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740192.pdfr ZONE NUMBER USE PERMIT BUILDING DEPARTMENT I Applicant FM 740192 ._ PERMIT APPLICATION Imide "eavy unee O o� ADDRESS .--.L y \/ 0, , N n^ e PERMItldI !' I�Vj I crUe1 FavN t f V N NI Lor cool �1 JaA... ADDRESS Q FT 188I O O M CA g Wm O 1S LA ACTUAL 1 1 NAME FRONT eIUF. REAR FRONT SIDE REAR y ADDRESS LEGAL ES LIVARIANCE Olt NUITIONAL USE Q NO PERMIT NUMBER W CITY I I-LEPHONE NUMBER NAME Ow NEr� N ADDRE88 GEJ al CITY I TELEPHONE NUMBER Fp or PLANNING —1. APPROVAL DATE: STREET R/W EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY COMP. PLAN ST. R/W ............FT. ............FT. RESIDENTIAL ❑ LINE Plan Check No ..................... NEW METER SIZE I SERVICE SIZE NON-RESIDENT IALOION I CHECKED BY REMARKB ADD PLUMBING VERIFIED BY PERC. TEST WALL NINE I PERMIT NUMBER REMARKS ElDEMOLISH aPLOT PLAN (Indicate Building setback., abutting Streets) HEAT A GAS LINE ALTER PEN C= FENCE ❑ ORFILLEXCAVATE SIGN ......... .Ft.) REPAIR ❑ I RSEPMOVE r❑—� I I L.J wim POOL (UMBER OF STORIES NUMBER OF SWIMMING POOL DWELL INO I DEMOLITION PRE -MOVE INSPECTION UNITS PLANNING —1. APPROVAL DATE: STREET R/W EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY COMP. PLAN ST. R/W ............FT. ............FT. REMARKS Fce Receipt No. Plan Check No ..................... CHECKED DY METER SIZE I SERVICE SIZE I CLEARANCE I CHECKED BY REMARKB TYPE CONNECTION PLUMBING VERIFIED BY PERC. TEST O I PERMIT NUMBER REMARKS 1 FIRE ZONE I TYPE OF CONSTRUCTION STREET IMPROVED 0 YES [I NO SPECIAL INSPECTOR REQUIRED I OCCUPANCY GROUP i 0 YES NO PLAN CHECKED BY THIS SITE IS LOCATED IN THE CITY rep cnununc int -Al SALFS TAX NATURE OF WORK TO BE DONE Valuation Fce Receipt No. Plan Check No ..................... v•_ BUILDING y PROPOSED USE PLUMBING Q O 1 aPLOT PLAN (Indicate Building setback., abutting Streets) HEAT A GAS LINE e7 � FENCE SIGN tRETAINING WALL N SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL TOTAL AMOUNT DUE © "70 I hereby ackbowledge that I have rea6 lhl. apDllcatlon; that the In- formation given le correct; and that I aca the owner, or the duly author- Ixed agent of the owner. I agree to comply with city and alata Law$ regu- ATTENTION APPLICATION APPROVAL ,&ting eLtelletlon; and In doing the work authorized thereby, no parson will be employed In violation of the Labor Code of the State of Waahington THIS PEIInfIT This application is not a permit until relatleg to Workmen's Compensatlon Ieaureace. AUTHORIZES signed by the Building Official Or his Dep- NOTE: Permit Limit One Year (Except DEMOLITIONS which ONI,Y THE WORK NOTED uty; and fees are paid, and receipt is ac- ehall be ...plated In nicety day.; MOVED -IN BUILDINGS Shall be cam- knowledged in space provided. pleted In .Ix mopthe.) TUBE (ON R OR A DATE SIGNED INSPECTION DEPARTMENT r. TOR'e y-i7�7 i;iiiijiiiiiiiiiCITY OF EDMOND3 DATE ni? NOTE: Applicani Subject to Plan Check Fee TV PR g-1107 TNS Permit coven work to be done oa private property ONLY. rlveay., Any construction on the Pablo domain (ebrb., .14—alk.,dw FILE marquee., etc.) wit require Separate V-1-lon. n LINSE EllRESIDENTIAL ❑PLAN LOCATED IN THE CITY El NEW CHECKEI)❑BYO THUS SITE IS TAX,I �.; BUILDING DEPARTMENT Applicant r iu USE PERMIT ZONE NUMBER 1 , JJJJ PERMIT APPLICATION Heavy Lineg ADDRESS REMARKS NAME plpTL. OA NAME OF USINAEBB) \ C v �l AILING `ARID/ ESS ItlSIBI.E AC HAL /� PER' LOT COVERAOEe LOT COVEHAOE O ` 1 pERDSSBBIeLE HEIGHT PROPOSED IIEIORT e� 1 I NUMBER OF STORIES NUMBER OF o c—�- L� v a �•y H NE NUMBNR ACTUAL LOT AREA TOTAL HLUO, AREA UNITS REQUIRED YAriDH PROPOSED YARDS I NATURE OF WORK TO BE DONE 1'LNI Fee FRONT SIDE REAR FRONT 81UE REAR Plan Check No ..................... NAME LEGAL LOT VARIANCE OR CONDITIONAL USF: G'il ..j .