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670230.pdf:j C. BUILDING DEPARTMENT PERMIT APPLICATION NAME (OR NAME OF BUSINESS) /, ��A F ,.214 AIAILING ADDRESS 13 c Y 3.�_ S- ADWREN & 0 x 3,P CITY /:_4D A4 0 ND-S SWATE LIOMNSM _X`U­M_dEr__ ;2�Z3 - 0 / - q E. &-s- Applicant F111 Inside Heavy Lines POSTED ON KROLL MAP NO.: PEPMT // 5� U/. I NUMBER 670230 JOB ADDRESS / /.4.35 —_ q— 050e— &ZZ SIDE YARD SETBACK /6 j . )q STREET SETBACK 25 REAR TARD SETBAC .1s, Arl i ta USE ZONE OR A I 2�, LOT AREK VAG err" [3 NO ; or — BPHONE NUMBER 3 6 -7-j- HEIGHT I 33UILDING AREA VARIANCE NUMBER C_ PLOT P OVED G ;8T4 A�Z: ,EPHONE NUMBER STREET RIW4. JT. DEMCIMCY?� PROPERTr COMP. PLAN AT R/W REMARKS /,0 -'.<140RA!r 270S,7eA17- (,cgs rxroe v /e C. 3 ess -0 -89 t ereo rec. in vol 12 of Plats Page Ree. of Snoh. Co. Wash. Excep the So. 1 50 Irt. tnereor, SUBJECT TO AND TOGETHERWITH an easement 'for ingress and egress and fqr utilies over iind upon tFact of land. 9 13 YES NEW RESIDENTIAL GAS LINE NON-RESIDENTIAL .1 ... RETAINING DEMOLISH WALL DALTER EXCAVATE E OR FILL wc Ft.) REPAIR PRE -MOVE ;W31­ INSP. POOL .4UMBER OF STORIES NUMBER Or DWELLING UNITS 11 t I —FR—OPOSIOD USIC BUILDING PLOT PLAN Indicate Building setbacKS. abutting streets) PLUMISING HEAT & GAS LINE PENCE SIGN RETAINING WALL Oa 3 Zat SWIMMING POOL DEMOLITION 0 PRE -MOVE INSPECTION EXCAVATION OR FILL TOTAL AMOUNT DUE I hereby acknowledge that I have read this application; that the in- 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 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 PERMT relating to Workmens Compensation Insurance. AUTHORIZES ONLY THE NOTE: Permit Limit One Your (Except DEMOLITIONS which WORK NOTED shall be completed in ninety days; MOVED -IN BUILDINGS shall be com- pleted In six months.) SIGNAPR5 (OWNER ON —AGENT) DATESIGNED INSPECTION erp DEPARTMENT CITY OF EDMONDS NOTWAPP Kcant Subject.to Plan Cbeck Fee PR 0-1107 This Permit covers work to be done an private Property ONLY. Any construction on the public domain (curbs, sidewalks. drIv&ways, in"Quees, etc.) will require separate permission. Valuation 13 YES Fee FIKAO.".00 9.3rTA APPLICATION APPROVAL This application is not a permit until signed by the Building Official or his Dep- uty; and fees are paid, and receipt is ac- knowledged in space provided. FILE 300 I 1 -0 - ,01 1 I I L p I bd dddd Or InIv, t L , . I I , I e .. I . . . , j L - , I, ; I I I I I 100, Ij If 4 d I I 1 4 I I d d d 0 p p , d p % 0 0 OL d I d- t ySO. 0, 1, p p p I , 4 d L .A 0'1, 1 d p 0 SO I d d L d %p p L Or 4 1 o L 0 oil Or 0 I L I k 0 0 1 LO f I . � S e . , , 1. 3 1 1 , , , 0 1 I d p 4 r —d I i ! I Ik L. L p k I k L d Ok SO 'r L L SO 0 0 p 1w Orr I t Or 0 r r L d r. r L W. 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Building Department Permit limit, one year is hereby made for a permit to construct the following work, in acoorda= with the accom- Two sew are submitted herewith for approval. .;iltpr Off'st. .......... .1� ......................................................................... Parking ............ .2'J Fire zone ............... ...... Const. type ................................ Use zone ... ...... . ............. ............. ... ....... "s, .& .......... Lot ........................ Blk ........................ Addn ................................... ................................................. ..e4O ....................... Area ........................................... Septic tank ......... side ........... 1. side... front .... .0.1f-5 ............... r. .............. rear ... .......... A 9 P".IZX Address ... t.�?KOR .... . Tel. No =alx.eje�' .15 ........ 5;; 7.74.!* ............. Address ............................ ....................... Tel. No ............................. ');n ........... ........................................... Tel. No ............................. ... Address ......... .......... .......................................... 771 M-P"".Le Rwar ........... ........................................................................................................................................................................ ................................................................. ............................................................................................. ............................... ................. ............................................................................ ............................................................................................... The above is a correct statement, and I agree to comply with all applicable Codes and State laws regulating this work. gigned Owner/Agent.A46 X25 �&& �..Address ............................. . . .. ..... PERMIT for the above work is hereby approved, subject to the above conditions pli with the ap- proved piano and specifications, and Building Department notations thereon. .... ...... Valuati. ............... Permit ...... Recd. b ... F... Building Department, .. . . .. ......... Date ............. ................ This Permit does not cover Plumbing, Sewer or Electrical inst4ilati APPLICATI(�:I & WORK PERMIT CITY OF EDMONDS Building Department Permit Limit, One Year —:1 it t,: t� APPLICATION is hereby made for a permit to construct the following work, in accordance with the accompanying plans an specifications: d ,Y, �WORX — New/Addn I ...... .. No. Stories ............ .'r ... .. .... .......................................................I Ground Area. ................................... 11; Plans SubmittAd ............................................... I .... ................................ Const. Type ........................................ Height ....................... IF IF re Zone .................... ZMATION — Address ..... ........... ................................... Use Zone.... Remarks Lot................... Block. .................... iiinWA .. A*ox`� . ..... ........................................... . ..................... Sewerage .................................... I. . ..... ............................. Width ... 126 ............ Min. Bldg. Setbacks, Front and Rea .... ...... Sides ..... 1.712.' PhoneO.O" 0.::99.6F:? ...... ..... ....... Address./. ........................ ................................................................................... Address ....................................................................... Phone ................................ ...................................................... Address ........................................................................ Phone ................................ ................................................................I Address ........................................................................ Phone ................................ 11.1 9 by ....................................................................................... Address ........................................................................ Phone ....................... . ....... ebyi ........................................................................................... Address .......... . ............................................................ Phone ................................ CL Remarks ap ... ma MR ... RT3 A-2. BARP on E. Ln Goyt Lot 4. 8%.& ... N ... ............. IF ....... ....... IF .. .. .... IF .. . .. I. .. IF IF ..... TPB th N ON SD E ... 7-10-3-1-t-W-9 ... T-H ... S-LY ... TO ... EST FENC LN PC 55566 ELY ALG SD FENCE..LN TAP 198.701 W of E LN GOVT LOT 4 T ... $ THJP .. ;k9.9.1.761 ..................... t ........... ...... ....................... .................................................... a . IF ...... ...................... OPB TR­F`.* ......................................................................................................................... ..................................... . ................................................................................. .................................................................................................................................................................................................................................................. ta Laws regulating the work. The above is a correct statement and I agree to comply with all applicable Codes and S te Signed: Owner/Agent ................................................................... Address ............................................................................ Date. PERMIT for the above work is hereby approved, subject to the above conditions, and to compliance with the approved plans and specifications and Building Department notations thereon. VAT.TTAqff0?J PERMT FEES ................................ APPROVED: Date....... ................................... BUILDING DEPARTMENT Bldg. $ ....... ...... ............... PIbg. . . . . * ........................................ Heat.... $ ........................................ Elect. ... I$ ........................................ Others... $ ........................................ TOTAL FEE $ ....... . ;2.1.6.�. ................. NOTES: No work requiring Build)eg Department or"City Engineer's Inspection shall be covered before Inspection and approval. Twenty-four (24) hour iotice requested. Contact the City Engineer prior to construction of all site utilities, such am curbs, paving, driveways, sewer, water and street connections. E