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740175.pdfDemolish non -habitable building Plan Check No.. Valuation Fee Receipt No. formation given U am the and that I athe owner, or the duly author- 0 BUILDING Ized agent of the owner. I agree to comply with any and eels law. rogu- ATTENTION PROPOSED USE U 1 ' BUILDING DEPARTMENT USE PERMIT ONE NUMBER 740175 HEAT d: GAS LINE This application is not a permit until relating to Workmen's Compensation Insurance. M PLOT PLAN (Indicate Building setbacks, abutting streets) 4 N Applicant Fill NOTE: Permit Limit One Your (Except DEMOLITIONS which ONLY TILE WORK NOTED SIGN eh.11 be completed In uiaety days; MOVED -IN BUILDINGS .hall be onm- PERMIT APPLICATION I Inside Heavy Lines JOB SWIMMING POOL tl16NA7 (OWNER OR AGENT) A SIGNED INSPECTION DEMOLITION ADDRESS Ok West 2.00 CITY OF NAME (OR NAME OF BUSINESS) ai34a 76th Avenue lt EDMONDS t PR g•1107 , 7 Edgewood Baptist Church PERMISSIBLE % ACTUAL / IAT COVERAGE LOT COVERAGE Any conetrucllon In the public domed. (.orbs, sidewalk., driveway., I marquees, etc.) will require "Puma permission. Al NO ADDRESS PERMISSIBLE HEIGHT PROPOSED HEIGHT O 1 20406 - 76th Avenue West' i O CITYON B ACTUAL LOT AREA TOTAL LDO. AREA TFj Edmonds Washington REQUIRED YAR US PROPOSED YARDS NAME FRONT BIDE RF.All FRONT HIDE REAR LEGAL LOT VARIANCE OR CONIIITIONAL USE sUj F, ADDRESS YE8 ❑ NO P1310.r NUMBER J PLANNING DEPT. APPROVAL DATE: CITY TELEPHONE NUMBER STREET R/W O EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY NAME COMP. PLAN ST. A/W ............FT. ............FT. [� . REMARKS )p` CI ADDRESS Dfa NUMBER CHECKED BY CITY TE PHONE z 8 I METER SIZE SERVICE SIZE CLEARANCE CHECKED BY STATE LICENSE NUMBER I CIT CENSE NUMBER I pEdJ REMARKS ! Legal Description of Property (Show Below or Attach Four Copts-) r E. 280.0 ft of the S 217.0 ft of the SE TYPE CONNECTION VERIFIED BY 1/4, NE 1/4 of section 19 township 27, Septic PERC. TEST PERMIT NUMBER C I w range 4 Past except E 30 ft for road W 0 REMARKS < and the E 200.0 ft of tract I & 2 Wit I owda I e Gardens Div. #1. FIRE.20DiE I TYPE OF CONSTRUCTION STREET IMPROVED J/T/' YES 0 NO SPECIAL INSPECTOR REQUIRED GROUP RESIDENTIAL CA9 [I YES NO IOCCUPANCY El NEW ERETAINING LINE PLAN CHECKED BY THIS SITE IS LOCATED IN THE CITY ' NON-RESIDENTIAL ❑ SIGN SOHOEDLD BE CODED 3104 SALES TAX 0 ADD WALL �( REMARKS I DEMOLISH ALTER EXCAVATE FENCE OR FILL (.......... x .......... Ft.) REPAIR ❑ INSP.HONE El SF OL NUMBER OF STORIES NUMBER OF DWELLING UNITS Demolish non -habitable building Plan Check No.. Valuation Fee Receipt No. formation given U am the and that I athe owner, or the duly author- 0 BUILDING Ized agent of the owner. I agree to comply with any and eels law. rogu- ATTENTION PROPOSED USE U PLUMBING . HEAT d: GAS LINE This application is not a permit until relating to Workmen's Compensation Insurance. M PLOT PLAN (Indicate Building setbacks, abutting streets) 4 N FENCE NOTE: Permit Limit One Your (Except DEMOLITIONS which ONLY TILE WORK NOTED SIGN eh.11 be completed In uiaety days; MOVED -IN BUILDINGS .hall be onm- RETAINING WALL plated In six month..) SWIMMING POOL tl16NA7 (OWNER OR AGENT) A SIGNED INSPECTION DEMOLITION 2.00 PRE -MOVE INSPECTION EXCAVATION OR FILL I hereby acknowledge that I have road this applleatlon; that the in. TOTAL AMOUNT DUE I I I rel ,� l!"V / 7� 7 formation given U am the and that I athe owner, or the duly author- ' Ized agent of the owner. I agree to comply with any and eels law. rogu- ATTENTION APPLICATION APPROVAL ' latlag anand In doing the work wlhorWd thereby, no Vernon will be amployed In violation of the Labor Code of the State of Washington THIS PERMIT This application is not a permit until relating to Workmen's Compensation Insurance. AUTHORIZER signed by the Building Official or his Dep - NOTE: Permit Limit One Your (Except DEMOLITIONS which ONLY TILE WORK NOTED uty; and fees are paid, and receipt Is ac- eh.11 be completed In uiaety days; MOVED -IN BUILDINGS .hall be onm- knowledged In apace provided. plated In six month..) tl16NA7 (OWNER OR AGENT) A SIGNED INSPECTION DIRECT R'B SIONATU DEPARTMENAd CITY OF CAME lt EDMONDS NOTE: Applicant Subject to Plan Check Fee PR g•1107 , 7 This Perrelt coven work to be done on private property ONLY. Any conetrucllon In the public domed. (.orbs, sidewalk., driveway., marquees, etc.) will require "Puma permission. FILE 7 Plan Check No. .................... 