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740261.pdf1 I 1 BUILDING DEPARTMENT Applicant Fill °� NUn'n 740261 PERMIT APPLICATION I Inside Heavy Linea NAaIE R NAME OF BUSINE MAILING DREee _ O CITY �- TELEPHONE WUL/BER NAME ADDRESS JOB ADDRESS DATE: pt;n......BLE ^ LOT COVERAGE^ ACT AL JJ LOT COVERAGE PERMtSHIBLE HEIGHT PROPOSED HEIGHT ACTUAL LOT AREA TOTAL BLDG. AREA REQUIRED YARDS PROPOSED YARDS FRONT HIDE REAit FRONT SIDE REAR 1 LEGAL LOT YEe NO VARIANCE OR CONDITIONAL USE PERMIT NUMBER DATE: i CITY I PLANNING DEPT. APPROVAL 1 STREET R/W O S EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY 9 I Wa COMP. PLAN 8T. R/W ............FT. ............FT. �7 AEMARtIB "• { 44 AD BDII DATE: CITY TELEPHONE NUMBER PLANNING DEPT. APPROVAL 1 STREET R/W O EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY NAME n ,j/D_ Wa COMP. PLAN 8T. R/W ............FT. ............FT. �7 AEMARtIB "• 44 AD BDII 1 W U TELEPHONE NUMDER Cl Y CHECKED BY Fr O I METER S1ZE SERVICE SIZE CLEARANCE CHECKED BY O e TE L[CENBE NUM ER CITY LICENSE NUMBER I I al I I REMARKS ! I Legal Description o1 Property (Show Below or Attach Four Copies) TYPE CONNECTION VERIFIED BY O 1 ly PERC. TEST PERMIT NUMBER y�.t � 1 3 m M REMARKS t j V i � FIRM ZONE TYPE OF CONSTRUCTION STREET IhfPROVED I (:] YES NO I SPECIAL INSPECTOR REQUIREDOCCUPANCY GROUP RESIDENTIAL F GAB LINE ❑ YES NO O NEW PLAN CHECKED BY THIS SITE IS LOCATED IN THE CITY NON-RESIDENTIAL SIGN OF EDMONDS. LOCAL SALES TAX . ADD RETAINING REMARKS SHOULD BE CODED 31.04. DEMOLISH WAIT' ALTER EXCAVATE FENCE ❑ ORFILLPRE-MOVE '. SWIMx..........Ft.) REPAIR ❑ INSP. POOL NUMBER OF STORIESI NUMDER OF DWELLING UNITE NATURE OF O K TO HE DON o Valuation Fee Receipt No. • Plan Check No ..................... Z BUILDING PROPOSED USE i PLUMBING /t O V PLOT PLAN (Indicate Building Setbacks, abutting streets) HEAT & OAS LINE s1 D FENCE ' SIGN J tRETAINING WALL 9WILiMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL TOTAL AMOUNT DUE, I hereby acknowledge that I have read this application; that the In- / 1 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 state law. regu. ATTENTION APPLICATION APPROVAL Iatmg co illruction; and In doing the work authorized thereby, no person will be employed In violation of the Labor Code of the Slate of Washington TIUS PERMIT This application is not a permit until relating to Workmen's Compensation Inaurance. AUTHORIZES signed by the Building Official Or his Dep - NOTE: Permit limit One Year (Except DEMOLITIONS which ONLY THE WORK NOTED uty: and fees are paid, and recelyt is ac - shall be completed in ninety day.; MOVED -IN BUILDINGS shall he nom• knowledged In space provided. pleted In six months.) SIGN 1E (OIVNEI OR AGENT DATE B10NED INSPECTION DEPARTMENT D1R •OR'S BfONATU �df{/, =__ ` CITY OFZ' EDIIIONDS DATE ._ NOTE: Applicant Subject 10 Plan Check Fee _— 775-2525 / Pertait.,... r cork be dans private.,Sid Property UNLY. Ally Public (c d Any eunNrucllua an the public domain (curbs, eldewdks, drRewy., marquees, etc.) will require separate pernds.lon. FILE t IIAel�Al111A111�15l1®Allo AAIa/raw�i II BUILDING DEPARTMENT Applicant Flu E°"E PE I°TR l' •. i PERMIT APPLICATION I Inside Heavy Lines JOB ADDRESS 't / I �J ��_ `, L/ `•`•I,J �// NAME (QR NAME OF BUSINb.Se) Tt.