740103.pdfNEW
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BUILDING DEPARTMENT
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DEMOLISH
EXCAVATE
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Applicant FIII
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PR 6.1107
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Any constructionon the public domain (curbs, sldewalks, driveways,
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NON-RESIDENTIAL
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FENCE
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RETAINING WALL
DEMOLISH
EXCAVATE
SWIMMING POOL
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DATE
REPAIR
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SWIM
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IUMBER ON STOR1Es
NUMBER OF
CITY OF
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NOTE: Applicant Subject to Plan Check Fee
DWELLING
UNITS
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PR 6.1107
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Any constructionon the public domain (curbs, sldewalks, driveways,
)ATURE OF WORK TO BE DONE
marquees, etc.) will nQWre separate pumissla0.
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Plan Check No .....................
BUILDING
PLUMBING
HEAT h GAB LINE
ATTENTION
FENCE
THIS PERMIT
SIGN
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RETAINING WALL
ONLY TILNOTE:
SWIMMING POOL
WORE NOTED
DEMOLITION
PRE -MOVE INSPECTION
DATE
EXCAVATION OR FILL
I hereby acknowledge that I have read t61s application;jd e In-
TOTAL AMOUNT DIB:
form¢lion given le Coarct; and that I am the owner, or thethor-
Ized agent of the owner. I agree to comply with city and clengu-
lating cematucthm; and 1n doing the work authorized thenersonwill
ATTENTION
be employed In violation of the Labor Code of the Stle onglon
THIS PERMIT
to Workmen's CmapamatlonInsurance.
AUTHORIZES
Permit Limit One Year (Except DEMOLIwhich
ONLY TILNOTE:
eholl be completed In ninety days; MOVED -IN EU INGO eom•pleted
WORE NOTED
In e1x moothe.)IIGNATURE
(OWNER AGENT)
DATE
INSPECTION
DEPARTMENT
CITY OF
E'DMONDS
NOTE: Applicant Subject to Plan Check Fee
TWs coven work to be done an private propertyONLY.
PR 6.1107
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Any constructionon the public domain (curbs, sldewalks, driveways,
marquees, etc.) will nQWre separate pumissla0.
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ED IN THE CITY
'AL SALES TAX
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Fee Receipt No,
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APPLICATION APPROVAL
This application Is not a permit until
signed by the Building Official or his Dep-
uty; and fees aro paid, and receipt is ac-
kno llged In space provided.
FILE
/641
FIRE ZONE I TYPE OF CONSTRUCTION - PROVED
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SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP
C3 YES qxb
PLAN CHECKED IIY THIS SITE 15 LOCATED IN THE CITY
%„ % / OF EDMONDS. LOCAL SALES TAX
Ry %afy s � iL.- _SHOULD BE CODED 31.04. i
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NATURE OF WORK TO HE DONE Valuation F.. RecelPl No.
,) Pion Check No. .................... �
HUILDIN6 CJ� O �/ OL
a, PROPOSED UBE 7
y7, PLUMBING
a PL/OT PL/SAN (Indicate Building Setbacks, abutting Streets) HEAT A CAS LINE I +
XFENCE i
SIGN
tRETAINING WALL
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL /
TOTAL AMOUNT DUE ()
I hereby acknowledge that I have read flat$ ApPllcatlon; that the 1.- %
formation given Is correct; and that I am the owner, or the duly author-
Uld agent of the owner. I agree to comply with city and state laws regu-
lating construction; and In doing the work authorised thereby, no person
Will be employed In vlolatlon of the Labor Code of the Slate of Washington THIS PERMIT This application is not a permit until
relating to workman's Compenaatioa Imurauce. AUTHORI
ONLY TIIE
ZER signed by the Building Official or his Dep -
NOTE: Permit Limit One Year (Except DEMOLITIONS which WORK NOTED Uty; and fees are paid, and receipt is ac -
.hall be completed 1. ninety days; M0VED-1N BUILDINGS shall be com- knowledged in space provided.
pleted In six ...the.)
SIGNATURE (OWNER AGENT) '�I , DATE SIGNED INSPECTION
Oft _ D O BIONATU. t
DEPARTMENT / j -, / " I
F.CrT
•',.�')',ct,t/.` i /;. �f' rir.. 3' // CITY OF / .L J.f•-/,r'%�7..t.(_ i m'__�...___._----
DATE
EDAIONDS
NOTE: Applicant Subject to Plan Check Fee PR 6-1101 !/ Z' ?
