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740263.pdfYES 0 No I SPECIAL INSPECTOR WOUI—RED1 OCCUPANCY GROUP CAS RESIDENTIAL LINE 0 YES ❑ NOI ElNEW i i PERMIT BUILDING DEPARTMENT ZONE NUMBER 4p263 NON-RESIDENTIAL �-~ Applicant FM PERMIT APPLICATION IllSldo Healy Linde ,O S ADDRESS / .-•/ //^ ADD RETAINING WALL REMARKS lye NAME (OR NAME OF BUSINESS) / ACTUAL / P' e A n � Q LOT C VERA �� / rDL'. LOT COVERAGE LOT COVERAGE PQ�19P--LA . t REPAIR ❑ INSP. PRE -MOVE ❑ POOL( of AILINO ADDRE78S PEIII.IISSIBLE HEIGHT PROPOSED HEIGHT NUMBER OF STORIES NUMBER OF r I ' 2-(711— "" w t LOT AREA TOTAL BLDG. AREA I❑LZ DWELLING O ,1 CITY TELEPHONE NUMBER ACCUAL �(( 72 — REQUIRED YARDtl PROPOSED YARDS 1 + Fee Receipt No. Iti NAME FRONT SIDE REAR FRONT GIDE REAR I LEGAL. LOT VARIANCE OR CONDITIONAL USE ADDRESS NO PERMIT NUMBER 7 yUj YES PLANNING DEPT. APPROVAL DATE: BUILDING C ! jI E PROPOSED USE CITY TELEPHONE NUMBER STREET R/W EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY, O j- NAMfl COMP. PLAN BT. A/W ............FT. ............FT. W ,. HEAT & GAS LINE 9) L,IJ v+� REMARKS pti+ FENCE ADD1SE88 °z W SIGN BY RETAINING WALL Oi N CITY TELEPHONE NUMBER (CHECKED Z SWIMMING POOL I METER SIZE SERVICE SIZE CLEARANCE DEMOLITION CHECKED BY PRE -MOVE INSPECTION STATE LICENSE NUMBER CITY LICENSE NUMBER I I TOTAL AMOUNT DUE I hereby acknowledge that I have read this application; that the In. F � formation given Is correct; and that I '"'Meowner, or the duly aulhor- REMARKS !� ' APPLICATION APPROVAL Legal Description of Property 'Show Below or Attach Four Copies) lating construction; and In doing the work authorized thereby, no person TYPE CONNECTION BY I (VERIFIED THIS PERMIT This application is not a permit until O AUTHORIZES , 'y^ PERC. TEST PERMIT NUMBER uty, and fees are paid, and receipt is ac - t .hail be completed In nicety day.; MOVED -IN BUILDINGS shall be wm• knowledged in apace provided. n REMARKS ce tV m Dl CTOR'8-62ONAT RE DEPARTMENT % l; (/%+'�. —� /:rr:'.�•i-f. j/j i�. i .' CITY OF {� el EDAIONDS DATE .1 N FIRE ZONE TYPE OF CONSTRUCTION STREET IMPROVED I.I �_ �� YES 0 No I SPECIAL INSPECTOR WOUI—RED1 OCCUPANCY GROUP CAS RESIDENTIAL LINE 0 YES ❑ NOI ElNEW PLAN CHECXED BY THIS SITE IS LOCATED IN THE CITY NON-RESIDENTIAL S. LOCAL SALES TAX S SHOUULDLD BBE E CODED 31.04. SHOULD ADD RETAINING WALL REMARKS DEMOLISH ALTER EXCAVATE FENCE OR FILL (.........5..........Ft.) REPAIR ❑ INSP. PRE -MOVE ❑ POOL( NUMBER OF STORIES NUMBER OF DWELLING UNITS NATURE OF WORK TO BE DONE Valuation Fee Receipt No. Pian Check No ..................... I BUILDING E PROPOSED USE PLUMBING PLOT PLAN (Indicate Building setbacks, abutting streets) HEAT & GAS LINE FENCE SIGN 1 RETAINING WALL N SWIMMING POOL — DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL TOTAL AMOUNT DUE I hereby acknowledge that I have read this application; that the In. formation given Is correct; and that I '"'Meowner, or the duly aulhor- Ized agent of the owner. I agree to comply with city and elate law. regu- ATTENTION APPLICATION APPROVAL lating construction; and In doing the work authorized thereby, no person will be employed In violation of the Labor Cade of the State of Washington THIS PERMIT This application is not a permit until relating to Workmen's Compensation Insurance. AUTHORIZES signed by the Building Official or his Dep - NOTE: Permit Limit One Year (Exc.Pt DEMOLITIONS which ONLY THE WORII NOTED uty, and fees are paid, and receipt is ac - .hail be completed In nicety day.; MOVED -IN BUILDINGS shall be wm• knowledged in apace provided. pleted In .Ix months,) SIGNATURE (OWN' AGENT) DATE SIGNED INSPECTION Dl CTOR'8-62ONAT RE DEPARTMENT % l; (/%+'�. —� /:rr:'.