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740091.pdfI ING DEPARTMENT Legal Description of Properly how Below OrnAttach Four Copies) j T / y1 5 Applicant Fill USE E NUMMBBER 740091 VERIFIED BY IT APPLICATION Inside Heavy Linea ao ` ADDRESS ' % O O 3 — / 7 %� I PLOT PLAN (Indicate Building setbacks, abutting streets) QF aUBIN$@e) n ^'o � b ��/ ACTUAL I �) tfI 1 R K I\r/ rv/ IAT COVERAGE LOTC VERA LOT COVERAGE .7 SS ^}_y. tRETAINING PERDfItl816LE HEIOIIT PI30PO8ED HEIGHT N L 9P AL INSPECTORREQUIRED �'� � FADDRESS T� �� ACTUAL LOT AREA TOTAI. eLDO. AREA [3YES -%No C/• REQUIRED YARD8 PROPOSED YARDS ADD ❑ DEMOLISH ALTER CE RETAINING E] ALL ❑ PENCE HIDE REAR FRONT SIDE REAR 1FRONT OLEGAL ❑ OR FILL( ......... x .......... Ft.) lied agent at the owner. I agree to comply with city and state law. regu- REPAIR [:3PAMOVE INSP. POO OL P&^A LOT VARIANCE ORCONDITIONAL USE 3 YE8[] NO PERMIT NUMBER NUMBER OF STORIES NUMBER OF THIS PERMIT PLANNINGDEPT. APPROVAL , Iy� t V w ,' DATE: �I AUTHORIZES DWELLING TELEPHONE NUMBER STREET R/W utyi and fees are paid, and receipt Is ac - EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY NAME COMP. PLAN ST. R/W ............FT. ............FT. REMARKS Ol ADDRESS 9 — ICHECKED BY F CITY PHONE NUMBER WI 0 TELEI METER SIZE I SERVICE SIZE I CLEARANCE I CHECKED BY ey.�� 0 C•GI-�F"�i'T �6 G�B,,.LPe 1J 4 PROPOSED USE Legal Description of Properly how Below OrnAttach Four Copies) j T / y1 5 TYPE CONNECTION VERIFIED BY '��IL)rTQ 't�'�)jA) VON �t� I` O PLOT PLAN (Indicate Building setbacks, abutting streets) L.l�I�" n PERC. TEST PERMIT NUMBER N I`M•>t�'�$' W 4 REMARKS FIRE ZONE TYPE OF CO STRU 'ON STREET IaiPROVI .7 tRETAINING l I YES NO N 9P AL INSPECTORREQUIRED OCCUPANCY GROUP 1 'Q' I NEW l NON-RESIDENTIAL CAH- 1011RESIDENTIAL LINE [ sHR, [3YES -%No '.!(. I PLAN CHECKED x j THIS SITE IS LOCATED THE CITY OF EDMONDS. LOCAL SALES TAX SHOULD BE CODED 3104 ADD ❑ DEMOLISH ALTER CE RETAINING E] ALL ❑ PENCE REMARKS ALL Wu r— y��nM V formation given Is correct; and that I ade the owner, or the duly author - ❑ OR FILL( ......... x .......... Ft.) lied agent at the owner. I agree to comply with city and state law. regu- REPAIR [:3PAMOVE INSP. POO OL P&^A NUMBER OF STORIES NUMBER OF THIS PERMIT This application is not a permit until relating to Workmen'. Compensation Insurance. AUTHORIZES DWELLING NOTE: Permit Limit One Year (Eicept DEMOLITIONS which ONLY III E WORK NOTED utyi and fees are paid, and receipt Is ac - .ball be completed In ninety day4; MOVED -IN BUILDINGS shall be nom• UNITS knowledged In space provided. plcicd cis month ) NATURE OF WORK TO BE DONE INSPECTION DIRE ' B ATURE �y' Valuation Fee Rece ey.�� 0 C•GI-�F"�i'T �6 G�B,,.LPe 1J 4 PROPOSED USE Plan Check N. ..................... BUILDING py, PLUMBING O PLOT PLAN (Indicate Building setbacks, abutting streets) HEAT d: GAS LINE 9 N I`M•>t�'�$' FENCE BION tRETAINING WALL N SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL TOTAL AMOUNT DUE SOO 1 b1 I hereby acknowledge that I have read 161e aDDllcatian; that the in. formation given Is correct; and that I ade the owner, or the duly author - lied agent at the owner. I agree to comply with city and state law. regu- ATTENTION APPLICATION APPROVAL laths construction; and In doing the work autborlred thereby, no Peron will be employed In violation of the labor Code of the elate Of wmhington THIS PERMIT This application is not a permit until relating to Workmen'. Compensation Insurance. AUTHORIZES signed by the Building Official or his Dep - NOTE: Permit Limit One Year (Eicept DEMOLITIONS which ONLY III E WORK NOTED utyi and fees are paid, and receipt Is ac - .ball be completed In ninety day4; MOVED -IN BUILDINGS shall be nom• knowledged In space provided. plcicd cis month ) SIGWA' HE (0% R A r NT) DATE SIGNED INSPECTION DIRE ' B ATURE �y' DEPARTMENT CITY OF EDMONDS DATE NOTE: Applicant Subject to Plan Check Fee eR a -IIsi — TNe Permit coven work to be done on private property ONLY. Any construction an the public domain (curbs, sidewalk., driveway., marquee., etc.) will require separate permission. FILE R G ,`)1 tJr,e_ Ct — Beiow or A[lacn F0 T vo 3 ►A G 1.1, LEGAL LOT VARIANCE OR CONDITIONAL USE 0 YES NO PERMIT NUMBER PLANNING DEPT. APPROVAL }� CJ �' (�.,- DATE: STREET RIW I` p EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY COMP. PLAN ST. R/W ............FT. ............FT. REMARKS . C z w CHECKED BY PLUMBING N HEAT & GAS LINE FENCE SIGN RETAINING WALL FIRE ZONE: TYPE IIFF I DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL SPECIAL INSPECTOR REC �• $red agent of the owner. 