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740190.pdfPERMIT 111 L D I N G DEPARTMENT Applicant Flu ZONE NUMBER PERMIT APPLICATI®N ( Inside Heavy Lines ADDG itEBe Fs-:.2 �— TAME (OR NAME OF BUSINESS) A_r. c,.f,d s lam)., 776 -�;?a 9.5 G W To 01 Y\ a L 0 U -V\VR 11 ecc e- 0: ADDREBB G CITYTE EP ONS—tjQN�i{ T BTA E LICENBD NUMBER I CITY ICENSE NUMBER a:13 -oa- 3Sfe_6 ❑ YES ❑ NO PRHMIT NUMBER PLANNING DEPT. A • •ILO A1. DATE: STREET /W' EX IBTINU sTHEF:T R/W ............FT. DEFICIENCY THIS PROPERTY COMP. PLAN ST. R/lV ............FT. ............FT. REMARKS W m YES [] No SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP RESIDENTIAL GAS ❑ YES 13 NO NEWLE LINE PLAN CHECKED DY THIS SITE IS LOCATED IN THE CITY El NON-RESIDENTIAL SIGN 01M.,EDMONDS. SALES TAX ODED 31,04, L04 ADD ❑ RETAINING REMARKS' ❑ DEMOLISH ALTER OItCIA+'ILITE ❑ <J..Cx.4.Q.4Fl.) ItEPAilt ❑ IN PDIOVE ❑ pOOL N R, U_ OF' sTU t ;k N i OF DWELLING I (� UNITS NATUnE L�V`WUISK To BE DONE Valuation Fen Receipt No. 1 Pmn Check No.. ................... i BUILDING J PROPOSED UJIM11 PLUMBING O 1'1.0 • .AN (Indicate Building netbuchm, abutting slrecte) HEAT & GAS LINE in p FENCE -I /t Q v O' it rl Or V SIGN RETAINING WALL 'd � SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION ' EXCAVATION OR FILL © 776 S TOTAL AMOUNT DUE 1 hy neknowledge that 1 have rand this application; that the in. formstlereban given iscorrect; and that I am the owner, or the duly author. Bed agent at the owner. I agree to comply with City and state laws Ingo- lating construction; and 1. doing the work authorised thereby, an parson ATTENTION APPLICATION APPROVAL will be employed In Violation of the Labor Code of the stale of Washington Workmen's THIS PERMIT application is not R permit until reining;This to Compensation Insurance, AUTHORIZES signed by the Building Official or his Dep- NOTE: Permit Limit One Year (Except DEMOLITIONS which ONLY TID: WORE NOTED Uty; and fees are paid, and receipt is ac - shall be cnIn ninety days; MOVED -IN BUILDINGS shoo he nom- knowledged in hs.) plated In mix elx months.) apace provided. SIGNATURE (OWNER OR AGENT) DATE SIGNED INSPECTION D DEPARTMENT OR's /AT >r(�•� CITY OF EDBIONDS DATE NOTE: Applicant $object to Plan Check Fee [� PR d-1107 _ / This Permit work be done Dmperty ONLY. 1 on on public Any constructionon the (c b.,privateSid (turbo, driveways, .111domain mnreueee, etc.) will reaolre separate permleelon. permission. FILE ' +j it.. .. .. I .. ,., I hereby acknowledge that I have read this application; that the In- S.. .. .. a .. ,.,vim. ! Iced agent of the owner. I agree to comply with city and state law. regu- ATTENTION r .. _ (J.'���••••\�� - .� BUILDING DEPARTMENT TINS PERMIT UBE BE.� . I J ZONE NUMR 0'. t7 AppllcsintFlll =T ET R/w - F.7tIBTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY shall be completed In nlpety days; MOVED -1N BUILDINGS shall be com- PERMIT APPLICATION Ineido Heavy Linos JOB ADDRESS SIGNATURE (OWNER OR AGENT) E Iq C� NAME (OR NAME OF BUSINESS) � C1TY i L\111._1 TAILEPHONE NUMBER ) e/ /6 -1 1 C) �C METER 012E SERVICE SI2E CLEARANCE Mc,— y( � � � -..