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750010.pdf�I TOTAL AMOUNT DILEU� I hereby acknowledge that I have read this application; that the In- d Tz/ 1 �f Izea agent of the owner. I agree to comply with city sad elate laws regu. ATTENTION APPLICATION APPROVAL BUILDING DEPARTMENT USE /t n PERMIT [- I o ZOO NUMBER IJUI�) will be employed In violation of the Labor Code of the Slate of Washington ApplicantFlll This application is not a permit until relating to Workmen's Compensation Insurance. AUTHORIZES signed by the Building Official or his Dep - PERMIT APPLICATION Inafde Heavy Lines A DDRE88 ONLY THE WORK NOTED uty; and tees are paid, and receipt 18 ac - shall be completed In Nnety days; MOVED -IN BUILDINGS shall be wm- NAME /OR NAME OF BUSINESS) ! plcicd In six months.) `. RUNATUItE IOWNER OR AGENT) DATE SIGNED �Ct' PEItAl1tl81BLE ro q ACTUAL LOT COVERAGE � _ )� LOT COVE AOE © /� L �\ � Y DEPARTMENT J N MAAI N ADDRESS - f1ORT pEILAt168fBLE }i P.lUI PROPOSEDLl /pi ATE 1 NOTE: Applicant Subject to Plan Check Fee EDDIONDS TOTAL 775-2525 / n private ONLY. This, i'crmlt c or 1. be don properly TY T(E/LEPHONE NU7M�B'H.,Nyl CEA ACTUAL �OT� [) 'F Y GF Any construct,.. on the public domain (curbs, sidewalks, driveways, FILE n—ties, etc.i will require separate permlaelun. / LE —J% t7 -/' R..1U.RF.° YARDS PROPOS.. YARUB f3, FRUN'e BIDE HEAR FRONT SIDE REAR j NAME S, -1'}1L� �� &, � VARIANCL LEGAI. I.fYf CONDITIONAL UBE ! ' i N ADDRESS JA YES ®NO PERMIT NUMBER ! i y PLANNING DEPT. PY t AL D E• {G CITY TELEPHONE NUMBER STREET R/tV �t� EXISTING sVREET Ft/k ii.T. DEFICIENCY THIS PROPERTY O NAME . �. COMP. PLAN eT. R/♦ •-'+d F w 1a REMARKS Driveway slopes not to exceed those03 ADDRESS indicated on Standard Dwg. No. 103 w I! U CHECKEtD BY 1 c CITY I TELEPHONE NUMBER N T A(ETTLE SERV1117,11I CLEARANCE C ED BY O STATE LICENSE NUMBER CITY LICENSE NUMB �/ I l REMAI S Leen, Descr pilon oI Pr.parly lBhow Below or Attach Four Copies) / ^ `yam G '. Aa • /N T PE CONNECTION VERIFIED BY o „ �t/I1 , PEItC. TEST P•R I NUMBER a: n REASARICS /9y-•-3 FIRE ZONE TYPE OF CONSTRlON BT IMPROVED O I SPECIAL I—NSPECTOR REQUIRED OCCUPANCY GROUPED' : YES ,,��--// J / RE8l.ENTIAL El OAS LINE ❑ y� PLAN CHECKE B THIS / SITE 15 LOCATED IN THE CITY j NEW NON-RESIDENTIAL ❑ SIGN n_� OF EDMONDS. LOCAL SALES TAX �WK 0 ADD RETAINING / 1/ SHOULD 9E CODED it .L -C R\E^j),��A� ltsl I ❑ DEMOLISH ❑FENCE �j r ��L �^/. �! �y •, \I •?'