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740184.pdf
I I I BUILDING DEPARTMENT USE �-/y PERMIT 740184 ' AppLaant Fill \..- PERMIT APPLICATION ulglde Heavy Lines aDe ""j //77 ADDRESS NAME (OR NAMH OF HUBiNEeB) a Ifj• �( d �j ! t , LOTICO ERA � ACTUAL lAT COVERAOF,h`O LOT COVERAGE MAIWN0 ADDRESS 4- PERMIBtlIBLE HEIGHT � PROPOSED IiEIGH � 30 J 1 Ty ONH HES� jR ACT U LO A,Ryr/E•ysA TOTAL SL�r A EA — '�UIRED iDtl PROPOSED RDS NAME FRONT BIDE REA FRONT SI E -- REAR t M ADDRESS L LOT VARIANCE OR C ITIONAL SE S 0 NO PERMIT NUMBER V T. P t DATE' I W CITY TELEPHONE NUMBER �.2f�J' EXI T6 STREET R/W `.F.'�`,PT. DEFICIENCY THIS PROPERTY O NAME / q COMP. PLAN BT. R/k....t5,)%_r. Q Drs s y 5� ' REMARKS Driveway slopes not to exceed those indicated on Stanadard Dwe No 103 w CITY \ I TE ONE N;77�7 O`�'~ METEEEFFtjj} tl1ZE SERVICE SIZE CLEARANCECITE 'D SY STATE CENSE NUMBER CITY CENSE NUMBER I ��/ I I��y HEMwttHtl .gal Description of Property (Show Below or Attach Four Copies)hyll m Y� W/A/ TYPE CONNECTION J/VERRIFFIED BY V �a� '�•�� 'r' T PERE. TEST I P RMU NUMBER y I OREMARKS m v i I FIRE ZONE TYPE OF CONSTRUCTION BTR IMPROVED EB E] NO j SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP GAS© RESIDENTIAL LINE ❑PLAN BCHECKED BY ' ,® NEW '- /% o � / THIS SITE IS LOCATED IN THE CITY El NON-RESIDENTIAL SIGN �/G�4Jc-f-t/ OF EDMONDS. LOCAL SALES TAX ADD ❑ RETAINING 9 SHOULD BE CbDED 3104 MAR ,DEMOLISH WALL �J' ( p ,/' ,, II n 7 j rALTER ❑ EXCAVATE ❑ FENCE �� �G/i/ST,P�/JGT�Drd ! `�/y�C �/c/ d OR FILL G........s..........Ft.) PRE - REPAIR ❑ INSP. O POOL r-T(/ii-�G'(.iV �Z� O/Y J��G% swim NUMBER OF STORIES NUMBER OF j / DWELLING / UNITS NATURE OF WORK TO HE DONE Valuation Fec Recel Pt No. Plan Check No ..................... trio BUILDING 74 Jl�,Ga �� j� C� e 6 PROPOSED USE 7 O PLUMBING a3 as PLOT PLAN (Indicate Building setback., abutting streets) HEAT @ OAS LINE / Y FENCE ,�+t/ �elll 810N RETAINING WALL _ N 1 SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL @ 0 n I hereby erJtnowledgs that I have read this AMOUNT DUE . application; that the in. / formation given Is m r - correct; and that I athe owner, or the duly autho lred agent of the owner. I agree to comply with city and .late law. ngu- ATTENTION APPLICATION APPROVAL lating construction; and is doing lbs work authorised thereby, ao p .... n will be employed in and 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 - ONLY THE NOTE: Permit Limit One Year (Except DEMOLITIONS which WORK NOTED Uty; and fees are paid, and receipt Is ac. .hall be completed In manly day.; MOVED -IN BUILDINGS shall be am• knowledged in space provided. Dleted In .Ix month..) ) HIGNATUlt WN R OR N e ' DATE SIGNED INSPECTION in R' SIG AT UUjq DEPARTMENT ? 06 CITY OF EDMONDS DATE NOTE: Applicant Subject to Plan Cbeck Fee '—" rn a-udr This Permit coven work to be done on private property ONLY. Any construction on the public domain legrb.,sidewalk., driveway.. FILE nutpueee, el..) will require ..parole petml..lm. pU1d N m ADDRESS _ ,.