7- BUILDING formation given Is correct; and that I am the owner, or the dor- PLUMBING Ixed agent of the owner. I agree to comply with city lead elategu- HEAT A GAS LINE { FENCE will be employed In violation of the Labor Code of the state ofton SIGN tRETAINING WALL N SWIMMING POOL .hall 6e completed 1n ninety days: MOVED -IN BUILDINGS ehom- l_.I pleted In six moothe.) pleted .1 BIONATURE (OWNER OR AGENT) ' EXCAVATION OR FILL INSPECTION DEPARTMENT.. 'LI BUILDING DEPARTMENT Applicant FW ONE NUMBER - X75 CITY OF EDMONDS PERMIT APPLICATION Inside Heavy Lines o�--�� p _ Any construction on the public domain (tab.. sidewalks, driveways. marquees, elm.) wall require separate permission. ADORESH i=I' I�'�++�+• 76th Ayefllll �1'105t 1I NAME (OR NAME OF BUSINESS) Edq )wood rapt 1St : March PEItAi ItleIBLE ^ LOT COVERAOEe ACTUAL LOT COVF. AGE MAILING ADD E80 PERMISSIBLE HEIGHT PROPOSED HEIGHT O 20400 - ]lith Avenin '.Ietst 0 CITY ONE N 1tiR ACTUAL LOT AREA TOTAL BLDG. AREA Ldntoild5, Washington I REQUIRED YARDS PROPOSED YARDS fk a F r U E. 230.0 ft of 'the S 217.0 Ft of the '=E � 114, ME 1/4 of section 19 township 27, w ronno 4 cast exceut E 30 ft for road 0 .4 end 'th:; E 200. ft of Tract 1 i. 2 0 lov;dale Gar'dons Div. l/1. NEW RESIDENTIAL F LINE NON-RESIDENTIAL ❑ SIGN ❑ ADD,` DEMOLISH O RETAINING ALTER ❑ ORENC FILL EXCAVATE ❑ I............Ft.) REPAIR O INSpAfOVE �'j SWIM NUAtBER OF BTORIEe I NUMBER OF DWELLING UNITS NATURE OF WORK TO BE DONE Uc,.mol ish non-habil-ahle bui idinq a 0 FRONT NIDE REAR FRONT tlIDF REAR l 11 LEGAL LOT VARIANCE Olt CONDITIONAL USE 1 0 YES ❑ NO PERMIT NUMBER PLANNING DEPT. APPROVAL DATE: ; STREET R/W O EXISTING STREET R/W ............ FT. DEFICIENCY THIS PROPERTY COMP. PLAN 8T. R/W ............FT. ............FT. REMARKS y I I I ePtic YES ❑ NO LOCAL 2.00 , " V77s APPLICATION APPROVAL r 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. <<-i/- 71/ INSPECTOR Plan Check No. .................... I hereby acknowledge that I have read this application; In- BUILDING formation given Is correct; and that I am the owner, or the dor- PLUMBING Ixed agent of the owner. I agree to comply with city lead elategu- HEAT A GAS LINE lating e..1111tioa; and In doing the work authorised therebyanson FENCE will be employed In violation of the Labor Code of the state ofton SIGN tRETAINING WALL N SWIMMING POOL .hall 6e completed 1n ninety days: MOVED -IN BUILDINGS ehom- DEMOLITION pleted In six moothe.) pleted PRE -MOVE INSPECTION BIONATURE (OWNER OR AGENT) ' EXCAVATION OR FILL YES ❑ NO LOCAL 2.00 , " V77s APPLICATION APPROVAL r 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. <<-i/- 71/ INSPECTOR TOTAL AMOUNT DUE I hereby acknowledge that I have read this application; In- formation given Is correct; and that I am the owner, or the dor- Ixed agent of the owner. I agree to comply with city lead elategu- ATTENTION lating e..1111tioa; and In doing the work authorised therebyanson will be employed In violation of the Labor Code of the state ofton TIUS PERMIT relating to Workmen's Compensation Iasur as. AUTHORIZES NOTE: Permit Limit One Year (Exempt DEMOLITich jbe— ONLY THE WORN NOTED .hall 6e completed 1n ninety days: MOVED -IN BUILDINGS ehom- pleted In six moothe.) pleted BIONATURE (OWNER OR AGENT) ' DATE INSPECTION DEPARTMENT.. 'LI CITY OF EDMONDS NOTE: Applicant Subject to Plan Cbeck Fee PR 0-1107 This Permit coven work to be done on private property ONLY. Any construction on the public domain (tab.. sidewalks, driveways. marquees, elm.) wall require separate permission. YES ❑ NO LOCAL 2.00 , " V77s APPLICATION APPROVAL r 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. <<-i/- 71/ INSPECTOR