- / i //�� �'O�ff/N �C //lI' / L ALTER F]ORCFILL TE D (........................) PRE -MOVE El swim REPAIR ❑ INSP. POOL y J f �r V/ -I ei' �� /_J r✓e/'J NUMBER OF STORIESI NUMBER OF DWELLING 22— UNITS ,` /o 17 d, NATURE OF WORK TO BE DONE Valuation Fee Receipt No, Plan Cheek No ..................... BUILDING .2 '/'F .A I/ [7 Y PROPOSED USE GO PLUMBING HEAT A GAB LINE � PLOT PLAN (IndlC¢to Bulltlin6 tbacks, abutting streets) 5 � FENCE I SIGN { tRETAINING WALL BWIMMIN6 POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL TOTAL AMOUNT DILEU� I hereby acknowledge that I have read this application; that the In- Tz/ formation given le correct; and that I am thea or the duly author- Izea agent of the owner. I agree to comply with city sad elate laws regu. ATTENTION APPLICATION APPROVAL lating construction; and In data. Wa work anthereby, no parson will be employed In violation of the Labor Code of the Slate of Washington THIS PERMIT This application is not a permit until relating to Workmen's Compensation Insurance. AUTHORIZES signed by the Building Official or his Dep - NOTE: Permit Limit One Year (Except DE31OLITIONS which ONLY THE WORK NOTED uty; and tees are paid, and receipt 18 ac - shall be completed In Nnety days; MOVED -IN BUILDINGS shall be wm- knowledged in Space provided. ! plcicd In six months.) `. RUNATUItE IOWNER OR AGENT) DATE SIGNED INSPECTION 1RE O 'S NA RE DEPARTMENT I' CITY OF ATE 1 NOTE: Applicant Subject to Plan Check Fee EDDIONDS 775-2525 / n private ONLY. This, i'crmlt c or 1. be don properly Any construct,.. on the public domain (curbs, sidewalks, driveways, FILE n—ties, etc.i will require separate permlaelun. -- c STATE LICENSE NUMBER a. R CITY LICENSE NUMBEas REMARKS t r Legal Description f Property (Show Below or Attach Four Copies) DWELLING T. `1�� ��/-`tI� C,�.% // TYPE CO NECTION VERIFIED BY a\t l m Valuation Fee Receipt No. r I I Pian Check No ..................... 17 Z j R Kms../ b V LF j m .. W PROPOSED USE / PLUMBING L O /973 .Bi FIRE ZONE TYPE OF CONSTRUCTION STREET IMPROVEDI ` BUILDING DEPARTMENT Applicant Fan USE PERMIT ZONE i NuntsER f 1, FENCE -�-' PERMIT APPLICATION Insldo heavy Linea I !` ADDRESS RETAINING WALL N NAME (OR NAME OF BUSINESS) - SWIMMING POOL Q o i ; - PRE -MOVE INSPECTION PERMISSIBLE ACTUA/ LOT COVERAGEc L LOT COVERAGE TOTAL AMOUNT DUE � I t hereby acknowledge that I have read this application; that the In- [ormntlgn given Is correct; and that I am the owner, or the duly author- ized agent of the owner. I agree to comply With city end state laws regu- ATTENTION APPLICATION APPROVAL MAILING ADDRESS ' PERb11SSIHLE HEIGHT PROPOSED HEIGHT 1 I This application is not a permit until relating to Workmen'. Compensation Insurance. AUTHORIZES 7 NOTE: Permit Limit One Year (Except DEMOLITIONS Which ONLYTH WORK NOTiEW uty, and fees are paid, and receipt is ac - shall be completed In ninety days; MOVEDAN BUILDINOS shall be corn- knowledged in space provided. O (ISTY T LEPH N MBEft ACTUAL LOT AREA TOTAL BLDG. AREA �} ,L 3 DIRECTOR'S SIGNATURE DEPARTMENT y✓jf' _ J_ ; — �� R ) Gn — 4- REQUIRED YARUS ROPOBED YA RUe a 1 DATE , NAME FRONT SIDE REAR FRONT BIDE REAR LEGAL LOT VARIAN Tf CONDINAL ' WW ADIIRE118 M [)j YES [3NO PERMIT NUMBER t i 9 PLANNING DEPT. APPRO AL DATE: �G CITY TELEPHONE NUMBER / %A74- - _ C STREETn/\V EXISTING BTREET R/W, .al'. DEFICIENCY THIS PROPERTY V � NAME ,^,. COMP. PLAN BT. R/LVr ';. •-•(7••FT• W 1 REMARKS DI•.i.veii y slopes not to exceed those ti o j 04 ADDRESS indicated on Standard Dwfv. Ida. 1011 w e TELEPHONE NUMBER CFIECKED BY C 7 CITY rtl MtIZ V E . 