{ .';9711 �i!—• '. STATE pLICENBH NUMCITY LICENSE NUD ra"rf�% Legal Description of Property (Show Below or Attach Four Cople V IQ O .I I �O7 w7 � EXI G STREET It/ lW/ ... �. ((//... �DEFICIENCY THIO PROPERTY COMP. PLAN ST. Rlr `�FT. I O REMARKS Drivettav slopes not to exceed those indicated on Stanadard Dwg. No. 103 1��J _� SjCtiI,;v \M 10 NC: "�1-0 CH( ECI Y � U _ METI:�i,16� G DEPARTMENT Applicant Fill USE NUMBER`4! `-4% i 7 1 DEMOLISH ❑ EXCAVATE OR FILL ❑ RE -MOVE APPLICATION Inside Heavy Lines JOB ADDRESS v - TYPE CONNECTION� I VERIFILQ•!jY This application is not a permit until totaling to Workmen's Compensation Insurance. AME,OF BUSINESS) ��J/ 1r7' D� FZIA�HZNOADDR�EBII PERMISSIBLE T. LOT COVERAGE ACTUAL LOT COVESYAOE ONLY THE WORK NOTED uty; and fees are paid, and receipt Is aC- ehall be completed In bluely days; MOVED -IN BUILDINGS shall be com. DREeB `I PERSSI80IBLE HEIGHT�lCr(-.I7 HONATUR (OWN311. OR GEN• SIGNED-- INSPECTION ,DIRE OR's SIONATURM !' �„}' ON N ER i I ,I (,17 — I� ACTUp'S,OT AIL$R of !LtU (JO3 TOTAL B _g$G A,f /`•'h PROPOSED YA RDB CITY OF 1 DATE REQUIRED YARDS pU1d N m ADDRESS _ ,.{ .';9711 �i!—• '. STATE pLICENBH NUMCITY LICENSE NUD ra"rf�% Legal Description of Property (Show Below or Attach Four Cople V IQ O .I I �O7 w7 � EXI G STREET It/ lW/ ... �. ((//... �DEFICIENCY THIO PROPERTY COMP. PLAN ST. Rlr `�FT. I O REMARKS Drivettav slopes not to exceed those indicated on Stanadard Dwg. No. 103 1��J _� SjCtiI,;v \M 10 NC: "�1-0 CH( ECI Y � U _ METI:�i,16� I SET' SIZE I CLEARANCE �� I ECKEDJ Y //yy2E WS—MARKSSp7 I lI G� /%i���L-/G/%i/V / •---l.C� tit; �-: /�/ �•' DEMOLISH ❑ EXCAVATE OR FILL ❑ RE -MOVE REMA RKe eUMBER O% STORIES NUMBER OF DWELLING I - TYPE CONNECTION� I VERIFILQ•!jY This application is not a permit until totaling to Workmen's Compensation Insurance. UNITS !Y I [yYES 0 NO rvna'unc ve wunn iu az uurvc TOTAL AMOUNT DUE Plan Check No ..................... Valuation SPECIAL INSPECTOFL.REQUIRED ❑ �'ES dN0 OCCUPANCY GROUP L- a NEW ADD ALTER REPAIR RESIDENTIAL NON-RESIDENTIAL O Lj a LINE SIGN RETAINING WALL FENCE (........_x......... -Ft.) swim POOL PLAN CRECICED IIY � THIS SITE IS LOCATED IN THE CIT' < - Gr<vl Z.-t-L� OF EDMONDS. LOCAL SALES TA; HOULDBE CODED 31.04. WS—MARKSSp7 I lI G� /%i���L-/G/%i/V / •---l.C� tit; �-: /�/ �•' DEMOLISH ❑ EXCAVATE OR FILL ❑ RE -MOVE tRETAINING N eUMBER O% STORIES NUMBER OF DWELLING / will be employed In violation of the Labor Code of the state of Washington Ting PER511T This application is not a permit until totaling to Workmen's Compensation Insurance. UNITS signed by the Building Official or his Dep - NOTE: Permit Limit One Year (Except DEMOLITIONS whlch ONLY THE WORK NOTED uty; and fees are paid, and receipt Is aC- rvna'unc ve wunn iu az uurvc TOTAL AMOUNT DUE Plan Check No ..................... Valuation Fee Receipt No. ? formation given le correct; and that I am the owner, or the duly author- BUILDING L/! ' �!