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740082.pdfaUj ADDRESS NpU,CITYTELEPHONE NUMBER Id ADDRESS F CITY TELEPHONE NUMHER z �o�-r-ctite�v lf/a�r% 177- 3 y,� 8- 8 STATE LICENSE N MHERCIT CENSE NUMBI 70k7 I 16 Legal Description of Property (Show Below or Attach Four Copies) %o ! 5 C,11,0 -/3-vo .467-3 W I 74UUd2 e - RESIDENTIAL NON-RESIDENTIAL [:]LINE OAS eiax ❑ YES NO I . LEGAL LOT VARIANCE OR CONDITIONAL USF, i ,GE BUILDING DEPARTMENT AppllcantFW USE ZONE NUMBER EIGHT PERMIT APPLICATION uwda Heavy Lines o ADDRFi BB 0 i 1�+ 1 NAME l NAME OF HUSINEBW COMP. N ST. R/W ............Fr. ............FT. CLJJ REMARKS (..........x_........Fl.) PERMISSIBLE 7e LOT COVERAOSI 1 W i m MIULING ADDRESS /�� ^ � �'x` �• PERMISSIBLE HEIGHT P CHECKED BY O C1 ONM ACTVAL LOT AREA T I7/V 7e 7e4 REQUIRED YAli08 TYPE CONNECTION VERIFIED BY aUj ADDRESS NpU,CITYTELEPHONE NUMBER Id ADDRESS F CITY TELEPHONE NUMHER z �o�-r-ctite�v lf/a�r% 177- 3 y,� 8- 8 STATE LICENSE N MHERCIT CENSE NUMBI 70k7 I 16 Legal Description of Property (Show Below or Attach Four Copies) %o ! 5 C,11,0 -/3-vo .467-3 W I 74UUd2 e - FRONT BIDE REAR FRONT 37UE REAR RESIDENTIAL NON-RESIDENTIAL [:]LINE OAS eiax ❑ YES NO I . LEGAL LOT VARIANCE OR CONDITIONAL USF, i ,GE ❑ YEB (] NO PERMIT NUMBER DEMOLISH EXCAVATE f EIGHT t7 STREET R/W 0 i 1�+ 1 AREA COMP. N ST. R/W ............Fr. ............FT. 14 REMARKS (..........x_........Fl.) O z FRONT BIDE REAR FRONT 37UE REAR RESIDENTIAL NON-RESIDENTIAL [:]LINE OAS eiax ❑ YES NO I . LEGAL LOT VARIANCE OR CONDITIONAL USF, PLAN CHECKED BY ADD ALTER ❑ YEB (] NO PERMIT NUMBER DEMOLISH EXCAVATE PLANNING DEPT. APPROVAL DATE: t7 STREET R/W Ellliilllo, STREET R/W ............FT. DEFICIENCY THIS PROPERTY Receipt COMP. N ST. R/W ............Fr. ............FT. 14 REMARKS (..........x_........Fl.) O z W i BY ME SIZE SERVICE 8IZE CLEARANCE CHECKED BY /t]7 tv I I I C REMA 3 I TYPE CONNECTION VERIFIED BY PERC. TEST PERMIT NU. I W REMARKS � FIRE ZONE TYPE O=TI� CT�ON BTREE IDIPROVED ` ✓/ Es 0 NO HEAT d: GAS LINE SPECIAL INSPECTO�UIRED OCCUPANCY GROUP M I r-1NEWTHIS RESIDENTIAL NON-RESIDENTIAL [:]LINE OAS eiax ❑ YES NO / SITE IS LOCATED IN THE CITY OF EDMONDS. LOCAL SALES TAX � PLAN CHECKED BY ADD ALTER ❑❑ DEMOLISH EXCAVATE WALL FENCE R ARK �/'///fit / '/ G/ Receipt No. ❑ OR FILL (..........x_........Fl.) ---.. Plan Check No ..................... REPAIR ❑ N PDIOVE SWIM POOL u_ - GJL- a ' NUMBER OF STORIES NUMBER OF I DWELLING (/ UNITS (/ NATURE -Or -WORK TO BE DONE Valuation Fee Receipt No. / ---.. Plan Check No ..................... N �G �•t�7r%� ./�O-u-.a��, [c�0.jr BUILDING /t]7 tv PROPOSED USE PLUMBING G aPLOT PLAN (Indieate Building setbacks, abutting streets) HEAT d: GAS LINE M O FENCE r SIGN RETAINING WALL SWIMMING POOL W DEMOLITION PRE -MOVE INSPECTION ` EXCAVATION OR FILL AY TOTAL AMOUNT DUE t^pU I hereby acknowledge that I have read this application; that the In- formation given Is correct; and that I am, the owner, or the duty author. held agent of the owner. I nares to comply with city and state laws .gu- ATTENTION APPLICATION APPROVAL letln6 construction; and In doing the work authorized thereby, no person will be employed In violation of the Labor Code of the State of Washington THUS PERMIT This application is not a permit until relating to Workmen's Compensstlon Insu.na. AUTHORIZEB elgned 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 - .halt be completed In ninety days; MOVEDALN BUILDINGS shall be card- kno ged in space provided. pleted In six months.) 