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740163.pdft [r Valuntlon Fee Recclpt No. t BUILDING DEPARTMENT PERMIT APPLICATION AppueelDO FUI I Inside Heavy Lines USE NUMBER ZONE '740163 o �f ADDRESS oC �o 1O �. PLANNING DEPT. APPROVAL DATE: NAME (OR NAME OF BUBINEBB) P9T ItlBIULE 'o LOT COYERAGE ACTUAL / LOT COVERAGE V PERMISSIBLE HEIGHT PROPOSED IIEIOHT O 7 O T ', S NAME BB:R G — `r ACTUAL LOT AREA TOTAL ULD-. AREA ^ S COMP. PLAN BT. R/W ............FT. ...........FT. REQUIRED YAR.. FRONT S1DE RF.Ait I•ROPOHED YARDS FRONT HIDE REAR I 1 1 I NATURE OF WORK TO BE DONE L [r Valuntlon Fee Recclpt No. ( l U W ADDRESS [+ LEGAL LOT VARIANCE Cit CONDITIONAL USE RIT NUMDER 0 YES 0 NO PEM 1 PLANNING DEPT. APPROVAL DATE: CITY TELEPHONE NUMBER STREET R/W EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY 7 PROPOSED UBE PLUMBING NAME J / ^ S COMP. PLAN BT. R/W ............FT. ...........FT. CL") —REMARKS f V C� A_//lily .G PLOT PLAN (Indicate Building setbacks, abutting streets) W CHECKED BY F CylY TE PHON/El NUMER D I'? METER SIZE SERVICE SIZE CLEARANCE CHECKED BY FENCE 5 6) SIGN STATE LI ENBE NUMBER CITY LICENSE NUMBER J' I WALL Iy4a I BWIMMIN6 POOL C r J 1 j I REMARKS Legal Description of Property (Show Below or Attach Four Copies) DEMOLITION TYPE CONNECTION VERIFIED 11 PRE -MOVE INSPECTION O I EXCAVATION OR FILL l 1 a, 1 ,� 1 1 PERO. TEST I PERMIT NUMBER C REMARKS TOTAL AMOUNT DUE FIRE ZONE TYPE OF CONSTRUCTION STREET IMPROVED 'I V I 0 YEB 0 NO Iced agent of the owner. I agree to comply with city and state lawn rogU_ ATTENTION i; SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP 0 YES 0 NO 1 Will be employed In violation of the Labor Code or the State of Washington 1 OAS ❑RESIDENTIAL LINE xl:w NON-RESIDENTIAL s1GN PLAN CHECKED HY THIS SITE IS LOCATED IN THE CITY OF EDMONDS. LOCAL SALES TAX SHOULD BE CODED 3104 relating W Workmen's Compensation Insurance. ADD 0 DEMOLISH ❑ RETAINING ALTER EXCAVATE FENCE aligned by the Building Official or his Dep - , REMARHB ONLY THE WORK NOTED OR FILL (...-.....x_ ....... Ft.) REPAIR ❑ INSP. POOL shage ompleted.I nety days; MOVED -IN BUILDINGS shall be corn- knowledged in space provided. plot eC in�x month-) NUMBER OF STORIES NUMBER OF DWELLING REEF ATE lGNE INSPECTION DIRECTOR'S a ATV DEPARTMENT NATURE OF WORK TO BE DONE L Valuntlon Fee Recclpt No. 2 Plan Check No ..................... x � .�, BUILDING PROPOSED UBE PLUMBING ^ S f V .G PLOT PLAN (Indicate Building setbacks, abutting streets) HEAT & CAB LINE j sl � FENCE J SIGN J' tRETAINING WALL BWIMMIN6 POOL DEMOLITION 1 PRE -MOVE INSPECTION EXCAVATION OR FILL TOTAL AMOUNT DUE this apPllealtan; that the In. I hereby acknowledge that I have reed t / T format[.. given Is correct; and that I axt the owner, or the duly author. Iced agent of the owner. I agree to comply with city and state lawn rogU_ ATTENTION APPLICATION APPROVAL Iating construction; and In doing the work authorised thereby, no person 1 Will be employed In violation of the Labor Code or the State of Washington THIS PERMIT This application Is not a permit until relating W Workmen's Compensation Insurance. AUTHOIUZEB aligned by the Building Official or his Dep - NOTE: Permit Limit One Year (Except DEMOLITIONS which ONLY THE WORK NOTED uty; and fees are paid, and receipt is ac- shage ompleted.I nety days; MOVED -IN BUILDINGS shall be corn- knowledged in space provided. plot eC in�x month-) 8 GNATU E (O 1 NER AGENT) � ATE lGNE INSPECTION DIRECTOR'S a ATV DEPARTMENT CITY OF EDIVIONDS DATE 4274'E: ApQlicant Subject to Plan Check Fee _ _ PR 0.1101 — T^ Permit coven work to be done on private property ONLY. Any construction an the public domed. (sorbs, sidewalks, fill y., marquees, etc.) wW require ..pante Permission. FILE 1 1 TELEPHONE NUIt�E ElRESIDENTIAL LINE NEW BUILDING PROPOSED USE PLUMBING ❑ PERMIT 7' 3 `KJ !, \� BUILDING DEPARTMENT Applicant Fnl USNE NUMBER _ RETAINING PERMIT APPLICATION tilde Heavy Lines ADDREB8 � 1 In 0 ( � L ALTER NAMID (OR NAME OF BU61NESH) ❑ PER ISBIBLE ACTUAL % ` LOT COVE AGE f { PRE-INSP. ❑ Poor, VUMBER OF STORIES LOT COVERAGE 1} /\ MA G AD1)76 �� ,\/// t H� PERMISSIBLE HEIGHT PROPOSED HEIGHT UNITS EXCAVATION OR FILL ON NrU,-(tMBB,R C� ACTUAL LOT AREA TOTAL BLDG. AREA Yj j �'�/7 �A/ S I % 7P / / L REQUIRED YARDS PROPOSED YARD. 7 • 6M (J / TELEPHONE NUIt�E FRONT .IDE REAR FRONT SIDE REAR L❑EYE88 LOT0 NO PEARIANCE OR RMIT NUMBER NDITIONAL USE PLANNING DEPT. APPROVAL DATE: STREET R/W EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY COMP. PLAN ST. R/W ............FT. ............PT. REMARKS 0 YES [] NO YES [ NO Fee SALES TAX / ElRESIDENTIAL LINE NEW BUILDING PROPOSED USE PLUMBING ❑ NON-RESIDENTIAL ❑ ION A.D.El PLOT PLAN (Indicate Building setbacks, abutting streets) RETAINING ❑ DEMOLISH ❑ L ALTER ❑ OTE R FI L ❑ PENCE I x .......... Ft.) REPAIR ❑ PRE-INSP. ❑ Poor, VUMBER OF STORIES NUMBER OF DEMOLITION DWELLING I PRE -MOVE INSPECTION UNITS EXCAVATION OR FILL NATU OF_WORH TO E DONE )R jJ FRONT .IDE REAR FRONT SIDE REAR L❑EYE88 LOT0 NO PEARIANCE OR RMIT NUMBER NDITIONAL USE PLANNING DEPT. APPROVAL DATE: STREET R/W EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY COMP. PLAN ST. R/W ............FT. ............PT. REMARKS 0 YES [] NO YES [ NO Fee SALES TAX / Plan Check N. ..................... BUILDING PROPOSED USE PLUMBING HEAT d: GAB LINE PLOT PLAN (Indicate Building setbacks, abutting streets) PENCE SIGN RETAINING WALL N SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL TOTAL AMOUNT DUE 7 • 6M (J / I hereby acknowledge that i have rend this application; that the in- formation given IS correct; and that I am the owner, or the duly author - Iced agent of the owner. I agree to empty with city and Stale Tawe ngu- ATTENTION APPLICATION APPROVAL lating construction; and In doing the work authorized thereby, no person will be employed In violation of the Labor Code of the State of Washington TIHB PERMIT This application is not a permit until relating to Workmen's CompenSSllon Iontrail". AUTHORIZES signed by the Building Official or his Dep - NOTEp Permit -Limit One Year (Except DEMOLITIONS which ONLY THE WORK NOTED receipt and d fees are p p aid, and t is ac- sbaWbe crynpleted In ninety days; MOVED -IN BUILDINGS shall be coin- knowledged in space provided. Dieted In eIx months,) I/Q AT RE (O NER OjtJ�Ai,GENT) '� % �/f DATE AONED INSPECTION DEPARTMENT DIRECTOR'S S10jNAATiJRE - L .•� ,.t%I✓i"� / /• vl, r/y/ .,� CITY OF EDIIIONDB �' 1 NOTE: Applicant Subject to Plan Check Fee PR 8-1107 This Permit coven work to be done on private property ONLY. Any construction on the public domain (carbo, eldawalka. drlveways, INSPECTOR .—queer, etc.) Will require Separate permission. y •r } ' •t ia� g'} + � t tri] It s 1 n7,�ltr?gip _ t �k I n �• ..... i hi ... i' n I I .k ......... ... . iii f ,. ... _.. .�. e i 7 ai T. .... ..... _...._ ...._.-. ...... ... .......... _ .__......_....__ kSP 1 t 1 N1 I : t ; RECORD OF`INSPECTIOrIS Date Passed 'Foundation `;Plumbing (Partlaq ----- (Rough) Frame Furnace & Fuel Lines. ----- :Final r .:- .., -: �..: ':�. '. ..,. _. ;:. .I 'moi"-•-. .f ..R _.. ... .. a-