✓. % �=-- 179 PROPOSED USE I(,jj y V 1 ^, PLOT PLAN (Indicate Building setbacks, abutting streets) ti ;i) /'r'-.1'}.. ' tRETAINING N PLUMBING HEAT A GAB LINE FENCE SIGN WALL SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL will be employed In violation of the Labor Code of the state of Washington Ting PER511T This application is not a permit until totaling to Workmen's Compensation Insurance. AUTIIOR[ZE8 signed by the Building Official or his Dep - NOTE: Permit Limit One Year (Except DEMOLITIONS whlch ONLY THE WORK NOTED uty; and fees are paid, and receipt Is aC- ehall be completed In bluely days; MOVED -IN BUILDINGS shall be com. knowledged In space provided. pleted In six mon the.) HONATUR (OWN311. OR GEN• SIGNED-- TOTAL AMOUNT DUE 7%S Y I hereby acknowledge that I have read this application; that the In- formation given le correct; and that I am the owner, or the duly author- ized agent of the owner. I agree to comply with city and ■tat* laws regu- TE ATTENTION APPLICATION APPROVAL Iating construction; and In dolog the work authorised thereby, no person will be employed In violation of the Labor Code of the state of Washington Ting PER511T This application is not a permit until totaling to Workmen's Compensation Insurance. AUTIIOR[ZE8 signed by the Building Official or his Dep - NOTE: Permit Limit One Year (Except DEMOLITIONS whlch ONLY THE WORK NOTED uty; and fees are paid, and receipt Is aC- ehall be completed In bluely days; MOVED -IN BUILDINGS shall be com. knowledged In space provided. pleted In six mon the.) HONATUR (OWN311. OR GEN• SIGNED-- INSPECTION ,DIRE OR's SIONATURM !' �� - J •'r r—., -, l( DEPARTMENT j' ! `- " l CITY OF 1 DATE EDOIONDS NOTE: Applicant Subject to Plan Check Fee PR a-uoI This Permit coven work to be done on private property ONLY. Any construction on the public domain (curbs, sIde..Ik.. dl,—".. INSPECTOR marquees, etc.) will re0Wrt separate peumisdon. .+'f /i':�•.eX..:!nr•a .., ^'- v .,: .. .,a., .-:1.r t ... ,{j.' TS4~�.r.,l� ,Zt,1;; .r Ms. ,. <:,p. ..�,Ipr . ^ -_. I n - "`'•1.r �0 ."•. •,y,{1 oI - I i .,+...::.rpp - ^q' .rt e:.'• �`�i ?'.t�,4yg �j�jjxI'�:� ZIP%�II � \.c'a r.-Y�, +/,Q_� j' ,• O.<b''• 4 , ryr ,�� y� '! 7�r •�I 1 �.W ' �I'(;'Y..� 9. I r 1 • / D o`c�+ , �.O ^w r I + .i "'- r._{ II 4'..1» i.; r-01 l, �2Ct 1, �f i � N . '. 1�' ,ry . , •? � 1 I +°. i "t �, j J. <, ; c r , �a1 . D.,Tavi p�✓oen .I C`: y`ryy / f}.�. .�JJF--/�� q'�i ►YIQH//�� C)T �✓M� .93, Ar1<NIh<rf s� P ✓ i.i W 'ri�iQ �j t i'�i I 3i t r�I I' i s.,l a COt^n¢r. , r 1prtry O` - 98' $Oie +• �+ <� �• �� r r;t ISSIn `;., .�as/' .��i' �s.�i.'. Li%�-,q i'IYC •Eas�r.. ll'rta q� 'r'r.?<t�'..'.�3�. . ',: i' �l ` 1 i _.,t 46 `r t i T}},ILHOi•�J�JOM J1, y`�b; 3B " � . ,r.1. . . 10 . �i SI s,µ3¢ s kVr J3 t i Y 1 Ar It X jf- f71r!pq To✓ - •17r, MtrY. cls a / % CO r.. - is r r r - O l IN RECORD OFINSP'CTIONS Date Passed Foundation Plumbing (Partial) (Rough) 2P3 -7q Frame O .Furnace & Fuel Lincs /d " .T/ FinalZT