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740083.pdf.N 740083 kUj ADDRESS LEGAL LOT VARIANCE Oil CONDITIONAL USE b O YES 0 NO PERMIT NUMBER U PLANNING DEPT. APPROVAL DATE: W CITY TEL ONE NUMBER STREET R/\Y EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY NAME COMP. PLAN ST. R/W ............FT. ............FT, REMARKS Cd V ADDRESS - CITY (TELEPHONE NUMBER MY1 or Valuation El RESIDENTIAL GAS❑ ❑ LINE Ej BCHECKED USE NUA 13ER NEW BUILDING DEPARTMENT Applicant FiU ZONE ---= PERMIT APPLICATION N R NAME OF nUBINEBB Imlda Heavy Linea O '/fn ADORE88PERMISSIBLE ❑ NON-RESIDENTIAL / 1 ADD LOT COVERAGE I DEMOLISH M/A`ILING ADDRESS REMARKS PERMISSIBLE HEIGHT F ALTER TjcLEPHON Bh:R ACTUAL LOT AREA T b ❑ OIt FILL REQUIRED YARDS NAME ED FRONT SIDE REAR .N 740083 kUj ADDRESS LEGAL LOT VARIANCE Oil CONDITIONAL USE b O YES 0 NO PERMIT NUMBER U PLANNING DEPT. APPROVAL DATE: W CITY TEL ONE NUMBER STREET R/\Y EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY NAME COMP. PLAN ST. R/W ............FT. ............FT, REMARKS Cd V ADDRESS - CITY (TELEPHONE NUMBER MY1 or THIS SITE OF EDMO YEB ❑ NO NATURE Ue� •a E Valuation El RESIDENTIAL GAS❑ ❑ LINE Ej BCHECKED NEW �I PLAN BYG BUILDING ❑ NON-RESIDENTIAL BION 1 ADD ❑ DEMOLISH WALLN�7lrG/� REMARKS 1 t ALTER .� PLOT PLAN (In6lcate Building setbacks, abutting street.) EXCAVATE b ❑ OIt FILL r " (F. ....><...tt•.�!I", ED REPAIR ❑ PRE-OVE INSP,M El SWIM POOL RETAINING WALL NUMBER OF STORIESDEL N SWIMMING POOL I DEMOLITION PRE -MOVE INSPECTION UN TBLINGF - THIS SITE OF EDMO YEB ❑ NO NATURE Ue� •a E Valuation Fce Receipt No. i Plan Check No ..................... �I [[lzrrr BUILDING PROPOSED USE 1 PLUMBING .� PLOT PLAN (In6lcate Building setbacks, abutting street.) HEAT & CAB LINE b O FENCE SIGN RETAINING WALL N SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL TOTAL AMOUNT DUE h / ry' I hereby acknowledge that I have read flux application; that the In- O� f0 I ` 920 forma"out given le correct; and that I son the owner, or the duly author- Ised agent of the owner. I agree to comply with city and state laws regu- ATTENTION APPLICATION APPROVAL 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 PERMIT This application is not a permit until ' relating to Workmen's Compensation Insurance. AUTHORIZE8 signed by the Building Official or his Dep - NOTE: Permit Limit One Year (Except DEMOLITIONS which ONLY TILE WORN NOTED uty; and fees are paid, and receipt is ac - -I shall be completed In ninety day.; MOVED -IN BUILDINGS shall be cone- knowledged in Space provided. pleted In I. neoaths.) - TURE (OWNER O ENT) D SIGNED INSPECTION DEPARTMENT 'B BlNATU n D ORO% Ci(.