8ERI ntE1�LR SIZE CIT• 81 CLEARANCE ORE ¢I ED BY f STATE LICENSE NUMBER a. R CITY LICENSE NUMBEas REMARKS t r Legal Description f Property (Show Below or Attach Four Copies) DWELLING `1�� ��/-`tI� C,�.% // TYPE CO NECTION VERIFIED BY a\t l m Valuation Fee Receipt No. r I I Pian Check No ..................... j Z j R Kms../ b V LF j m .. W PROPOSED USE / PLUMBING L O /973 .Bi FIRE ZONE TYPE OF CONSTRUCTION STREET IMPROVEDI HEAT & GAS LINE I GA8 RESIDENTIAL ❑ LINE F/ --]--.EW NON-RESIDENTIAL SIGN F ADD - ❑ RETAINING DEESOLIBH WALL ALTER E]EXCAVATEFENCE OR FILL (.....................Ft.) REPAIR PRE -MOVE El INSP. Ej SWIM POOL SPECIAL INSPECTOR REQUIRED I OCCUPANCY GROUP ❑ YE ❑ IQO /// PLAN CHECKED 3T _ THIS SITE If LOCATED IN THE CITY - (, .• !1 OF EDMONDS. LOCAL SALES TAX :1 <<'.r, .� .� ' , HOULD BE CODED 31.04. REM R 9 /I �rr ' ..t'. Issas.. I `-t (,'j5 (� /t/ 1 ..J /1 /.<.lI .7 / / C//•f .Si+L" j ;I NUMBER OF STORIES NUMBER OF DWELLING %i UNITS NATURE OF WORK TO BE DONE Valuation Fee Receipt No. Pian Check No ..................... j Z j FBUILDING W PROPOSED USE / PLUMBING L O a , Ttbor8e) ph ;ng street.) PLO) AN (lndlcnto Huligin'15 J JJ JJ ` HEAT & GAS LINE - FENCE SIGN RETAINING WALL N SWIMMING POOL DEMOLITION ; - PRE -MOVE INSPECTION EXCAVATION OR FILL TOTAL AMOUNT DUE � I t hereby acknowledge that I have read this application; that the In- [ormntlgn given Is correct; and that I am the owner, or the duly author- ized agent of the owner. I agree to comply With city end state laws regu- ATTENTION APPLICATION APPROVAL lating con.tructlonI and In doing the work authorized thereby, no person Will be employed In violation of the Labor Code of the State of Waahinglon THIS PERMIT This application is not a permit until relating to Workmen'. Compensation Insurance. AUTHORIZES Signed by the Building Official or his Dep- NOTE: Permit Limit One Year (Except DEMOLITIONS Which ONLYTH WORK NOTiEW uty, and fees are paid, and receipt is ac - shall be completed In ninety days; MOVEDAN BUILDINOS shall be corn- knowledged in space provided. pleted In six months.) _ SIGNATURE (OWNER Olt AGENT) DATE SIGNED INSPECTION DIRECTOR'S SIGNATURE DEPARTMENT ;•,r /� .' - CITY OF a �> EDMONDS DATE , NOTE: Appfi"nt Subject to Plan Check Fee i Thi. ktm775-2525 lt rurrre Work lu be done On private Droperly ONLY. ' Any c­11.1t Iq 11.etlon on the imbde domoin (curb., sidewalks, driy "., INSPECTOR ' marquees, etc.) will require separate permission. j