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740069.pdfa I i I ZOO nn! NvnlneR 7��1'O y ! 1 BUILDING DEPARTMENT Apppta ret Fitt % PERMIT APPLICATIOPI Ins1dB xea y LiD°°G -i ADDRE88 19724 - 80th Place West NAME LOB NAME OF BUSINEOG) Roger Mi I ler PERMISSIBLE u LOT COVERAGE ACTUAL LOT COVAAGE MA3LIN0 AD BB PERMISSIBLE HEIGHT PROPOSED HEIGHT C 19724-80th Place West s O CITY N ER ACTUAL LOT AREA TOTAL BLDG. AREA Edmonds, Wn. 776-6652 IIEQU[RED YARDS PROPOSFLD YARDS NAME FRONT SIDE REAR FRONT BIDE REAR - p LEGAL LOT VARIANCE Olt CONDITIONAL USE NUMBER ADDRESS E3 YES 0 NO PERMIT .yNp y PLANNING DEPT. APPROVAL DATE: 1 at CITY -, TELEPHONE NUMBER 1, STREET R/W EXISTING STREET R/W_ .......... Fr. DEFICIENCY THIS PROPERTY O NAME COMP. PLAN 8T. R/W ............Fr. ....... ..... F'r, ' REMARKS ADDIIESS BY O x N CITY TELMFIIUNE NUMBER (CHECKED F Z 8METER I SIZE SERVICE SIZE CLEARANCE CHECKED BY STATE LICENSE NUMBER I CITY LICENSE NUMBER I I N REMARKS Legal Description of Properly (Show Below or Attach Four Caples) g ' I Lot #2-Maplewood Grove No. 2 TYPE CONNECTION VERIFIED BY j o I � [^�+ PERC. TEST PERMIT NUMBER C I 0 G REMARKS J i li FIRE ZONE TYPE OF CONSTRUCTION STREET IMPROVED 0YES E3 NO i SPECIAL INSPECTOR REQUIRED GROUP El NEW ❑❑ GAS RESIDENTIAL LINE ❑ YES ❑ NO (OCCUPANCY PLAN CHECKED DY THIS SITE IS LOCATED IN THE CITY CAL SALES TAX NON-RESIDENTIAL ❑ BION ADD ❑RETAIMNG WALL'. S0'1.. SHOULD BE CODEDLO31.04. REMARKS DEMOLISH E] ALTER❑ ORCFII.Ap.TE ElFENCS..........Ft.) REPAIR ❑ PRE-NSP. O BWIL NUMBER OF STORIES NUMBER OF DWELLING I UNITS ' NATURE OF WORK TO BE DONE Valuation Fee Receipt Nom rompl ianee Inspection Plan Check No..................... BUILDING [[[O PROPOSED USE , PLUMBING PLOT PLAN (Indicate Building Setbacks, abutting Araets) HEAT 3 GAS LINE FENCE jI 1 °ION tRETAINING WALL SWIMMING POOL DEMOLITION ' PRE-MOVE INSPECTION EXCAVATION OR FILL 25.00 TOTAL AMOUNT DUE I 7663 I hereby acknowledge that I have read this application; that the in- 25.00 formation given Is correct; and that I am the owner, or the duty author. iced agent of the owaar. I agree to comply With city and state taws regu- ATTENTION APPLICATION APPROVAL lating canetMetien; and in doing the work authorized thereby, to person Will be employed In violation of the Labor Code of the State of Washington TIDE PERMIT This application is not a permit until relating to Workman's Compensation Insurance. AUTHORIZES signed by the Building Official or his Dep- NOTE: Permit Limit One Year (EaCept DEMOLITIONS Which ONLY THE uty; and fees are paid, and receipt is ad shall be completed In Nnaly days; MOVEDAN BUILDINGS shall be corn. WORK NOTED llnowledged in space provided. plated In sig months.) SIGNATURE (OWNER OR AGENT) DATE SIGNED INSPECTION DEPARTMENT D1R OR'8 GNATU /J '!L.% Evergreen Mortgage 2-25-74 ='�tt•:�, .CJI ?