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740244.pdfI PERMIT E BUILDING DEPARTMENT pppllenntFlu USE NDI'B�I 740244 PERMIT APPLICATION I Inside Heavy Lines JOB ADDRESS �i / N MH (OR NAME OF BUBINE �G AAL I) 9"— n 10 LOT CO ERA LOT COVEItAOE Y LOT COVERAOEc It.r, kUj 'JyPLANNING yr NAMSI pDDREeB I hereby acknowledge that I have read this apPllention; that the In- FRONT SIDE REAR FRONT Bwc LEGAL0 LOTPVARIANCE OR ERMIT NUMBER CONDITIONAL USE YES 0 NO DEPT. APPROVAL DATE: y0 CITY TELEPHONE NUMBER ATTENTION luting construction: and In doing the work authorized thereby, an person NAME ) ,t will be employed In violatloa or the Labor Code of the Slate of Washington STREET R/W EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY COMP. PLAN BT. R/W ............FT. ............FT. relating to Workman's Compensation Insurance. AUTHORIZES -�/�1�T�`J-��JIW(f /lg ONLY TIIE µ•ORE NOTED REMARKS Q 88 IIONA U E (ON V ER OR AGENT) llj 1 �j O OOL CHECKED BY fq Cpl Y TELP ONE NUMBER I F C EDMONDS METER SIZE SERVICE SIZE CLEARANCE CHECKED HY O STATE LICEN/B�0 NUMBE CITY LICENSE NUMBER I I I Any construction on the public domain (eurb., sidewalks, driveways, REMARKS Attach Hour Copies) RESIDENTIAL LINE NEW ❑ NON-RESIDENTIAL ❑ SIGN ADD EJDEMOLISH O WALL RETAINING ALTER ❑ OR FILLS ❑ (ENC............Ft.) swill REPAIR ❑ INSP, O POOL DUMBER OF STORIES I NUMBER OF DWELLING UNITS FIRE ZONE I TYPE OF CONSTRUUrli SPECIAL INSPECTOR REQUIRED IC ❑ YE 8 F NO PLAN CHECKEDHY THIS OF I YES 0 NO LOCAL N DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL Valuation Fee Receipt No. FrENCE ........_........... �a B LINE — 40 WALL Pool- DEMOLITION TOTAL AMOUNT DUE I hereby acknowledge that I have read this apPllention; that the In- formation given Is correct; and that I am the owner, or the duly authur- tzed agent of the owner. I agree to comply with city and at"* laws regu- ATTENTION luting construction: and In doing the work authorized thereby, an person will be employed In violatloa or the Labor Code of the Slate of Washington THIS PERMIT relating to Workman's Compensation Insurance. AUTHORIZES NOTE: Permit Limit One Year (Except DEMOLITIONS which ONLY TIIE µ•ORE NOTED shall be completed In ninety day.; 31OVED-IN BUILDINGS shalt be com- pleted In .Ix menthe.) IIONA U E (ON V ER OR AGENT) DATE 16N D INSPECTION OOL / 3 DEPARTMENT N DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL Valuation Fee Receipt No. FrENCE ........_........... �a B LINE — 40 WALL Pool- DEMOLITION J Ise— APPLICATION APPROVAL 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 spaceprovided. D ,TOR'S NAT I DAT FILE TOTAL AMOUNT DUE I hereby acknowledge that I have read this apPllention; that the In- formation given Is correct; and that I am the owner, or the duly authur- tzed agent of the owner. I agree to comply with city and at"* laws regu- ATTENTION luting construction: and In doing the work authorized thereby, an person will be employed In violatloa or the Labor Code of the Slate of Washington THIS PERMIT relating to Workman's Compensation Insurance. AUTHORIZES NOTE: Permit Limit One Year (Except DEMOLITIONS which ONLY TIIE µ•ORE NOTED shall be completed In ninety day.; 31OVED-IN BUILDINGS shalt be com- pleted In .Ix menthe.) IIONA U E (ON V ER OR AGENT) DATE 16N D INSPECTION / 3 DEPARTMENT CITY OF EDMONDS NOTE: Applicant Subject to Plan Check Fre 775-2525 Thla Prrmit c, cork to be dans n private property ONLY. Any construction on the public domain (eurb., sidewalks, driveways, marau See, etc.) will repWre separate prrml..lon. J Ise— APPLICATION APPROVAL 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 spaceprovided. D ,TOR'S NAT I DAT FILE YES C] NO ' SPECIAL INSPECTOR REQUIRED I OCCUPANCY GROUP I BUILDING DEPARTMENT AppllcantFnl USE PERMIT ONE NUMBER GAS ❑ RESIDENTIAL ❑ LINE ❑ YES S, ❑ NO `�-- PERMIT APPLICATION Inside Heavy Lines I JOB / �a•f / / ADDRESS �'.