__... PERMISSIBLE ra LOT CO(5OYESRAGE 1 LOT COVERAGE L MAILING ADDRESS , . •. �.. /� PERMISSIBLE HEIGHT 'ROPOtlED I4EIGIiT� f OTELE ONE NUMBER ACTUAL LOT AREA 'COTAL BLbO. AREA CITY � A / l/_i r�•}�-f},^t i- (;I,i/1/' REQUIRED YARDS i'ROPONED YAIIDB i NAME FRONT BIDE REAR FRONT 8-1 REAR �j LEGAL LOT VARIANCE Olt CONDITIONAL UBE I : pI ADDRESS YEB ❑ NO PERMIT NUMBER PLANNING DEPT. APPROVAL DATE: I j fE CITY __. ....................�. NAME / 1 r AD CITY ' F ^ STREET R/W EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY COMP. PLAN ST. R/W ..........,.FT. ............FT. REMARKS T YES ❑ NO el — 5--s^74 0, ION STREET IMPROVED YES ❑ NO LOCAL SALES T Fee Plan Check Na ..................... GAS NEW ❑ NON-RESIDENTIALBION BUILDING ADD �Oy 4 PROPOSED USE a PLUMBING ALL NINC IC) 0 El DEMOLISH H ALTER PLOT PLAN (Indltitt��ln a backs, abutting streets) \ ❑ F ORFILLEXCAVATE . z..........Ft.) O FENCE swlm REPAIR❑ INSPMOVE ED POOL (UMBER OF STORIES NUa1BER OF RETAINING WALL DWELLING UNITS 'j tATURE OF WORK TO BE DONE n 9WIMMIN6 POOL STREET R/W EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY COMP. PLAN ST. R/W ..........,.FT. ............FT. REMARKS T YES ❑ NO el — 5--s^74 0, ION STREET IMPROVED YES ❑ NO LOCAL SALES T Fee NOTE: Applicant Subject to Plan Check Fee l 775-2525 This,1'ermit em,ere work to by done on private property ONLY. Any construction on the public domain (curbs, sidewalks, driveways. INSPECTOR marquee., etc.) will require separate permission. Plan Check Na ..................... I t_ BUILDING �Oy 4 PROPOSED USE a PLUMBING IC) 0 PLOT PLAN (Indltitt��ln a backs, abutting streets) \ HEAT & GAS LINE O FENCE SIGN RETAINING WALL 9WIMMIN6 POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL I I . (M I r'17;_y TOTAL AMOUNT DUE f hereby acknowledge that I haus recd this application; that the In- f�� / \ / formation given Is correct; and that I am the owner, or the duly author - lied agent of the owner. I agree to comply with city and state laws regu- ATTENTION APPLICATION APPROVAL bating conetructlon; and In doing the work authorized thereby, no person will be employed In violation of the Labor Code of the State of Washington THIS PERMIT This application is not a permit until relating to Workmen'. Compensation Insurance. AUTHORIZES signed by the Building Official or his Dep - NOTE: Permit Limit One Year (Except DEMOLITIONS which ONLY THE WORE NOTED uty; and fees are paid, and receipt is ac- j ehall be completed In ninety days; MOVED -IN BUILDINGS shall be cam• knowledged in apace provided. plated In six month..) SIGNATURE (OWNER OR AGENT) DATE SIGNED INSPECTION DEPARTMENT DIR /OR'8 8 ATU I CITY OF ED51ONDS DATE — NOTE: Applicant Subject to Plan Check Fee l 775-2525 This,1'ermit em,ere work to by done on private property ONLY. Any construction on the public domain (curbs, sidewalks, driveways. INSPECTOR marquee., etc.) will require separate permission.