1 agree to eomD1Y with city and slate lawn regu- ATTENTION URE /�' PERMIT 11 El RESIDENTIAL NEW • NON.nESIDENTIAL ADD ❑ DEMOLISH ALTER EXCAVATE ❑OR FILL REPAIRo IRE -MOVE GAS LINE ❑ SIGN ❑ yAETLAR•nN6 FENCE (......... .x .......... Fl.) O SWI POOL PLAN CHECK D EKY 1� _ BUILDING DEPARTMENT Applicant Ful ZOO R�' NuntRER This application is not a permit until relating to Workmen's Compensation Insurance. I I DWELLING PERMIT APPLICATION I Imide Heavy Lines ADDRESS �) 17 � � ...w � �.- uty; and fees are paid, and receipt is ac - iATURE OF WORK TO BE DONE NNNAAAIyy{{{E (OR NAMLLEJ77 F $U-B1N��44B) 'v y� •� j \j •'� knowledged in space provided. plated $n'six mouths:) 1 .. .^,L, LOT COVERAGE LOT I: � BUILDING INSPECTION ,J � f X31) LOT CSS1SLE LOT COVERAOFe ��,,.-!2 �� l�• / DEPARTMENT r MAII.Tt�O ADDRESS /•� _ �� V 10 PERMISSIBLE HEIGHT O PROPOSED HEIGHT Z I' DATE C /' j/ / / Ota �l E HONES -/j UYfB`F,'•/R/y �M �"`^" ACTUAL LOT AREA TOTAL BLDG. AREA1 I: This Permit coven work to be done as private property ONLY. I VI%V(��� \. / I REQUIRED YARDS PROPOSED YARDS marquees, ete.) will reeWre separate DUWsslon. FRONT SIDE REAR FRONT SIDE REAR (NAME - G ,`)1 tJr,e_ Ct — Beiow or A[lacn F0 T vo 3 ►A G 1.1, LEGAL LOT VARIANCE OR CONDITIONAL USE 0 YES NO PERMIT NUMBER PLANNING DEPT. APPROVAL }� CJ �' (�.,- DATE: STREET RIW I` p EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY COMP. PLAN ST. R/W ............FT. ............FT. REMARKS . C z w CHECKED BY PLUMBING N HEAT & GAS LINE FENCE SIGN RETAINING WALL FIRE ZONE: TYPE IIFF I DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL SPECIAL INSPECTOR REC $red agent of the owner. 1 agree to eomD1Y with city and slate lawn regu- ATTENTION [3 YES ff NO El RESIDENTIAL NEW • NON.nESIDENTIAL ADD ❑ DEMOLISH ALTER EXCAVATE ❑OR FILL REPAIRo IRE -MOVE GAS LINE ❑ SIGN ❑ yAETLAR•nN6 FENCE (......... .x .......... Fl.) O SWI POOL PLAN CHECK D EKY 1� _ REMARKS l AL-� will be employed In violation of the Labor Code of the State of Washington (UMBER OF STORIES NUMBER OF This application is not a permit until relating to Workmen's Compensation Insurance. I I DWELLING signed by the Building Official or his Dep - , NOTE: Permit Limit One Year (Except DEMOLITIONS which UNITS uty; and fees are paid, and receipt is ac - iATURE OF WORK TO BE DONE knowledged in space provided. plated $n'six mouths:) Pion Cheek Nn ..................... -V-�Y I� �� �`• •'-i ,C.� h rL,t _., BUILDING � � i 1AtJCQ - PLUMBING N HEAT & GAS LINE FENCE SIGN RETAINING WALL SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL f)It STRUCTION . STREET la1PROVF 0 I ❑ YES NO '.ED I OCCUPANCY GROUP THIS SITE 15 LOCATED IN THE CITY OF EDMONDS. LOCAL SALES TAX SHOULD BE CODED 3104. Valunllon Fee Receipt No. AMOUNT DUE �+) t " b7 ' ls application; that the fn- I hereby acknowledge that I have rend this ' formation given Is correct; and that I an. the owner, or the duly author. $red agent of the owner. 1 agree to eomD1Y with city and slate lawn regu- ATTENTION APPLICATION APPROVAL lat$ng conatruetlon; and In doing the work authorised 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 TIRE WORK NOTED uty; and fees are paid, and receipt is ac - shall be completed In Woety day/; MOVED -IN BUILDINGS shall be cone- knowledged in space provided. plated $n'six mouths:) SIGNATURE WPNE AOENT) DATE SIGNE'DJ. INSPECTION DIRECTOR• Si ai TIJI{A__--•�' ��,,.-!2 �� l�• / DEPARTMENT r L IGC- /� /'t._-_.., /l�GLe /T CITY OF ' ,���� L .. DATE EDMONDS NOTE: Applicant Subject to Plan Check Fee PR 6-1.107 _ - This Permit coven work to be done as private property ONLY. I Any eouslrucllon an the public domain (curbs, sidewalks, driveways, INSPECTOR marquees, ete.) will reeWre separate DUWsslon.