This Permit coven work to be done on private property ONLY.
Any coustnctloo an thedriveways,e domain (curbs, sidewalks, driveways, INSPECTOR
marquees, etc.) will require separate Permission. /
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RESIDENTIAL
E]LINE
NEW
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NON-REBIDENTIAL
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DEMOLISH
O
WANING
ALTER
EXCAVATE
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OR FILL
FILL
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�- REPAIR
PRE -MOVE
INSP.
ZONN N(UMBETR 4-3103
NUMBER OF STORIES
NUMBER OF
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BUILDING DEPARTMENT Applicant Fla
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PERMIT APPLICATION Inside Heavy Linea
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NAME (OR NAME OF BUS EBB)
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PLANNING DEPT. APPROVAL DATE:
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CITY
rr LEPHONE NUMBER
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STREET R/W
EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY
NAME
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COMP. PLAN ST. R/W ............Fr. ...... ......FT.
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REMARKS
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CHECXED IIY
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TELEPHONE NUMBER
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METER SIZE SERVICE SIZE CLEARANCE
CHECKED
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STATE LICENSE NUMBER
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CITY LICENSE NUMHEK
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REMARKS
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Legal Description o1 Property (Snout Below or Attach Four Cap[..)
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TYPE CONNECTION VERIFIED BY
P . T T PERIVl T NUhiHER
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/641
FIRE ZONE I TYPE OF CONSTRUCTION - PROVED
�� I
jpXGs
SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP
C3 YES qxb
PLAN CHECKED IIY THIS SITE 15 LOCATED IN THE CITY
%„ % / OF EDMONDS. LOCAL SALES TAX
Ry %afy s � iL.- _SHOULD BE CODED 31.04. i
U
I
a � tJ S/T
C/ STZ_ ly fCJ Ci �ffGC,/:Or1
i
NATURE OF WORK TO HE DONE Valuation F.. RecelPl No.
,) Pion Check No. .................... �
HUILDIN6 CJ� O �/ OL
a, PROPOSED UBE 7
y7, PLUMBING
a PL/OT PL/SAN (Indicate Building Setbacks, abutting Streets) HEAT A CAS LINE I +
XFENCE i
SIGN
tRETAINING WALL
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL /
TOTAL AMOUNT DUE ()
I hereby acknowledge that I have read flat$ ApPllcatlon; that the 1.- %
formation given Is correct; and that I am the owner, or the duly author-
Uld agent of the owner. I agree to comply with city and state laws regu-
lating construction; and In doing the work authorised thereby, no person
Will be employed In vlolatlon of the Labor Code of the Slate of Washington THIS PERMIT This application is not a permit until
relating to workman's Compenaatioa Imurauce. AUTHORI
ONLY TIIE
ZER signed by the Building Official or his Dep -
NOTE: Permit Limit One Year (Except DEMOLITIONS which WORK NOTED Uty; and fees are paid, and receipt is ac -
.hall be completed 1. ninety days; M0VED-1N BUILDINGS shall be com- knowledged in space provided.
pleted In six ...the.)
SIGNATURE (OWNER AGENT) '�I , DATE SIGNED INSPECTION
Oft _ D O BIONATU. t
DEPARTMENT / j -, / " I
F.CrT
•',.�')',ct,t/.` i /;. �f' rir.. 3' // CITY OF / .L J.f•-/,r'%�7..t.(_ i m'__�...___._----
DATE
EDAIONDS
NOTE: Applicant Subject to Plan Check Fee PR 6-1101 !/ Z' ?
This Permit coven work to be done on private property ONLY.
Any coustnctloo an thedriveways,e domain (curbs, sidewalks, driveways, INSPECTOR
marquees, etc.) will require separate Permission. /
e
RESIDENTIAL
E]LINE
NEW
❑
NON-REBIDENTIAL
e1Gx
ElADD
❑
DEMOLISH
O
WANING
ALTER
EXCAVATE
❑
PENCE
❑
OR FILL
FILL
.'c .......... Ft.)
