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740141.pdfThis PeroSt coven work to be done on private property ONLY. Any eoaetruetlo. on the public domala (curbs. sidewalk., drlvewaye, marquees, etc.) wul require separate peuntsilen. FILE B U I L D I N G DEPARTMENT Appileent FM USEPERMIT ZONE M L NUMBER 740141 -- PERMIT APPLICATION Inside Heavy Lineao ADDRESS � NAMH (OA NAME OF HUBINE n tiJetgT (_ I. �II�I C EU)Mo N nS PERMISSIBLE�BB) LOT COVERAGE, LOT CA0WWAOE t7 y 1b+ MA W O —ADDRESS PERMISSIBLE HEIGHT PROPOSED HEIGHT Aar- to, 0729- 7 a� CITY ON>a H R ACTUAL LOT AREA TOTAL BLDG. AREA z ! 6u —REQUIREDYARDS PROPOSED YARDS f •' NAME FRONT BIDE REAR FRONT SIDE REAR HAk&P, CuQIKc , LOT VARIANCE OR CONUIT[ONAL USE ADDRESS ❑ GALYES ❑ NO PERM IT NUMBER y 1 `C30 Sc.CO ret l) • Iv c PLANNING DEPT. APPROVAL DATE: U W CITY TEWNHONE NNU/MBER STET R/W XISETING STREET R/W ............1. DEFICIENCY THIS PROPERTY O ' NAME COMP. PLAN ST. R/N ............FT. ............FT. ^' Ll�Jl (t pp r� � �[� CU ) (' ` G VAAki3O� C.O tV S i V CTlO N REMARKS d m ADDRESS p % 60 LIE -NUMBER, CHECKED 13YY D F ' CITY .—NE T I x CHECKED BY METER SIZE SERVICE SIZE CLEARANCE fc STATE LICENSE NUMBER I 51TY CENSE NUMBER I I `� REMARKS Legal at Property (Show slow or Attach Four Copies) / g yDc�ecrlDUon L -0 -r iO 1 W (LL�%��•t l•-� `"'l u� TYPE CONNECTION VERIFIED BY N° 1 LXce°r W 318' PERC. TEST PERMIT NUMBER P, n REMARKS W IG C I � FIRE ZO TYPE OF CONST UCTION STREET IMPROVED NO �- � 9PENSPECTOR REQ ED YES ❑ OCCUPANCY CROUP P I GAB ❑YEaj'O �- RESIDENTIAL O LINE �NEVpJ PLANS BY THIS SITE IS LOCATED IN THE CITY ON•REBIDENTIAL SIGN OF EDMOND5. LOCAL SALES TAX 0 ADD NINE REyMAA`RK.S tHOLILD BE CODED 31 04. DEMOLISH Lj WALL `-'r " —I%(, ^ ALTER ❑ EXCAVATE FENCE OR FILL (.........Y Ft.) 1 `i�y� 1 �"lJl , `e ^ .......... SWI A ` l `L �j'[j (j'�j��[ � Q' 7�J ��/•-, 7 REPAIR ❑ NSPMOVE ❑ POOL `�r�'� p.�c�G' `1 `tom"• 1 /7" 1 �r��j"r��N NUMBER OF NUMBER OF t""I,09-Qk-Q('�_Z'y�Ts� vI�z•�fn�o.Ag`-A 1 I + Vr�SI I UNITE INO �y� , +y` f� SG\'Nevi`-� l\V tai CyMC�-/-'� NATURE OF WORK TO BE DONE Valuation Fee RecelDt No. MEeNANtCAt_ SYSiZMS Plan Check NO ..................... BUILDING [Dy W PROPOSED USE PLUMBING O PLOT PLAN (Indicate Building Setbacks, abutting streets) HEAT A GAS LINE •J FENCE SIGN RETAINING WALL N 1 SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL TOTAL AMOUNT DUE Ihereby ack.owledgs that I have read this application; that the ln- tormatlo. given Is Correct; and that I am the owner, or the duly author• Ired .gent of the owner. I agree to comply with city and elate laws "N• ATTENTION APPLICATION APPROVAL toting Construction; and In doing the work authorized thereby, no person will be employed In vlolatlon 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 WWII, ONLY THE WORK NOTED uty; and fees are paid, and receipt is Be - shall be completed I..lnety day., MOVED -IN BUILDINGS stall be nom•edged In space provided. pleted In six months.) 81 TORE (OWNER DAT 01ONED INSPECTION DIRE OR'tl B AT RE DEPARTMENT CITY OF EDMONDS NOTE: Applicant Subject to Plan Check Fre PR e•I107 This PeroSt coven work to be done on private property ONLY. Any eoaetruetlo. on the public domala (curbs. sidewalk., drlvewaye, marquees, etc.) wul require separate peuntsilen. FILE • - REMARKS Legal Description of Property (Show Below or Attach Four Copies) �O 1 I6 `•,�\I74C.O1•�n,ry �.�, �'�RI%�`'V'S TYPE ECTION VER PER W REMARKS FIRE ZONE I TYPE OF CONSWUCTION i•. 1 I'm YES r7 NO TOTAL AMOUNT DUE GAS LINE Q YES Q:NO x r-.� �, I � ent of the owner. I agree to comply with city and state law. Mgu- �L w LEISIDENTIAL cantle BUILDING DEPARTME75�s SE ZONE 11'� 1 NU>BER , �. AUTHORIZES E: Permit LTHE imit One Year (Except 3IE51OLITIONS which LPermit N -RESIDENTIAL PERMIT APPLICATIOeavJOB six month..)URE BE CODED 31.04. j ADD ADDRESS � A / � �r -7 Y L�Kr • ��' /: _,DEPARTMENT ' - REMARKS NAME (OR NAME OF BUSINESS) C' / ' ❑RETAINING DEMOLISH WALL EXCAVATE PENCE 1 _. tt 7� •- r (. `b Ni U (v 1 j 1) Ek'! 