUafBER Ok STORIES NUMBER OF L/ / .•�/ t/ /I/(!' -rl=, & Si4 C/ 1GY' I I 1 DWELL NO I i / UNITS ! ) NATURE OF WORK T�7O SE DONE i Valuation Fee Receipt No. Plan Check N 0 ...... .......... {+ Z C PAOPOBED U8E BUILDING�//��,�,, Y'rcrO D Q PLOT PLAN (I —nte Building setbacks, abutting street,) HEAT d: GAS LINE � FENCE I SIGN RETAINING WALL 1� SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL i I hereby acknowledge that I have read thL aPalleatlon; that the in. tOrmn"no / J TOTAL AMOUNT DUg given Ie correct; and that I am the owner, or the duly author- Ired agent Of the owner. I agree to comply with City and elate law, regu• biting c0anlruction; and Ip doing the work aure thorlead thereby no Dat,on ATTENTION APPLICATION APPROVAL Will be emPioyed In Violation of the Labor Code of the Stale Of Washington THIS PERMIT relating to Workmen•, Compan.atton In,uraaw. wurtY This application Is not a permit until NPermit Limit One Year OTE:al.ted THEe °�Y T1°' signed b the Building Official or his De y g p" —`j (E=Capt DEMOLITIONS which shall be completed to ninety day,; MOVED•IN BUILDINGS ,hall be co WORK NOTED uty; and fees are paid, and receipt Is ac- In .t= mouths.) knowledged in space provided. BIGNATU (OWNER /0/ A T) ATE SIGNED INSPECTION 1 E O NAT RE Q�L1 ij� '7 DEPARTMENT CITY OF i NOTE: Applicant Subject t° Pfan Check Fre EDMONDS AT Title Permit coven work to be done oa private property ONLY. PR 4-1307 / Any construction on the nubile dOmaln (curb,, sidewalk., driveway., n�aruiier�, ate.) will rraulre .rpvrale permle.len. PILI' \C \ 2` . a ,� f <s. it 'S• .. -1 aaPf s ; z J r 0�1� CJf x { 4 A �I• f i^' • "a Ila _ _....Iq, . A Z Vcr.dcrei r , t i I� i J ti RECORD OF INSPECTIONS Date Passed Foundation Plumbing (Partial) (Rough) '. Frame ,Furnace & Fuel Lines- Final ines Final