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740251.pdf,.._.. _ — i i. �.. BUILDING DEPARTMENT Applicant FLU z°`E UMBER 740251 PERMIT APPLICATION Inside Heavy Lines—i—off— ADDRESS A /f ADDRESS a INAµ`.�` (OH rids OF SUSINEB PERMISSIBLE -/Y' -efJ AGCTUAL /� \\ n � LOT COVERAGE LOT COVE U O ��,_�_ 'ACTUAL TYPE OF CONSTRUCTION STREET IMPROVED I TELEPHONE NU.11A LOT AREA TOTAL DLDO. AREA UA- I REQUIRED YARU9 PROPOSED YARDS BIDE REAR FRONT BIDE REAR REQUIRED GROUPEl FRONT RESIDENTIAL LEGAL LOT VARIANCE OR CONDITIONAL USE (OCCUPANCY IS LOCATED IN THE CITY C3 YES [] NO PERMIT NUMBER NEW PLANNING DEPT. APPROVAL DATE: THIS SITE OF EDMONDS. LOCAL SALES TAX NUMBER (TELEPHONE STREET R/W EXISTING STREET R/W ............FT. OF THIS PROPERTY SHOULD BE CODED 31.04. COMP. PLAN ST. R/W ............FT. ............FT. In 011_/ ❑ RETAINING REMARKS FIRE ZONE TYPE OF CONSTRUCTION STREET IMPROVED I � ; I I I YES E] NO SPECIAL INSPECTOR REQUIRED GROUPEl j RESIDENTIAL CAS INE ❑ YES C] NO BY (OCCUPANCY IS LOCATED IN THE CITY NEW PLAN CHECKED THIS SITE OF EDMONDS. LOCAL SALES TAX NON-RESIDENTIAL ❑ SIGN SHOULD BE CODED 31.04. ❑ ADD ❑ RETAINING REMARKS I i ❑ DEMOLISH WAIT' ALTER ❑ EXCAVATE FENCE OR FILL (..........x..........Fl.) i ❑ REPAIR ❑ INSPPRE-MOVE El POOL 1 i NUMBER -OF STORIES NUaiBER OF DWELLING I UNITS NATURE OF WORK TO BE DONE Valuation Fee Receipt No. 1 I Pian Check N. ..................... i BUILDIN° PROPOSED USE PLUMBING J EJJf 1 HEAT do GAS LINE PLOT PLAN (1adicale Building setbacks, abutting streets) FENCE i SIGN RETAINING WALL N 1 SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL TOTAL AMOUNT DUE i hereby acknowledge that I hove read this application; that the In- ! ' tormnuon given Ie correct; and that I am the owner, or the duly author - 1d agent of the owner. I agree to comply with city and state law. regu- ATTENTION APPLICATION APPROVAL ; laling construction; and In doing the work authorized thereby, no person will be amPiaYad In vlegatimi of the Labor Code of the State of Washington THIS PERMIT This Application is not a permit until relatlug to Workmen's Compensation Insurance. AUTHORIZES signed by the Building Official Or his Dep - NOTE: Permit Limit One Year (Except DEMOLITIONS which ONLY THEUty; WORK NOTED and fees are paid. and receipt Is Be ' shall be completed In ninety days; MOVED -IN BUILDINGS shall be cam- knowledged in space provided. ) ONDATE9[GNED INSPECTION DEPARTMENT DI$3�TOR'e SIGNAT �(ONERCO:��_ I ` (O-7 CITY OF DA E Fre EDMONDS 54 NOTE: Applicant Subject t° Plan Check 775-2525 This Permit aovrr. work to be done n prWote Properly ONLY. Any c...truation en the public Lat.ln (..the, eldewNke, drivew►Y., FILE ' mnrqueen, rta.) will repWre eePar.le Permleelon. I USE PERMIT E BUILDING DEPARTMENT Appllcant ZONE OM ` LIneo Heavy ADDRESS 1, PERMIT APPLICATION Mlr(OR NAME 1,404 ' 0r" PERMIedIBLE mt ACAL LOT COV _iA OELOT COVEII.0 �j MAll d�ADDREde 1 3L HER TROP. E H some O ¢ PERMIddlDLE HEIOIST PROPOSED