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740109.pdfi i BE -7 r1 1�7 nunnlnETit �,. BUILDING DEPARTMENT AppncantPillU ZONE rV��11 j PERMIT APPLICATION Inside Heavy Linea ADDRESS NAME of BUBtNEBB) NAME (OR ` 1,'(� wo--, O1yl�l PERI LOT C VERA 7o ACTUAL - 1 LOT COVE4YAOE S 11 LOT COVERAGE �S to`� MAILIt�ADDDR BB O O PERMISSIBLE HEIGHT f P12 D DEIG p ��••-- f,J.Iii 82 ✓xe HON,.�/1 M &R e :fi .i ACT L LOT AR TOTAL 6 EA CITY �'v� U e^ O� S {V REQUI ED YARD PRO OSED AItIJtl , FRONT SID' REAR FRONT SID: REAR NAME �j LE6 OT ANCE OR CONDITIONALADDHE08 8 OEMIT NUMBERING D ALCITY E PHONE NUMBER IVA /t TREEEXIS 6 STREET 'C. DEFICIENCYTHIS PROPERTYNAMH COMP. PLAN ST. 1 ... ....V..FT. �1 H R°MAR"B Driveway slopes not to exceed those f4 ADDRESS t d d d W ' F$jdi CHECKED BY i THLE CITYPHONE NUMBER � F �• I METER SIBERE C LEARA E C E D STATE LICENSE NUMBER CITY LICENSE NUMBER I I I 22-01- 3(�5 I REMARKS Legal D�eeo^rlptlonor P,cp�e�r/tyy((allow or A�—ColhIncur CCople.) (/ I I t ! �Below l [�V l �4 W\JVV Vl1 NVQ 4["1�I(,J TYPE CONNECTION VERIFIED BY � 1 I "" PERC. TEST P—EiFYS 1 \f ER C REMARKS f O � � , II FIRE ZONE TYPE OF CON; R CTSON STREET IMPROVED i A --- I -'YE9 Ej NO SPECIAL INSPECT REQUIREDOCCUPANCY GROUP RESIDENTIAL ElGASYE8 LINE No NO I NEW "TTSHOULD B PLAN CHEC D Y THIS SITE IS LOCATED IN THE CITY LOCAL SALES TAX ❑ NON-RESIDENTIAL ❑ SIGN OF EDMONDS. '.El ❑^^ ADD RETAINING WALLALTER ��AS DEMOLISH ❑ ORCFILL E(ENC...........Ft., '.. REPAIR o INBPMOVE ❑ POOL ,,[[ -/�/ �-}, / / ^// �-y �� EJ eYG �� JV I�N l/✓.1��Y/"J4 1 NUMBER OF STORIES NUMBER OF DWELLING ' UNITS NATURE OF WORK TO BE DONE Valuation Fee Receipt No. t`I ��1f1�1ri✓ I•Isn Check N � iBUILDING I � 00 q a PROPOSED USE „ PLUMBING V MIG� OPLOT PLAN (Indicate Building Wetback., abutting streets) HEAT & GAS LINE O© 1 O FENCE 11 SIGN RETAINING WALL — ' SWIMMING POOL DEMOLITION PRE -MOVE INSPECTIOT EXCAVATION OR FILLI I TOTAL AMOUNT DUE /J ■ .� I hereby r�toowledge that I It. -It. -rend tWs aDDltefltlon; that we In. !l formallon givenaIs correct; and that I sal the owner, or the duly author- ized agent of the owner. I agree to comply with city and state laws regu- ATTENTION APPLICATION APPROVAL latlug conrtructloa; sed m dolag the work authorised thereby, no Dernon will be employed in vlolatlon of the Labor Code of the State of Washington THIS PERMIT This application is not a permit until relatlug to Workmen's ComDenutlon Insurmce. AUTHORIZES Signed by the Building Official or his Dep - NOTE: Permit Limi One Year (Except DEMOLITIONS which ONLY THE WORK NOTED LLty; and fees are paid, and receipt is ac - .hall be completed In T Osys; M VED-IN BUILDINGS ■hall be eom- Im ledged In apace provided. p ed to x moalhn.) - SI N U t � (OWNER LATE lON D INSPECTION 1 'B 810NATURH 3 DEPARTMENT [JIB ]�IE CITY OF DATE EDMONDS NOTE: Applicant Wj cth Plan CGrck Fee Pn e•uoI This Permlt Coven work to be does oo Private Property ONLY• Aoy Masiructlon on the public donmin (curbs, sldewalks, driveways, FILE nmrauees, etc.) will reemre separate paruds■Im. 0--- DENOTES EXIST. GRADE X DENOTES FIN. GRADE —�— DENOTES SRFCE. SLOPE 740109 25 mw N 84'3�i'S✓.o w 108.1T iA I ub A,• 4 45' A�5 b r Za l COMP. QooF z2 q �" I I r9 r T' t,. 