�f.,, CITY OF NOTE: Applicant Subject to Flan Check Fee PH g-1107 This Permit coven work to be done an private property ONLY. Any construction an the public domain (curbs, sidewalks, drlvewris, FILE ..Mo... etc,) will require separate permisslon. , 7400 BUILDING DEPARTMENT ApPUO=t Fill DIN PERMIT ZONE NUMBER PERMIT APPLICATION Inside IIa&Vy Linea GB 19724 - 30th Place west ADDRESS PERMISSIBLE NAME (OR NAME Os' BUSINESS) ACTUAL Royor 141 1 1 Cr LOT COVERAGES LOT C VELOE MAII.I G ADDRESS PERMISSIBLE HEIGHT PROPOSED HEIGHT 1 9 124-80 1'h P 1 ace Wr It p CITY ' P ER ACTUAL LOT AREA TOTAL BLDG. AREA Edmonds, NI7. I 776-6552 n �,,,nEn vAlaee PROPOSED YARDS al ADDRESS —NUMB LEGAL LOT VARIANCE OR CONDITIONAL USE [3 YES 0 NO PERMIT NUMBER DEPT. APPROVAL DATE: CITY -PLANNING __ffL_ff?_ff0NE PLUMBING NEW � NON•REBIDENTIAL STREET R/W EXISTING STREET R/W ............FT. DEFICIENCY TfSIB PROPERTY NAMEFT. JI xt Ij�/ COTIP. PLAN ST. R/W ............FT. •••••••..... p FENCE REMARKS w ADDRESS ❑ DEMOLISH ❑ WALL CHECKED HY CITY NUMBER DEMOLITION F p - T^ •-^^-•^- -•-•-,^m G/ _ a (TELEPHONE ..,vnF. NIIMHER ' 'T r*nE _ METER ' ISERVICE t3IZE I CLEARANCE I CHECKED BY i-1 I Lot N,2 -Maplewood Grove No. 2 1 YES [3 NO ' Plun Check No...._ ............... BUILDING ((O�� PROPOSED USE El PLUMBING NEW � NON•REBIDENTIAL � BION JI xt Ij�/ ADD p FENCE KING SIGN ❑ DEMOLISH ❑ WALL ALTER ❑ EXCAVATE ❑ FENC...........Ft.) DEMOLITION REPAIR ❑ NSP. ❑ 0OOL IUMBER OF STORIES NUMBER OF Corm. Insp. DWELLING I hereby acknowledge that I have read this application; that the In- formaUon given Is correct; and that I am the owner, or the duly author- UNITS ised agent of the owner. I agree to comply with city and state laws ngu- ATTENTION LATURE OF WORK TO BE DONE Will be employed In of the Labor Code of the Slate of Washington THIS PERMIT Compliance Inspection AUTHORIZES NOTE: Permit Limit One Year (Except DEMOLITIONS which YES [3 NO ' Plun Check No...._ ............... BUILDING ((O�� PROPOSED USE PLUMBING ^p PLOT PLAN (Indicate Building sett>¢�ke,�a t t ta) (V� HEAT A GAB LINE JI xt Ij�/ p FENCE SIGN RETAIN.-- WALL N I SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL Corm. Insp. TOTAL AMOUNT DUE I hereby acknowledge that I have read this application; that the In- formaUon given Is correct; and that I am the owner, or the duly author- ised agent of the owner. I agree to comply with city and state laws ngu- ATTENTION ,attar construction; and in doing the work authorized thereby, no person and Will be employed In of the Labor Code of the Slate of Washington THIS PERMIT rstatlag to Workmen's Compensation IasuranN. AUTHORIZES NOTE: Permit Limit One Year (Except DEMOLITIONS which ONLY THE WORK NOTED .hall be completed In amety days; MOVED -IN BUILDINGS shall be com- pleted In six months.) SIGNATURE (OWNER OR AGENT) DATE SIGNED INSPECTION UV()r�l r!'t.'.Il ';nr•1•a:�ge i-.I:I-%� DEPARTMENT CITY OF EDMONDS NOTE: Applicant Subject to Plan Check Fee FR 9.1101 Title Permit coven work to be done on private property ONLY. Any construction on the public domala (earbs, sidewalks, driveways, marquees, etc.) wW require sepstale parmisslen. 0 YES ❑ NO (OCCUPANCY GROUP THIS SITE IS LOCATED IN THE CITY OF EDMONDS. LOCAL SALES TAX SHOULD BE CODED 31.04. it I 1 Valuation Fce i Receipt No. 25.00 25.00 17663 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. D OR-BATU �'t DATE — I INSPECTOR JY f � w is j.•, 17 _ t r ,3 i _ , h ` t , • '4 t � RECORD OF INSPECTIONS tl Date Passed Foundation Plumbing (Partial) - (Rough) Frame -- Furnace & Fuel Lines Final x �7 JY f