� ❑ NEW Nl(MII (OR NAME OF EUs1NEe ) I N pERM[89IBLE I ACTUAL J NON-RESIDENTIAL ❑ SIGN EDMONDS. SHOULD BE CODEDLO3104 `l CC 4�`• LOT COVERAGE LOT COVERAGE ❑ ADD RWALL KING REMARKS MAILING ADD 89 �///'�—'A / PERMISSIBLE HEIGHT PROPOSED HEIGHT t7 ; E ❑ FENC........... Ft.) ❑ ALTER ❑ EXAVATORFILL — AREA TOTAL BLDG. AREA IG ❑ REPAIR ❑ IN PbIOVE ❑ SWI I POOL TELEPHONE NUMBER CITY ACTUAL LOT . ' DWELLING I REQUIRED YARDS PROPOSED YARDS UNITS FRONT SIDE REAR FRONT_ BIDE REAR NATURE OF WO K TC BE DONE "; i Valuation Fco Receipt Nov - t/ �. NAME s I LEGAL LOT VARIANCE OR CONDITIONAL UBE BUILDING i PROPOSED USE PLUMBING H ADDRESS (j YES NO PERMIT NUMBER HEAT & GAS LINE , j I PLOT PLAN (Indicate Building setbacks, abutting streets) FENCE PLANNING DEPT. APPROVAL DATE: SIGN RETAINING WALL CITY TELEPHONE NUMBER ' STREET R/W EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY i j PRE -MOVE INSPECTION NAME / 1 COMP. PLAN ST. R/W ^•^-•... 111��d C�i�-�• 1' ham. �fj+� REMARKS I hereby acknowledge that I have read this application; that the In - 00 ADDFF-REII SS I Iced agent of the owner. I agree to comply with city and elate law. reg.- ATTENTION APPLICATION APPROVAL Q4 lating construction; and In doing the work authorlied thereby, no person CHECKED BY will beployed In vlolntlon of We Labor Code of the State of Washington THUS PERMIT This application is not a permit until C/t�,iYTELEPHONE NUMBER relatingemto Workmen's Compensation Insurance. AUTHORIZES signed by the Building Official or his Dep- j NOTE: Permit Limit One Year (Except DEMOLITIONS which ONLY THE WORK NOTED uty: and fees are paid, and receipt is Be TI METER SIZE SERVICE SIZE CLEARANCE CHECKED BY ImoWledged in space provided. pleted in six months.) S STATE LI}}CEN/SSE NUMBER C1TY LICENSE NUMBER INSPECTION Dl CTOR'e `$IONAT j ) 1. DEPARTMENT i d j ;% i•"v7% / �'- CITY OF REMARKS EDMONDS DATE _ ' � NOTE: Applicant Subject to Plan Check Fee 775-2525 Legal Description at Properly (Show Below of Attach Four Copies) r This Permit covers work to be done as private property ONLY. 1 Any conetructlan on the publle, domain (curbs, sidewalks, dfl—ys. TYPE CONNECTION I VERIFIED BY INSPECTOR muse...., etc.) will reemre Separate permission. H � P M' l3M E U D m O E I e e i Ii FIRE ZONE I TYPE OF CONSTRUCTION I STREET IMPROVED 1 i I YES C] NO ' SPECIAL INSPECTOR REQUIRED I OCCUPANCY GROUP i GAS ❑ RESIDENTIAL ❑ LINE ❑ YES S, ❑ NO IN THE CITY ❑ NEW PLAN CHECKED BY ,THIS SITE IS LOCATED 'OF CAL SALES TAX NON-RESIDENTIAL ❑ SIGN EDMONDS. SHOULD BE CODEDLO3104 I ❑ ADD RWALL KING REMARKS .I ❑ DEMOLISH❑ ; E ❑ FENC........... Ft.) ❑ ALTER ❑ EXAVATORFILL ❑ REPAIR ❑ IN PbIOVE ❑ SWI I POOL NUMBER OF STORIES NUMBER OF ' DWELLING I UNITS NATURE OF WO K TC BE DONE "; i Valuation Fco Receipt Nov - t/ �. Plan Check Nn ..................... I BUILDING i PROPOSED USE PLUMBING •)r 00 , HEAT & GAS LINE j I PLOT PLAN (Indicate Building setbacks, abutting streets) FENCE SIGN RETAINING WALL BNIMSIING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL " 1 1 / `s / / •li TOTAL AMOUNT DUE I hereby acknowledge that I have read this application; that the In - forma"" given to correct; and that I am the owner, or the duly author. I Iced agent of the owner. I agree to comply with city and elate law. reg.- ATTENTION APPLICATION APPROVAL lating construction; and In doing the work authorlied thereby, no person will beployed In vlolntlon of We Labor Code of the State of Washington THUS PERMIT This application is not a permit until , relatingemto Workmen's Compensation Insurance. AUTHORIZES signed by the Building Official or his Dep- j NOTE: Permit Limit One Year (Except DEMOLITIONS which ONLY THE WORK NOTED uty: and fees are paid, and receipt is Be shall be completed In ninety days; MOVED -IN BUILDINGS Shall be com- ImoWledged in space provided. pleted in six months.) j 31GNATUI E_TOWNER OR AGENT), DATE SIGNED INSPECTION Dl CTOR'e `$IONAT j ) 1. DEPARTMENT i d j ;% i•"v7% / �'- CITY OF EDMONDS DATE _ ' � NOTE: Applicant Subject to Plan Check Fee 775-2525 _) __-- i ,.-•—"-' I This Permit covers work to be done as private property ONLY. Any conetructlan on the publle, domain (curbs, sidewalks, dfl—ys. INSPECTOR muse...., etc.) will reemre Separate permission. , :.: 1...:.:� .�. .. .:..� .._. ... ._:... , IR V Y , e c ( I � i f ; _. rJ ` d I: is i. i !/ REC RD OF S p'I'Itif� I i Date PIs ed FOWX13tion ftknbin ---" 1; (Partial) (Rough) 5�/G 7e rame aCe Fuet Ling _ �__ Final i 1