�- REPAIR
PRE -MOVE
INSP.
SWIM
POOL
NUMBER OF STORIES
NUMBER OF
/
DWELLING
UNITS
/
/641
FIRE ZONE I TYPE OF CONSTRUCTION - PROVED
�� I
jpXGs
SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP
C3 YES qxb
PLAN CHECKED IIY THIS SITE 15 LOCATED IN THE CITY
%„ % / OF EDMONDS. LOCAL SALES TAX
Ry %afy s � iL.- _SHOULD BE CODED 31.04. i
U
I
a � tJ S/T
C/ STZ_ ly fCJ Ci �ffGC,/:Or1
i
NATURE OF WORK TO HE DONE Valuation F.. RecelPl No.
,) Pion Check No. .................... �
HUILDIN6 CJ� O �/ OL
a, PROPOSED UBE 7
y7, PLUMBING
a PL/OT PL/SAN (Indicate Building Setbacks, abutting Streets) HEAT A CAS LINE I +
XFENCE i
SIGN
tRETAINING WALL
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL /
TOTAL AMOUNT DUE ()
I hereby acknowledge that I have read flat$ ApPllcatlon; that the 1.- %
formation given Is correct; and that I am the owner, or the duly author-
Uld agent of the owner. I agree to comply with city and state laws regu-
lating construction; and In doing the work authorised thereby, no person
Will be employed In vlolatlon of the Labor Code of the Slate of Washington THIS PERMIT This application is not a permit until
relating to workman's Compenaatioa Imurauce. AUTHORI
ONLY TIIE
ZER signed by the Building Official or his Dep -
NOTE: Permit Limit One Year (Except DEMOLITIONS which WORK NOTED Uty; and fees are paid, and receipt is ac -
.hall be completed 1. ninety days; M0VED-1N BUILDINGS shall be com- knowledged in space provided.
pleted In six ...the.)
SIGNATURE (OWNER AGENT) '�I , DATE SIGNED INSPECTION
Oft _ D O BIONATU. t
DEPARTMENT / j -, / " I
F.CrT
•',.�')',ct,t/.` i /;. �f' rir.. 3' // CITY OF / .L J.f•-/,r'%�7..t.(_ i m'__�...___._----
DATE
EDAIONDS
NOTE: Applicant Subject to Plan Check Fee PR 6-1101 !/ Z' ?
This Permit coven work to be done on private property ONLY.
Any coustnctloo an thedriveways,e domain (curbs, sidewalks, driveways, INSPECTOR
marquees, etc.) will require separate Permission. /
e
7 / -----------
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_.. ,.• ��r'k-a:"r'M'r). ., ,.�'s x .,. ar ;n ,x y, .T,r....a"P•Y h ........ r.�>:.:a,
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LEGAL DZ- N A// that �o rfion of Lols 7 dno 9 B/oc �r 7 La+kr Ba/%ii�ycr Lo�no� Cas P4
+. ;Subdiv:'sian No. /, ryin9 Soufh of the fo/%,Win9 dc'scribPJ /inc'
geyinri/77 a!
Cyr S ti�E S!!/comcr "evr Lot T, thence 7Yarth a/oi�y the lest /circ el Lat7,'
a distance fee f fo the troy poii�t of beginning; Chance East Pura//e/ to
the common iinc bCt�✓ccn Lots 7 aid 8, d distdncc of 7/ l'`ect; thence Sou/h
feet marc or /css to a poiirl 60 feet North of the South //iJe' of Lot �; thei7ce
East amara//c/ Jo and 60 feef Narfh of sorid South /inc oflat g to the E�ste�ly
iin� of 6a a' and Cha end of th/s de3cri oti��.
' TOGETHEiP W/TH shore/aids of the Z�'� CGoss /yiny ad��cen! thcrcio as
can✓cy�d by the State of fi'orshinyta,? Z323B60
�f• Srlo%Joinilil Coun><,+ quc/.�r�S �i� /�/Os. 41534/9 0(A,.
' A
NOTE
Prover fy /ir�es shown cadre rsef physics//y /acatard on siY�
bot .estdb/�shcd in ra/ation to fhe existing cyc/ane fence'
.an ti�c',north pro�ocrty /inc, »d.v/s/oroxim.�� /acafion _ 's
f
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