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740108.pdfse BUILDING DEPARTMENT Applicant FW USE PERMIT t 740108 � t PERMIT APPLICATION Heavy Linea Io ADDRESS ^( Fe, NAME (OR NAME OFe.erRym—B8) c7{ 04!-1.3 { t/ : l.. 9 r 20—a—>i I LI o ACTUAL IAT COVERAGE LOT COVEAOE LOT COVERAGE j (q W A NO ADD Bpi e� HEIGHTOF'OtlED 11 IOHT � � 1 fILL 00 toy.M9YEKMIBBiBLE CITY TELEPHONE 11R ACI'IJ(/; A}iEA OTAL 6LU0. AREA rvt,� REE IE �'QUIRED YAFtUd 1' O 0M8ED YAitUd NAME FRONT SID REAIt FRONT­---9-1­DREAR LOT VARIANCE OR CONDITIONAL USE y EI ADDRESSLE6 •B O , PERMIT NUMBER PL 1""D P AP Y AL DATEt CITY TELEPHONE NUMBER B E /W t7 DEFICIENCY THIS PROPERTY EX/ST 6 STREET Rf/�,//tt.5/Ic-... NAME it C.PLAN ST. R/W'�&1. ....©...FT. REMARKS Driveway slopes not to exceed those m ADDRESS indicated on Standard Dwa No-103 K CRECKED BY C1TYI TELEPHONID NUMBER t o� MET 8I'LE S'RV10E SIZE C"ARA CE CREC D Y V STATE) LICENSE NUMBER CITY LICENSE NUMBEK I I 2/� 223-01- L�20; REILARKS p Legal Description of Property (Show Below or Atinch Copies) _ l v J , �,t I () �Four LOT 3 M ALE ,10 4 ` I TYPH CONNECTIOINVV RlFD N HY I PERC. TEST PZRMgj NUMBER {(C, I W REMARKS m O VI FIRE ZONE OF-�C/O7NSTRUCTI N eTR IMPROVED —Ml � J_ •+_—M I t..ly�.� I E9 [3 NO SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP i RESIDENTIAL "A" ❑ LINE C3 YES � � �✓/ � ' NEW PLAN CHEC D Hx THIS SITE IS LOCATED IN THE CITY NON-RESIDENTIAL ❑ SIGN OF EDMONII.DS. LOCAL SALES TAX ❑ ADDRETAINING ❑MARK ❑ WALT DEMOLISH ElALTER �j/! �(✓(/�/f /V P/� //%✓�,/ 1y2d ❑ EXCAVATE ElFENCE OnFILL (......... A...... '7 . PRE-....FtJ ❑ REPAIR ❑ IN PMOL ❑ swim POOL o/�d j V ! d'� s i did S�L1cr�� 1 WU IBER OF STORIES NUMBER OF DWELLING UNITS NATURE WORK Valuation Fee Reccipt NO. rTOOCBE`{DO�NE�, �/'` EOO,F1 'K-��l`�a..�, ce rd K) Pian Check No..................... I O BUILDING �vv PROPOSED USE PLUMBING 5-0 PLOT PLAN (Indicate Building satbaeka, abutting streets) HEAT )a GAB LINE 71 PENCE SIGN RETAINING WALL N 1 SWIMMING POOL DEMOLITION PRE-MOVE INSPECTION EXCAVATION OR FILL TOTAL AMOUNT DUE I hereby acknowledge that I Gave read this application; that the 1n- / P formation given le correct: and that I — the owner, or the duty author, 'redagent of the owner. I agree to comply with .fly and .tate law. ngu- ATTENTION APPLICATION APPROVAL lath. c.... ructlo.; cad In doing the work authorised thereby, no person ' will be employed In Notation of the Labor Code of the State of Waablagton THIS PERMIT This application is not a permit until relating to Workman's Compensation Insurance. AUTHORIZES Signed by the Building Official or his Dep- NOTE: Permit L It one Year (Except DEMOLITIONS which ONLY THE WORE NOTED uty; and fees are paid, and receipt is ac- .hall be Complaled In .sly days; MOVED•IN BOII,DINOS shall be cam. owls ged !n space provided. ted els months.) ION N (OWNE OR NT) DATE p36N D INSPECTION DIR CTO 'S ONA URE I �� DEPARTMENT CITY OF EDMONDS DATE ~ NOTE: AQQliedn jest to P/dn Check Fee PR d-1107 ! - This I'ermlt Caren work to be done m prtyate property ONLY, Any eonetruellan on the public domed. (each., sidewalks, driveway., FILE mupuee4 etc.) will rtymre .eP.M.pumiuton. llellll�.�t•..��Iflael e.ee® ®.I®.I � _ — - - _ ,� loe�24 N d� 22•la 2 1 I I 24 25 A. 445.E �1 StIAM I S.R. p r i 25 ,°r O r I hi.'i I f V. 108.24' I N89'355�w TO INC.LEGAL L-oT 3 wooDYA� t.IOWM VA� fe HOMES, DSCRPTN. StJommistA COuM-rY DATE REVISIONADDRESS 2°S13 8o"hvm•W- eDMowoS,wU. PLOT PLAN DATE SCALE -1=:0' S-1-74 ,) PERMIT �- BUILDING DEPARTMENT ZON AppLcoDt Fill E /Z.