• (� � �' 11 � PERMISSIBLEACTUAL LOT COVERAGE LOT COVERAGE I MAILING ADDRESS Tms Permit covers work to be done on private property ONLY. Any con.lrucllon on the public domain (curbs, eldewdks, drlVewvs. yy d "J 'C� _z ' b li? V REMARKS PERMISSIBLE HEIGHT PROPOSED HEIGHT c i CITY—'$� 1 ( I NUMBER ACTUAL LOT AREA TOTAL BLDG. AREA II LrJI, I I / I�; \ •a i/ b REQUIRED YARDS PROPOSED YARDS C'� , 0 0 11 1776 s APPLICATION APPROVAL This application is not a permit until eigned by the Building Official or his Dep- uty; and fees are paid, and receipt is ac- knowledged in apace provided. ECTOR LGN Uft DATE INSPECTOR NAME FRONT SIDE REAR FRONT SIDE READ I hereby acknowledge that I have read 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 comply with city and state law. regu- ATTENTION ADDRESS LEGAL LOT VAIt1ANCE OR CONDITIONAL USE YE8 0 NO PERMIT NUMBER PLANNING DEPT. APPROVAL DATE: IUiI ly C will be employed In Violation of the Labor Code of the State of Washington TINS PERMIT CITY TEL ONE N� UMBER t7 NOTE: Permit Limit One Year (Escept DEMOLITIONS which =T ET R/w - F.7tIBTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY shall be completed In nlpety days; MOVED -1N BUILDINGS shall be com- R'ORK NOTED NAME -' F.T............. _ l-,� C COMP. PLAN ST. R/W ............FT. I^LIC1�11 �0 LtV'\ ��tI 1 (�V\t-L- 11'tG REMARKS SIGNATURE (OWNER OR AGENT) E Iq C� x M ADDRESS 1/ (_� I,i I (' ^`� rim •.! (_t/ • CHECKED BY C1TY i L\111._1 TAILEPHONE NUMBER ) e/ /6 -1 1 C) �C METER 012E SERVICE SI2E CLEARANCE I CHECKED HY CITY OF .STAT LICENOE NUMBER CITY LICENSE NUMBER I I Tms Permit covers work to be done on private property ONLY. Any con.lrucllon on the public domain (curbs, eldewdks, drlVewvs. yy d "J 'C� _z ' b li? V REMARKS c i Legal Description of Property (Show Below or Attach Four Copies) TYPE CONNECTION VERIFIED BY r1 PERC. TEST PERMIT NUMBER N I REMARKS O FIRE ZONE I TYPE OF CONSTRUCTION STREET IMPROVED 0 YES 0 NO SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP G 11 YES I ❑ RESIDENTIAL LINE PLAN CHECKED BY xew THIS SITE IS LOCATED IN THE CITY NON-RESIDENTIAL SIGN - OF EDMONDS. LOCAL SALES TAX ElADD RETAINING REMARKS SHOULD BE CODED 3104 DEMOLISH WAIT' PEN EXCAVATE® (..6. cx..I.F,?fFt.) ALTER ❑ ORFILL WIM REPAIR ❑ IliRP. O POOL NUMBER OF OTOIt1E8 NUMBER OF DWELLING UNITS NATURE OF WORK TO BE DONE I) (_ �G'_ Plan Check No... Valuation Fec Recelpl No. ............ x O BUILDING -i Q PROPOSED USE PLUMBING PLOT PLAN (Indicate Building setbacks, abutting et;S) HEAT do GAS LINE O FENCE e, 11 T (� J a O G" SIGN RETAINING WALL N _ SWIMMING POOL l DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL I .j C'� , 0 0 11 1776 s APPLICATION APPROVAL This application is not a permit until eigned by the Building Official or his Dep- uty; and fees are paid, and receipt is ac- knowledged in apace provided. ECTOR LGN Uft DATE INSPECTOR TOTAL AMOUNT DUE I hereby acknowledge that I have read 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 comply with city and state law. regu- ATTENTION lating construction; and in doing the work authorised thereby, no person will be employed In Violation of the Labor Code of the State of Washington TINS PERMIT relating to Workmen's Compensation Insurance. AUTHORIZES NOTE: Permit Limit One Year (Escept DEMOLITIONS which ONLY TILE shall be completed In nlpety days; MOVED -1N BUILDINGS shall be com- R'ORK NOTED pleted In six months.) SIGNATURE (OWNER OR AGENT) DATE, SIGNED INSPECTION DEPARTMENT K CITY OF EDIIIONDS NOTE: Applicant Subject to Plan Check Fee PR d-1101 Tms Permit covers work to be done on private property ONLY. Any con.lrucllon on the public domain (curbs, eldewdks, drlVewvs. eta.) "111 rr4nirr .<pnrnle perminelon. C'� , 0 0 11 1776 s APPLICATION APPROVAL This application is not a permit until eigned by the Building Official or his Dep- uty; and fees are paid, and receipt is ac- knowledged in apace provided. ECTOR LGN Uft DATE INSPECTOR ar+v--�;�:'�,�t`, .��.L�y:yyyt ...eti...i•: 'ice:U;T n:. '\ •�nr'41., :.: 'h.;� q ".,jR,. Y�,a�7(1 ,j;r Yri: ,..�i rt.: ✓�ti',ir�hf}� ayo .X}t R�, '1