�•i-f. j/j i�. i .' CITY OF {� EDAIONDS DATE NOTE: Applicant SuLject to Plan Check Fee �_ �� 775-2525 71t1s i•ennll coven work to Ixf duan an Private ProlrortY ONLY, i Any eoltelrucllnn an the pnbllc domain (curb., sidewalks, driveways. FILE nmrqueee, e1C.) will requlr. eep-1. perndWob. W FIRE ZONE I TYPE OF CONSTRUCTION I STREET IMPROVED 13 YES ❑ NO SPECIAL INSPECTOR REQUIRED IOCCUPANCY GROUP ❑ YES ❑ NO Valuation SALES T Plan Check No ..................... RESIDENTIAL LINE NEW ❑ NON-RESIDENTIAL eia BION BUILDING ADD ❑, DEMOLISH ❑ WAT�A.INING PLUMBING ALTER EXCAVATE E]_ ZONE NURMMBER -7 '',)3 ❑ ORFILL -- x... Ft.) BUILDING DEPARTMENT Applleant FILL REPAIR ❑ INSP. El SWIM POOL PERMIT APPLICATION Inside Heavy LinesD I ��rr r ;� n / ADDRESS �'! / -- j / — NU....0"WLOF SIGN -- / ! \/ i/-'�/Q�-P RETAINING WALLI- DELING N NAME tOR NAME OF BUSINESS) V R r �r G 7A C' - e1e A UAL LOT COVERAGE LOT COVAAAOE ' � UNITS TPERMISSIBLE i-' yt lLtN6 AD!I DRESSy,]] —PERMISSIBLE HEIGHT PROPOSED HEIGHT DEMOLITION i, L 1� / � � % (7 I 1 J 1- Y w Fy zi EXCAVATION OR FILL CITY TELEPHONE NUMBER ACTUAL LOT AREA TOTAL BLDG. AREA •) /�'�� / REQUIRED YARDS PROPOSED YARDS I hereby acknowledge that I have read this nDDllc¢tlan; that the In- ' NAME FRONT SIDE REAR FRONT TI—DE AFAR tzed agent of the owner. 1 agree to comply with city and slate laws regu- ATTENTION APPLICATION APPROVAL lit Ing construction; and In doing the work authorized thereby, no person �jLEGAL LOT ARIANCE OR CONDITIONAL USE CONDITIONAL will be employed In violation of the Labor Code of the State of Washington 1 , This application is not a permit until y7 ADDRESS 0 YES 0 NO PERMIT NU signed by the Building Official or his Dep - NOTE: Permit Limit One Year (Except DEMOLITIONS which ONLY TH WORK NOTED uty; and fees are paid, and receipt is ac - PLANNING DEPT. APPROVAL DATE: .hall be completed In ninety days; MOVED -IN BUILDINGS shall be nom- i Imowledged In space provided. fK CITY 11 TELEPHONE NUMBER 31ONATU1tE (OWNER-OR,AGENT) DATE d1GN£U INSPECTION DIRE OR's S1G TU STREET R/W EXISTING STREET R/W ............FT. DEFICIENCY THI8 PROPERTY p CI NAME COMP. PLAN ST. R/W ............FT. ............FT. '. DATE NOTE: Applicant Subject to Plat) Check Fee REMARKS _ , �I O ADDRESS This Permit coven work to be delta on private property ONLY. Any construction on the public domain (curbs, sldewNke, driveways, CHECKED 13YCtTY W marquees, etc.) x911 require separate perntlzslon. TELEPHONE NUMDER I SIZE SERVICE SIZE CLEARANCE CHECKED HY NUMBER STATE LICEN8NUHER CITY LICENSE NUMBER I I I I yma7 I'C REMARKS 1: FIRE ZONE I TYPE OF CONSTRUCTION I STREET IMPROVED 13 YES ❑ NO SPECIAL INSPECTOR REQUIRED IOCCUPANCY GROUP ❑ YES ❑ NO Valuation SALES T Plan Check No ..................... RESIDENTIAL LINE NEW ❑ NON-RESIDENTIAL ❑ BION BUILDING ADD ❑, DEMOLISH ❑ WAT�A.INING PLUMBING ALTER EXCAVATE E]_ n ❑ ORFILL HEAT & GAS LINE x... Ft.) REPAIR ❑ INSP. El SWIM POOL IUMBER OF STORIES NU....0"WLOF SIGN RETAINING WALLI- DELING N UNITS FIRE ZONE I TYPE OF CONSTRUCTION I STREET IMPROVED 13 YES ❑ NO SPECIAL INSPECTOR REQUIRED IOCCUPANCY GROUP ❑ YES ❑ NO Valuation SALES T Plan Check No ..................... BUILDING PROPOSED USE ,: { /`/) PLUMBING n i PLOT PLAN (Indicate Building setbacks, abutting streets) HEAT & GAS LINE ti ,.\=�t)\.l \ FENCE y� SIGN RETAINING WALLI- N SWIMMING POOL - DEMOLITION i, PRE -MOVE INSPECTION EXCAVATION OR FILL •) /�'�� / TOTAL AMOUNT DUE I hereby acknowledge that I have read this nDDllc¢tlan; that the In- formation given Is correct; and that I nm the owner, or the duly author- tzed agent of the owner. 1 agree to comply with city and slate laws regu- ATTENTION APPLICATION APPROVAL lit Ing construction; and In doing the work authorized thereby, no person will be employed In violation of the Labor Code of the State of Washington TIHA 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 TH WORK NOTED uty; and fees are paid, and receipt is ac - .hall be completed In ninety days; MOVED -IN BUILDINGS shall be nom- Imowledged In space provided. pleled In six months.) 31ONATU1tE (OWNER-OR,AGENT) DATE d1GN£U INSPECTION DIRE OR's S1G TU DEPARTMENT✓��i �1��/ . CI EDMONDS DATE NOTE: Applicant Subject to Plat) Check Fee _ , �I 775.2525 This Permit coven work to be delta on private property ONLY. Any construction on the public domain (curbs, sldewNke, driveways, INSPECTOR marquees, etc.) x911 require separate perntlzslon. T7 7 i ....... ... 1 � 1 ( tl Fyi j `3 i 1` 1 1 . 7yaz� C-O 1: L. RECORD OF INSPECTIONS i - Date Passed Foundation Plumbing (Partial) (Rough) Frame — Furnace & Fuel Lines Final i �r