•S- &' NUMBER PERMIT APPLICATION Inside Heavy Lines ,o ADDRESS t'(Agl (AR NA{l.Qt(E Fl }aU^rESS) `n l UJB T� 11`���' PEIiMItlg1HLE ,,I ACTUAI LOT COVERAGE �7S�P LOT COVESRAGE PERM1tltlmLE HEIGHT y O ' E,gF.Dl1 "—.T j y � •'�, , C ........1 {lj' iX` -i) vnvm rtu •rt ACT. i1XYl' EA TOTAL .(HLD94L8FiA,1GTVi j yU F mO E z 8 EXISTING STREET RI)50 FT. DEFICIENCYTills PROPERTY COMP. PLAN S_T. R/W ............FT. ............FT. REMARKS UI l:' i t Gl it u formation given Is correct: and that I am the owner, or thuthor- i nd ica tc:d on Standard CAig. '1210 ;pR UN 0EK G.Pr0jJ0 latm construction: and In doing the work authorized therepersonwill METER B1ZE I SEK}? E 812E CLEARANCE OHECID'BY; LH/)6 !� 1, Plan Check No ..................... BUILDING PLUMBING HEAT d: GAS LINE FENCE SIGN RETAINS.. WALL N SWIMMING POOL DEDfOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL TOTAL AMOUNT DUE I hereby acknowledge that I have read this applicationjDar.on he In. formation given Is correct: and that I am the owner, or thuthor- YES ATTENTION latm construction: and In doing the work authorized therepersonwill be employed In violation of the Labor Code of the Stale ington TITIN PERMIT SPECIAL INSPECTOR REQUIRED OCCrrlc -gROUP NOTE: Permit Li it One Year (Except DEMOLwhich Tit ONLY OTER'OIU[ NOTED -/ plefed in six months.) SIGNA UIiE (OWft��EEE`RRR ',OR AG N'i')� ', 'r.. DA'TU INSPECTION DEPARTMENT NEW , RESIDENTIAL 1:1LINE YES a EDIIIONDS NOTE: Applicant Subject to Plan Check Fee AI.1 CHECIfE14 YO �• '/ / THIS SITE IS LOCATED IN THE CITY LOCAL SALES TAX Any construction oa the public domain (turbo, sidewalks, drivewvs. NON-RESIDENTIAL marquees, cit.) win require meparete permission. elON v,/ L- -� SH ULDEDMONDS. SHOULD BE CODED 31.04. ADD RETAINING REMARI 7- Ej DEMOLISH WALL ���1 Lv / / �j1 (_; ) iU� �C� /: / ir• i/ fir)✓ /' �/ i :% ALTER EXCAVATE ❑ OR FILL ❑ FENCE ❑ PRE -MOVE SWISWIMo),i �J (� �� l 1 /1� i •-' l�(%/C:: (. //(I %'�" REPAIR ❑ INSP. POOL u:r (�/� _� lUDSHER OFr TORIES MBEROF N.....O . L DWELLING UNITS Plan Check No ..................... BUILDING PLUMBING HEAT d: GAS LINE FENCE SIGN RETAINS.. WALL N SWIMMING POOL DEDfOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL f 4 - APPLICATION APPROVAL 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. 1 CTOR'e tl ONAT, RE r 1 DATE INSPECTOR TOTAL AMOUNT DUE I hereby acknowledge that I have read this applicationjDar.on he In. formation given Is correct: and that I am the owner, or thuthor- I:ed agent of the owner. I agree to comply with city and miresin- ATTENTION latm construction: and In doing the work authorized therepersonwill be employed In violation of the Labor Code of the Stale ington TITIN PERMIT relatingto Workmen's Compensation Insurance. AUTHORIZES NOTE: Permit Li it One Year (Except DEMOLwhich Tit ONLY OTER'OIU[ NOTED shell he completed In uiuely days; MOVE0.IN BOILDINOBe com- plefed in six months.) SIGNA UIiE (OWft��EEE`RRR ',OR AG N'i')� ', 'r.. DA'TU INSPECTION DEPARTMENT CITY OF EDIIIONDS NOTE: Applicant Subject to Plan Check Fee PR a-uov This Permit coven work to be done oa private property ONLY. Any construction oa the public domain (turbo, sidewalks, drivewvs. marquees, cit.) win require meparete permission. f 4 - APPLICATION APPROVAL 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. 1 CTOR'e tl ONAT, RE r 1 DATE INSPECTOR rrairia Ft,rnBct� - • — -, - u Fuel Unes t Final_ .. ' i! I