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740457.pdfr ZONE NUMBER -7 I ,4 `l-7 BUILDING DEPARTMENT AppllcantFlu PERMIT PERMIT APPLICATION linside Heavy Lines dos ADD REB ` 00'10 m MAILING ADDRESS CITY PPS NAME WADDRESS F CITY CWNE✓e). C 0 F y: 7 V vS'l REAR (:) YES 0 NO PERMIT NUMBER PLANNING DEPT. APPROVAL t) i'7 DATE: STREET R/W EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY COMP. PLAN ST. R/W ............FT. ............FT. REMARKS ` (CHECKED BY or A[tnCn tour COpiee) To 1�—Y 4 /vc TYPE CONNECTION VERIFIED BY �a s Ep'- �C_ -Twli�► �-'>w PERC. TEST I PERMIT NUMBER d. ♦ i • `� REMARKS -SEE- l \ A ED a o 1p tzom 4/W `ro 'u FIRE: E TYPE O CONSTRUCTION STREET IMPHOVED t ❑ YE NO 3 CINSPECTOR UIRED� OCCUPANCY .ROUP SIDENTIAL YESL ❑"A. � NEW INE CHECKS BY THIS SITE IS LOCATED IN THE CITY N -RESIDENTIAL SIGN — OF EDMONDS. LOCAL SALES TAX ❑ ADD RETAINING WALL REMA^RK^S� SHjO—U�L�D BE CODED 31.04 DEMOLISH FENCE �QI''' �LM TD �f%C tJU �CI-'\OL`SP♦ q Vis `-�1�• r ❑ ALTER EXCAVATE OR FILL EJ(......zFt.) .......... SWINT REPAIR ❑ N PE[OVE ElPOOL • NUMBER OF STORIES NUMBER OF Sq I • :' DWELLING � \ ©NG I �' UNITS N ,V /LLR.. '� O'��j •• /� L(/C, � NA OF WORK TO BE DONE —' Lk i'{ L�� S 1 Valuation Per Rcccipt No. ' `o flan Cherk N .�. N PROPOSE T USE BUILDING IV PLUMBING aPLOT PLAN (Indicate Building setbacks, abutting atreete) HEAT k GAS LINE FENCE I / [� f`y / 1 d / W : `r' i SIGN _ RETAINING WALL I SWIMMING POOL DEMOLITION y�— a r UV PRE -MOVE INSPECTION EXCAVATION OR FILL ' c�, O TOTAL A51OUNT DUE I hereby acknowledge that 1 have read this Application; that the In. formation given Is correct; and that I am the owner, or the duly author. Ized agent of the owner. I agree to comply with city and elate laws regu• ATTENTION APPLICATION APPROVAL lating construction; and In doing the work authorized thereby, no person willbe emPloyed In violation of the Labor Code of the State of Washington THIS PERMIT This application is not a permit until relating to Workmen's Comb AUTHORIZES signed by the Building Official or his D ep- UNLY THE WORK NOTED uty; and fees aro paid, and receipt Is ac- e n e cam- kno ledged in apace provided. HIOIjATUR YO AGENT) DATE IGN D INSPECTION D IRE TOR'S I NAT E i� EPARTT MEN - CITY OF � EDDiONDB DATt E NOTE: Applicant Subject to Plan Check Fee 775-2525 / This I'rrmlt n,ren work to be done on Private property ONLY. Any construction on the public dnmaln (curbs, eldewMke, driveways, FILE margo, , rtr.t n'lll ren nl re nrlmrale I'rrndeelnn. Ie