�%`,�v./�J.Y:/•� L ` i y ADDRESS 0 YES NO PERMIT NUMBER;' PLUMBING - PLANNING DEPT. APPROVAL DATE: y PLOT PLAN (Indicate Building eetbacka, abutting streets) CITY T L P ONE NUMBER / FENCE EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPffiATY 1h.`', ,. '.. SIGN NME A COMP. PLAN ST. R/W ............FT. ............PT. RETAINING WALL REMARKS ; ra ADDRESS SWIMMING POOL $$ DEMOLITION CHECKED HY PRE -MOVE INSPECTION CITY NUMBER EXCAVATION OR FILL ....t� Z O (TELEPHONE METER SIZE SERVICE SIZE CLEARANCE CHECKED G STATE LICENSE NUaSHER CITY LICENSE NUMBER I I I { I REMp_�CS APPLICATION APPROVAL g agent of the owner. agree comply with Jolla, construction; and In doing the work authorized thereby, no person In vlolatlog of the Labor Code Of the Slate Of WYhington ATTENTION THIS PERMIT Legal Description of PlopertY (Show Below or Attach Four COPlee) ., will be employed relating to workmen's COmpentalton Ineurann.. AUTIIORIZES eigned by the Building Official or his Dep- T P Nr- ONLV THE VERIFIED BY Non: Permit Limit One Your (Except DEMOLITIONS which ,4 G 1 l _ knowledged in space provided. f 3, 1 PE T S_� IIGNATURE (OWNER OR AGEIij'), P UM A tE 1 t. 1 , % / K CITY OF WREMARKS Applicant Subject to Plan Check Fee EDMONDS r7 ci 12 PR 6-I101 I TMs Permit coven work to be done on private property ONLY. a Any construction on the public donudn (curbe, sidewalk@, drlvesn j., v W -..a FIRE ZONE I TYPE OF CONSTRUCTION I STREET IMP,ROIVED I I n LINSE EllRESIDENTIAL ❑PLAN LOCATED IN THE CITY El NEW CHECKEI)❑BYO THUS SITE IS TAX,I ❑ NON-RESIDENTIAL alaN SHOEDMOE CODED 31.045ALE5 , JJJJ ADD RETAINING REMARKS DEMOLISH Li WALL ALTER ❑ AVAT OR CFILL E ❑ (EN ...........Ft.) REPAIR ❑ PRE-INSP. El SWIM POOL 1 I NUMBER OF STORIES NUMBER OF ) DWELLING I UNITS NATURE OF WORK TO BE DONE Valuation Fee Rccelnt No. Plan Check No ..................... 1 G'il ..j .�%`,�v./�J.Y:/•� L ` BUILDING PROPOSED USE A I PLUMBING - PLOT PLAN (Indicate Building eetbacka, abutting streets) HEAT & GAS LINE FENCE SIGN l RETAINING WALL N SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL TOTAL AMOUNT DUE t %t�., t ,\ 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 tion I to elty and @tats laws regu- APPLICATION APPROVAL agent of the owner. agree comply with Jolla, construction; and In doing the work authorized thereby, no person In vlolatlog of the Labor Code Of the Slate Of WYhington ATTENTION THIS PERMIT This application is not a permit until will be employed relating to workmen's COmpentalton Ineurann.. AUTIIORIZES eigned by the Building Official or his Dep- ONLV THE uty; and fees are paid, and receipt is ac - Non: Permit Limit One Your (Except DEMOLITIONS which WORK NOTED shall be completed In timely days; MOVED -IN BUILDINGS .ball be cam. knowledged in space provided. plated In six ...the.) 1 IIGNATURE (OWNER OR AGEIij'), DATE SIGNED INSPECTION DEPARTMENT Dl TOR'@ ATU E � (//,-�(,•`dQ t. 1 , % / l' CITY OF DATE Applicant Subject to Plan Check Fee EDMONDS r7 ci NOTE: PR 6-I101 I TMs Permit coven work to be done on private property ONLY. INSPECTOR Any construction on the public donudn (curbe, sidewalk@, drlvesn j., marquees, etc.) will rrgmre Separate permlsslon. X11 -..a �v,. •..n7:;{Ya.tn. v.+e3+•.iasPx'++k1hp:+5�}'{�a: t"Gr's'.`-'i�t, *i�_; ^' • +�V^��, .i�;�.'eF,'�°�,'�"'�i� ���a� �.ir-'?�R�'}8'�i'•.L; ^h`a`�?."�'�`o `1F�" . tr j. . ...... ..:� ..., ....0 Ile '.. � ...., .. _.,.. _. '.__. .�: l .... •�7t .�..I1 ?�'4 ado a: 9'-. �t d�'i���:�. .. �iA