25 i co 17j � I I 4b I Io8.2o' I ®T® WICK ®SES INC. LEG" LOT 12 wo0oVAm NORTH -N DSCRPTN. swoHoMiSN cash DATE REVISION ADDRESS 20416 �"AVe.w. �ronnoNoS,w�l. PL®T PLANDATE scALa— I.so' ____T g NO 2.2-74 wN • 12 PERMIT 1 ZOO — NUMBER Lct Fill DEPARTMENT App PERMIT APPLICATION Inside H ADDRE88 D / - U x .AM �III NA l PERM ISSIBLE ^ J( ACTUAL //oo f ,/ LOT COVERAOEs Z' LOT COVERAGE MA O A!)TS r�^� PERMISSIBLE HEIGHT,: / PRO OI Y 1✓�i�j X 3V-5 G ACr A TOTA I. ---- ADDRESS V C CITY NAME I, m ADDRESS {0 CITY & gq V STA}CFlHIGEN� ll U 0 DWELLING UNITS EXISYING STREET R/W-t...� DEFICIENCYfT�i1S PROPERTY ESRESIDENTIAL I [:] REMARKS -., t •> ;; in(licated cn standard Gwp. ?do. NEW ❑ NON-RESIDENTIAL I ❑ SIGN ADD ❑NG DEMOLISH Ll WALLM ALTER TYPE C,gry TION _ I VME Ized agent of the owner. I agree to comply with city and elate laws reg,- Intmg construction; and In doing the work authorized thereby, no person ❑ ORFILL❑ APPLICATION APPROVAL (ENC; .......... Ft.) REPAIR PRE -MOVE ❑ ❑ swim POOL ;UMBER 01 STORIES I NUMHER OF ' DWELLING UNITS EXISYING STREET R/W-t...� DEFICIENCYfT�i1S PROPERTY COMP. PLAN ST. R/W ,......., ..F`f. ............FT. REMARKS -., t •> ;; in(licated cn standard Gwp. ?do. . i r...- 103 D fi�oUNotyl�l�l6 ���I-> UAt�2 C 1tiEClijr I��//UU 11 MET/SIZE SERVICE SIZE / CLEAtiANCECISECKED, BY' / ,,I,, I., '� REMARKtl. formation given In correct; and that I am the owner, or the duty author- TYPE C,gry TION _ I VME YES [] No CIAL INSPECTOR REQUIRED OCCUUPANCY SOUP, ES NO J N CHECKED BY' THIS SITE IS LOCATED IN THE CITY OF EDMONDS. LOCAL SALES TAX SHOULD BE CODED 31.04. [ARKS plan Check No ..................... BUILDING PLUMBING HEAT & GAS LINE FENCE SIGN tRETAINING WALL N SWIMMING POOL DMIOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL Valuation D I( TOTAL AMOUNT DUE c' c. 'q I hereby acknowledge that I have road this application; that the In - formation given In correct; and that I am the owner, or the duty author- Ized agent of the owner. I agree to comply with city and elate laws reg,- Intmg construction; and In doing the work authorized thereby, no person ATTENTION APPLICATION APPROVAL will be employed In violation of the Labor Code of the Stale of Washington THIS PERMIT This application is not a permit until • relating to Workmen's Compensation Insurance. 1 NOTE: Permit Limit One Your (Except' DEMOLITIONS which shall be camp leted In inn days; OVED•IN BUILDINGS Shall be cam- M AUTHORIZES ONLY THE WORK NOTED Signed by the Building Official or.his Dep - uty; and fees are paid, and receipt is ac - linowledged.in space provided. pleted In six monthe.) �� SiONAT RREE ((OWIj61ry° tr AGEN�, DATE CONED -j�\ 1 �.11I•.. _`� lti/�l"`_,%� lI �L4.-. NOTE: Applicant Subject to Plan Check Fee INSPECTION DEPARTMENT CITY OF EDMONDS PR e•nor j DIRECTOR'S •SIgNAJ URE .iC " � DATE � •� ,� 7 — 7 J This Pe It coven work to be done on prhate property ONLY. Any coestrortles oa the public domain (curb., Sidewalks. drlvewrvs, INSPECTOR l. marquees, etc.) willrequire Separate permlum 1 t .:�.. t •. _.�. ,yrt.F,,. �+N>.. •.n. +ri, •.'Y . .., Y.K,+.sc`s {F .1..� n �. 'tP,�, � � _ w. .+o