HEIGHT z FRONT SIDE REAR FRONT BIDE REAR LEGAL LOT VARIANCE Olt CONDITIONAL USE O YES El NG PERMIT NUMBER PLANNING DEPT. APPROVAL DATE: STREET It/W EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY COMP. PLAN ST. R/W ............FT. ............FT. REMARKS E NOTE: Applicant SriGject to Pfau Check Fee '- 775.2525 This Permit e—re work to be done on private property ONLY. / Any construction on Ilia public domain (curbs, sidewalks, driveways, INSPECTOR marquees, etc.) will require 6eptrale permission. Plan Cheek No ..................... YES ❑ NO I' BUILDING SPECIAL INSPECTOR REQUIRED I OCCUPANCY GROUP PROPOSED USE \ GAS LINE ❑PLANS CHECKED [3BYO THIS SITE IS LOCATED IN THE CITY ❑ NEW ff..SIDENTIAL NON-RESIDENTIAL SIGN OF EDMONDS. LOCAL SALES TAX ADD PLOT PLAN (Indl m� u8ding a tbatks, abutting streets) HEAT A GAS LINE REMARKS SHOULD EE CODED 31.04. FENCE ❑WCTLA,ININC DEMOLISH Li I ALTER ❑ CTE ORFILL ❑ ENC (X.......... Ft.). REPAIR ❑ ❑ SWI I ISWIMMING POOL NP. POOL DUMBER OF STORIES NUMBER OF PRE -MOVE INSPECTION i EXCAVATION OR FILL DWELLING I i UNITS TOTAL AMOUNT DUE I hereat' acknowledge that I have recd this application; that the !n- NATURE OF WORK TO BE DONE . formation given Is correct; and that I em the owner, or the duly author. I Valuation Far Race E NOTE: Applicant SriGject to Pfau Check Fee '- 775.2525 This Permit e—re work to be done on private property ONLY. / Any construction on Ilia public domain (curbs, sidewalks, driveways, INSPECTOR marquees, etc.) will require 6eptrale permission. Plan Cheek No ..................... I' BUILDING PROPOSED USE \ / 1 PLUMBING PLOT PLAN (Indl m� u8ding a tbatks, abutting streets) HEAT A GAS LINE i FENCE SIGN RETAINING WALL N ISWIMMING POOL - DEMOLITION PRE -MOVE INSPECTION i EXCAVATION OR FILL i TOTAL AMOUNT DUE I hereat' acknowledge that I have recd this application; that the !n- { . formation given Is correct; and that I em the owner, or the duly author. �- Ized agent of the owner. I agree to comply with city and elate laws regu- ATTENTION APPLICATION APPROVAL. lating construction; and In doing the work authorized thereby, no person willbe employed In violation of the Labor Code of the State of Washington THIS PERMIT This application is not a permit until , relaupg to Workmen's Compensation insurance. AUTIWRIZE13 signed by the Building Official or his Dep - NOTE: Permit Limit One Year (Except DE59OLITIONS which ONLY THE WORK NOTED uty; and fees are paid, and receipt is Be ahall be completed In nicely days; 2110VED-IN BUILDINGS shall be cum- knowledged in space provided. plated In six months.) RONATURE (OWNER Olt AGENT)., DATE SIGNED INSPECTIONDIREC}•S SIRA 'TURFei - DEPARTMENT - L.;xL c-., .: ) _, CITY OF moi/ D➢fONDB DATE E NOTE: Applicant SriGject to Pfau Check Fee '- 775.2525 This Permit e—re work to be done on private property ONLY. / Any construction on Ilia public domain (curbs, sidewalks, driveways, INSPECTOR marquees, etc.) will require 6eptrale permission.