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740076.pdf4_ BUILDING DEPARTMENT Applicant FillZONE USE PERMIT NUMBER 740076 4--- PERMIT APPLICATION I Inside xeay Lines Aqu DDRESS NAME (OR NAME OF BUSINESS) C ♦/ /t FERMItl818LE ACTUAL /"V, /7 IAT COVERAGE LOT COVERAGE AILING ADDRESS PERMISSIBLE HEIGHT PROPOSED 1lEIOH'r O yU' Ge /L1 &"F/PRy td ADDRESS CITY U STATE LICENSE NUMBER aaq -0 / - t \,) Vr7 REAR YES 0 NO PERMIT NUMBER PLANNING DEPT. APPROVAL DATE: STREET R/W EXISTING STREET It/W ............FT. DEFICIENCY THIS PROPERTY COMP. PLAN ST. R/W ............FT. ............FT. REMARKS OF YES [3 NO I hereby acknowledge that I have road this application; that the In - RESIDENTIAL ©R OAeNE ❑ YES 0 NO formation given Is correct; and that I am the owner, or the duly author. APPLICATION APPROVAL El NEW will be employed In violation of the Labor Code of the .tate of Washington relatin. to Workmen's Compensation Insurance. NOTE: Permit Limit One Year (Except DEMOLITIONS which .hall be completed In ninety days; MOVED -IN BUILDINGS shall be com. pleted In six months.) LI PLAN CHECKED BY THIS SITE IS LOCATED IN THE CITY DIRECTOR'S SIGNATURE - DEPARTMENT NON-RESIDENTIAL 0 BION TAX OHOUDODED EDhIONDB NOTE: Applicant Subjec t Plan Check Fee ADD RETAINING WALL REMARKS D BE C1 D45ALE5 3 This Permit coven work to be done an private property ONLY. DEMOLISH E FILE Any construction o. the public domain (carbs, sidewalks, driveways, marquees, etc.) will require separate parmlulon. ❑ r� ( x .......... Ft.) [:]LJORCFILL I. XPAIR PRE -MOVE SWIM REPAIR U INSP. POOL NUMBER OF STORIES NUMBER OF // 0,t� DWELLING 0,A G k- , • UNITS NATURE OF WORK TO BE DONE Valuation Fee Rccelpl Nn. tion check No.. ................... r I y. I H �� W PROPOSED USE BUILDING D 6 PLUMBING �^ V PLOT PLAN (Indicate Building setbacks, abutting streets) HEAT A GAS LINE S 7 FENCE SIGN RETAINING WALL _ N I SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL I hereby acknowledge that I have road this application; that the In - TOTAL AMOUNT DUE formation given Is correct; and that I am the owner, or the duly author. APPLICATION APPROVAL ,zedagent of the owner. I agree to comply with city and state Tawe regu- ATTENTION Inti.. canstruetlon; and 1. doing the work authorised thereby, no person will be employed In violation of the Labor Code of the .tate of Washington relatin. to Workmen's Compensation Insurance. NOTE: Permit Limit One Year (Except DEMOLITIONS which .hall be completed In ninety days; MOVED -IN BUILDINGS shall be com. pleted In six months.) THIS PERMIT AUTHORIZES ONLY THE WORK NOTED 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. IIGNATAI RE (OWNER OR AGE T) SIGNED INSPECTION DIRECTOR'S SIGNATURE - DEPARTMENT LATE CITY OF DATE77" EDhIONDB NOTE: Applicant Subjec t Plan Check Fee PH 0-1107 — a This Permit coven work to be done an private property ONLY. FILE Any construction o. the public domain (carbs, sidewalks, driveways, marquees, etc.) will require separate parmlulon. ZUSE ONE PERMIT" UHI ER IJ 11r ! BUILDING DEPARTMENT Applicant Flli ,Y LI '.J �....... Inside Heavy Lines ao PERMIT APPLICATION ADDRESS , /1 /, is , }� NAME (OR NAME OF BUSINESS) PERMISSIBLE ♦� � �- ,�. �' J,—KCTUAr %- /1 1.1 LOT COVERAGE/e LOT CGQE .E : 11. F 04 U ADDRESS !