1 �jLOT PERMISSIBLE �" ACTUAL COVERAOEs LOT COVESRAGE ALTER ❑ ..........Ft.) OR FILL.......... ❑ 1 NOTE: Applicant Subject to Plan Check Fee .) MAILING DRESS PEttafldBIBLE I7EIa11T PROPOdEU 1tElOHT O i �((% 1 %I ` '1�� 1`-• t '-•�1 �i"" 1! •� .t` �.)1. I `.'-i`1 i I 77> NUMBER OF STORIES NUMBER OF`�•x-I�.�� UMACTUAL LOT AREA TOTAL BLDG. AAEAREQUIRED DWELLING `k��C:.1.,, �I,i j`-� YARDS PROPOSED YARDS HIDE REAR FRONT HIDE REAR UNITS I._t,Ir\C. Ji.: l..Il_{:•� NAMEpFRONT HA/:Bole, ('.or,/ r/`ILEGAL NATURE OF WORK TO BE DONE Valuation LOT VARIANCE OR CONDITIONAL USE 11r=c.�l�Ntcgt ��y�/�I ADDRESS (0 YES NO PERMITNUMBERAPLANNING Plan Check No ..................... DEPT. APPROVAL t ( DATE: z CITY NU/ebI�N ~ STREET R W (Oy y PROPOSED USE EXISTING STREET R/W ............FT. DEFICIENCY TRItl PROPERTY �q NAME VAI C'J 1 `q C. KAR pJJk �ZN -Sb -' COMP. PLAN ST. R/W ............FT. ............FT• 000[7771 F? U '\ 'iC-7-1 1 )`{ REMARKS .I7+ al ADDRESS HEAT A GAS LINE /7 1 �80 i/ECHECKED BY w FENCE CITY TE PHONE NUMBER SIGN h tRETAINING WALL I CHECKED BY I METER SIZE I SERVICE SIZE I CLEARANCE BWIMMIN6 POOL • - REMARKS Legal Description of Property (Show Below or Attach Four Copies) �O 1 I6 `•,�\I74C.O1•�n,ry �.�, �'�RI%�`'V'S TYPE ECTION VER PER W REMARKS FIRE ZONE I TYPE OF CONSWUCTION i•. 1 I'm YES r7 NO 1 TOTAL AMOUNT DUE GAS LINE Q YES Q:NO x r-.� �, I � ent of the owner. I agree to comply with city and state law. Mgu- �L w LEISIDENTIAL employed In violation or the Labor Cods of the State of Washington PLAN CHECKED BY THIS SITE IS LOCATED~IN THE CITY OFSHOULD EDMONDS- LOCAL SALES TAX AUTHORIZES E: Permit LTHE imit One Year (Except 3IE51OLITIONS which LPermit N -RESIDENTIAL ❑ 92pN six month..)URE BE CODED 31.04. (OWNER OR -AOS T) ADD INSPECTION _,DEPARTMENT REMARKS ' ❑RETAINING DEMOLISH WALL EXCAVATE PENCE 1 _. tt 7� •- �: 7\�i 1 t L- {-1 I ill f`�, r �, l_. ALTER ❑ ..........Ft.) OR FILL.......... ❑ EDMONDS NOTE: Applicant Subject to Plan Check Fee PR 6-1107 This Permit covers work to be done on private property ONLY. REPAIR ❑ PRE -MOVE D SWIM INSP. POOL Any eo.ste.ctto. oo the public domed. (.ache, ld—sils, driveways, �((% 1 %I ` '1�� 1`-• t '-•�1 �i"" 1! •� .t` �.)1. I `.'-i`1 i I 77> NUMBER OF STORIES NUMBER OF`�•x-I�.�� •_. t\�j.�`�\7 DWELLING `k��C:.1.,, �I,i j`-� UNITS I._t,Ir\C. Ji.: l..Il_{:•� NATURE OF WORK TO BE DONE Valuation Fee Receipt No. 11r=c.�l�Ntcgt ��y�/�I Plan Check No ..................... z BUILDING (Oy y PROPOSED USE �q PLUMBING U PLOT PLAN (Indicate Building setback., abutting streets) HEAT A GAS LINE FENCE SIGN tRETAINING WALL BWIMMIN6 POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL 1 TOTAL AMOUNT DUE hereby acknowledge that I have read this application; that the In- lon given Is correct; and that I — the owner, or the duly author- ent of the owner. I agree to comply with city and state law. Mgu- ATTENTION construction; and m doing the work authotlu6 thereby, no person employed In violation or the Labor Cods of the State of Washington THIS PERMIT to Workmen's Compensation Insurmce. AUTHORIZES E: Permit LTHE imit One Year (Except 3IE51OLITIONS which LPermit ONLYOTEWORK NOTED e completed In ninety days; MOVED -IN BUILDINGS shall be corn -In six month..)URE (OWNER OR -AOS T) DATE SIGNED INSPECTION _,DEPARTMENT ' CITY OF EDMONDS NOTE: Applicant Subject to Plan Check Fee PR 6-1107 This Permit covers work to be done on private property ONLY. Any eo.ste.ctto. oo the public domed. (.ache, ld—sils, driveways, marquee., etc.) will require separate peend.elon. 1 (� �...I ;-lei"• APPLICATION APPROVAL This application is not a permit until signed by the Building Official or his Dep- uty; and fees are paid, and recelpt,is ac- knowledged in space provided. DIRECTOR'S SIGNATURE 1 i BAT INSPECTOR J