�i( CITY OF EDMONDS DAT NOTE: APPUrant Subject to Plan Check Fee PR alloy This Permit coven work to be done on private property ONLY, ` Any coostnctuon on the petite domain (sorb., sidewalks, driveway., FILE marquee., etc.) will require separate permission. PH 6.1107 � rO Thin Permit coven work to be done an private property ONLY. Any Construction an the public domain (Curb., sidewalk., drill—ay., marquees, etc.) Will require separate permission. INSPECTOR BUILDING DEPARTMENT Applicant Fill U SE ZONE PERMIT NUMBER 13 PERMIT APPLICATION Inside Heavy Lines jon ADDRESS H NAME OF BUSINESS -�7� go PERMISSIBLE % ACTUAL L OT COVERAGE / -A.--- ADDRESS LOT COVERAGE PERMISSIBLE HEIGHT PROPOSED HEIGHT CITY TIOLEPH NE NUMBER ACTUAL LOT AREA TOTAL BLDG. AREA 7;7' REQUIRED YAHD8 PROPOSED YARDS NAME FRONT "I.. REAR FRONT SIDE REAR ADDRESS LEGAL LOT VARIANCE OR CONDITIONAL USE [3 YES 0 NO PERMIT F'RhIT NUMBER CITYPHONE NUMBER PLANNING DEPT, APPROVAL DATE—.' 7M STREET B/W EXISTING STREET R ............FT. DEFICIENCY. THIS PROPERTY NAME COUP. PLAN ST. R/W ............FT. '...FT. C. REIMARKS CH CHECKED BY CITY TELEPHONE NUMBER zz MET. I.. SERVICE SIZE CLEARANCE CHECKED BY STATE LICENSE NUMBER CITY LICENSE NUMBER Legal Description C, 11.1—ly t8toW Below or Attach Four Copies) REKARICs Pr TYPE CONNECTION VERIFIED BY T -ERC —TEST PERMIT NUMBER ME—MARKS lv FIRE ZONE TYPE OF CONSTRUCTION STREET IMPROVED [:1 YES E] NO SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP ❑ CAR ❑ E] YES ❑ NO I ❑ NEW LINE . .. CHECKED THIS SITE IS LOCATED IN THE CITY NON-REBIDENTIAJ❑ SIGN OHO'D ED)CAL SALES TAX 0. N� ADD ❑NI SU I D CODED 31.04. RETAINING ❑ DEMOLISH ❑ WALL ..AHK5 F ❑ ALTER EXCAVATE E Z ❑ 0 RF71LL ❑ REPAIR ❑ PRE -MOVE SWI INSP. ❑POOL NUMBER OF STORIES NUMBER OF MLL... UNITS NATURE Fee Receipt No. Pl.. Cited, No .................... z BUILDING PROPOSED UBE PLUMBING PLOT PLAN (Indicate Building setbacks, abutting U1.1t.) HEAT & GAS LINE PENCE o 1) SIGN RETAINING WALL N SWIMMING SWIMMING POOL DEMOLITION DEMOLITION PRE-MOVE PRE -MOVE INSPECTION V EXCAVATION OR FILL hereby acknowledge that I have read this Application; that the in. th TOTAL TOTAL AMOUNT DUE UOU given 1. C.ff.et; and that I and Me Owner, or the duly suithor- duly 1 Hed a owner- I agree to Comply With City and late laws resin. law 1912catruetion; and I. doing the went SlUth0i'lled than an .a by, no person ATTENTION APPLICATION APPROVAL Will be Vial I employed In lon, of the Labor Code of the State of Weabulgton, ash to THIS PERMIT This application is not a permit until relating Worknmut'. cmev ... ation Insurance. AUTHORIZES signed by the Building Official or his De P" NOTE: Permit Limit One Your (Except DEMOLITIONS which ONLY TILE W WORK NOTED uty; and fees are paid, and receipt is ac. hall be completed In ninety days; MOVED -IN BUILDINGS shall .it be _it be knowledged in space pleted In OIX Months.) provided. INSPECTION DEPARTMENT 11; 11 SO;AT I Lnl&t: CITY OF EDMONI)S DAT t NOTE: APPlican? Subject to Plan Check Fee PH 6.1107 � rO Thin Permit coven work to be done an private property ONLY. Any Construction an the public domain (Curb., sidewalk., drill—ay., marquees, etc.) Will require separate permission. INSPECTOR