_ 01 CIT _ 'Z � 8 STATE LICENSE NUMBER PERMISSIBLE HEIGHT PI{OPOSED HEIGHT 0 EXCAVATE ❑ FENCE x ALTER ❑ ORFILLFt.) ACTUAL LOT AREA TOTAL BLDG. AREA I .......... REPAIR ❑ PRE -MOVE 0 SWIM INSP. POOL 4 NUMBER OF STORIES NUMBER OF I / % REQUIRED YARDS PROPOSED YARDS /,+ I DWELLING v/t L/' FRONT SIDE REAR FRONT BIDE REAR UNITS NATURE OF WORK To BEDONE r 1f"/ iii: Jv 71 ./_r e^�� A Fee Receipt No. e Check Nq..................... LEGAL LOT VARIANCE OR CONDITIONAL USE 0 YES 0 NO PERMIT NUMBER svmDlNa -f PLUMBING PLANNING DEPT. APPROVAL DATE: _ STREET R/W PLOT PLAN (Indicate Building setbacks, abutting streets) HEAT A GAS LINE EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY : �s FENCE COMP. PLAN ST. R/W ............FT. ............FT.� SIGN REMARKS �. WALL CHECKED BY N ISWIMMING POOL METER SIZE SERVICE S1ZE CLEARANCE CHECKED BY I I I I - EXCAVATION OR FILL y F -1 REMARKS g ' TOTAL AMOUNT DUE 1 I hereby acknowledge that I have read this application; that the In- TYPE CONNEC�Tl1O VERIFIED BY formation given le correct; and that I am the owner, or the duly author- lzed agent of the owner. I agree to comply with city and elate law. res"- ATTENTION 7 PERC. -I• f )MI -PjU\fRER y. Will be 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 Compensation Insurance. AUTHORIZES 5 NOTE: Permit Limit One Year (Except DEMOLITIONS which ONLY THE WORK NOTED REMARKS � .I` knowledged in apace provided. pleted In six months.) S1GNATURE (OWNER OR AGENT) DATE SIGNED FIRE ZONE TYPE OF CONSTRUCTION S I VED DIRE R'8 S1aNATURIJ�--/y/) YES [I NO DEPARTMENT 1 / / (• //�,���_�" ._," •-� ,•f :. :� 'i SPECIAL INSPECTOR REQUIRED 11 OCCUPANCY GROUP CITY OF EDIIONDS GAT ❑ YES ❑ NO i �JRESIDENTIAL LINE PLAN CHECKED BY THIS SITE IS LOCATED IN THE CITY NEW ElNON-RESIDENTIAL slGx SH EDMONDS. LOCAL SALES TAX / ADD RETAINING REMARKS SHOULD BE CODED 31.04. I i DEMOLISH WAIT' EXCAVATE ❑ FENCE x ALTER ❑ ORFILLFt.) .......... REPAIR ❑ PRE -MOVE 0 SWIM INSP. POOL NUMBER OF STORIES NUMBER OF I / % /,+ I DWELLING v/t L/' UNITS NATURE OF WORK To BEDONE r 1f"/ iii: Jv 71 ./_r e^�� Valuation Fee Receipt No. /Plan Check Nq..................... svmDlNa PROPOSED, OSCE ` _ %F/ r_.h' r PLUMBING _ PLOT PLAN (Indicate Building setbacks, abutting streets) HEAT A GAS LINE \ FENCE SIGN tRETAINING WALL N ISWIMMING POOL DEMOLITION PRE -MOVE INSPECTION I - EXCAVATION OR FILL -1 TOTAL AMOUNT DUE 1 I hereby acknowledge that I have read this application; that the In- formation given le correct; and that I am the owner, or the duly author- lzed agent of the owner. I agree to comply with city and elate law. res"- ATTENTION APPLICATION APPROVAL Iating 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 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 DEMOLITIONS which ONLY THE WORK NOTED uty; and fees are paid, and receipt is ac- shMI be, completed In mnely days; MOVED -IN BUILDINGS shall be com. knowledged in apace provided. pleted In six months.) S1GNATURE (OWNER OR AGENT) DATE SIGNED INSPECTION DIRE R'8 S1aNATURIJ�--/y/) DEPARTMENT 1 / / (• //�,���_�" ._," •-� ,•f :. :� 'i CITY OF EDIIONDS DATE NOTE: Applicant Subject to Plan Cheek Fee I•n s-uoq This Pe—It 1o1era Work to be done on prlyun property ONLY. Any eonelruction on Ilia public domain (curbs, s:da.elke, driveways, n"vqu—, ete.) will require separate permission. INSPECTOR