81GNATURE (OWOR AGENT) E SIGNED INSPECTION D EC DR'S BIG U - t/1J✓lr/l t/Y � DEPARTMENT CITY OF EDI1iOND8 'DATE NOTE: Applicant Subject to Plan Check Fee PR 6.1107 of _ This Permit core. work to be done ma prlvste property ONLY. Any construction au the public domain (curbs, sldewallu, driveways, ' FILE marquee., etc.) will require separate permission. - - t USE PERMIT '140OK2-: BUILDING DEPARTMENT ApplicI ZONE NUMBER t PERMIT APPLICATION Inside HADDREBB NA t �OIt NAMEpF BU i E ) ! i PERMISSIBLE ^ ACTUALS LOT COVERAGEa �„ , LOT COVIAAGE M N AAADDDDRESS 1 [,IC S y -PERMISSIBLE HEIGHT PROPOSED IiEIOH1' O Cl / o ACTUAL LOT AREA TOTAL BLDG. AREA - pADDRESS y 4:' CITY I T L NE NU .1 .. / ctyL.(n,�C�..✓✓�i1 r -NES, 5 M�HI ., . o� t� !'r1 c v r' V ��AT I¢CEfi�P �UMBF�t G I / I CITY I�JOENSE NUM X Legal Description or Property (Show Below or Attach Four Copies PROP. ED USE '7y V C00 �E;.G.C"LCL'+W'Gi. -t '- 1=�i.`•«I'"} /' ck(Sr V aPLOT it -HEAT& GAS -LINE_ p RESIDENTIAL y� E NEW ,` I ❑NON-RESIDENTIAL SIGN ADD 4� ❑ DEMOLISH Lj WALLS PON& -�, ALTER EXCAVATE , OR FILL G....... ... I PRE -MOVE SWI REPAIR ❑ INSP.. POO NUMBER OFIATORIEB NUMBER OF DWELLING 11 UNITS ATURE OF lJ'ORK TO HE DONE / RETAINING WALLI-..—.__..___. TPROPOSSIDE RDS REAR NnT. ItgF. 1 b YES 0 NO PERMIT NUMBER ' PLANNING DEPT. APPROVAL DATE: STREET R/W _ EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY COMP. PLAN.ST. R/W ............FT. ............FT. REMARKS..-_, I I \ REMARKS i \ / FIRE.ZONE TYPE OF fFMSTRU N BTR)FET IMPROVED SPECIAL INSPECTDICEpUIRED I?CCUP�AI4CY'GROUP C] YES C] NO / P_LAN_ -CHECKED BY ., _ _....THIS SITE IS LOCATED IN THE CITY ty/l%•.-/ OF DMONDS. LOCAL SALES TAX i Mei SHOU��E CODED 3104. �.-r r-'��r.i :. � ^ .. 03� . • ,.�i- '. Ly -r ,ice.. Valuation Fee Receipt L .. Plan`;Check No ..................... 13UILDINO t� !'r1 c v r' 4 PROP. ED USE '7y PLUMBING ' V aPLOT PLAN (Indicate Building eetDa e,=Q u_1ma ` V .21 -HEAT& GAS -LINE_ RETAINING WALLI-..—.__..___. LPENCESIGN _....-.. _... ... ...._. I .SWIMMING POOL ., .. .. .� 41 c r 3' DEMOLITION _ 1 PRE -MOVE INSPECTION EXCAVATION OR PILL TOTAL AMOUNT DUE 7 V 7 I hereby nckoowledgn that I have rend this application that the In- formation given is correct; and that I as the owner, or the duly author- Ised agent of the oween I agree to comply with city and state laws ngu- latleg construction; and In doleg the work author) ed.thetsby, no Denon be In of the Labor Coda Slalti of Waehington ATTENTION PERMIT APPLICATION APPROVAL will employed violation o�lllie .,'!UB This application is not a permit until ielatinng to Workman's Compensation Iosuranoe. - -) rJ ' j AUTIIORIZEB ONLY THF. signed by the Building Official or his Dep - NOTE: Permit Limit One Year (Except DEMOr�TIONs which {vOnR=NOTED uty; and fees are paid, and receipt is ac shall he completed In nluety days; MOVED -IN BUILDINGS shall be eom- Imowledged ht space provided. pleted In nix months.) / SIGNATURE OWNER OR AGENT ( ) I DATE 01 NED INSPECTION DEPARTMENT D OR's B�6NATU tE CITY OF EDMONDS DATE r _fir f NOTE: Applicant Subject to Plan Check Fee rrt a-uo"i This Permit coven work to be done on private DropeKy ONLY, Any coast ructtoe 00 the inutile domain (curbs, sidewalks, driveways. INSPECTOR marquees, etc.) will require separate PerWsslue. ,