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740299.pdfoGr I RESIDENTIAL EXISTING REST R/W� ®('. . DEFICIENCY THIS PROPERTY ❑ YES I •� ..xcee IIE14ARKB LAN BT. R/ay !)Imo. �* BUILDING DEPARTMENT Applicant Fla USEPERMIT ZON oNE QL ly NuntaEn 740299 PERMIT APPLICATI®N IInsldoHeavyLlaed ADDRESS ADDRE88 ��J NAME NAME OF BUSINESS) L–�� UhI )AfDWl2lf IJ�L6(f�lsl`I�� / 0� l�L (OR ...�/ �(s( / / r H � A �` �� Pt:ltnfldtllBLE n LOT COVERAGE' I `� 1 ACTUAL I.OT COVAAGE MA1LN0 DDREBB _l �� /C� �', �I./% (1 /✓• STATE LICENSE NUMBER PERnfItldIBLE }[F:IOIIT J 3O CITY M(/ N T—,--pRONE NUMBER �� O a'r ACCU;}�JST7 IIW�A(M TOTAL BLDG. ARUi'� PRO BED Y tUB '4111IV NAME NNso A/ RE IRED YARDS FRONT BIDE REAR FRONT REAR W ADDRESS LEG 'I,OT VARIANCE OR CO DITIUNAL LINN ERMIT NUMBER GNO aa,R LA PT. P O L A 1•.• C72y �MO/VMI eWn`J ,A `n�' �/� TELEPHONER /J Lj �r� dT 'ET Fee Receipt No, i •LN RESIDENTIAL EXISTING REST R/W� ®('. . DEFICIENCY THIS PROPERTY ❑ YES NAME //�+� ( &"' �1 •� ..xcee IIE14ARKB LAN BT. R/ay !)Imo. slopes Driveway slopes not to exceed those m ADDRESS a-1 ,� f!v !n indicated on Standard Dw . No. :103:: / .' CHECK BY C 'CITY• /hoN�� Y✓/V TELEPHONE NUMBER Ipk �pv� 7 L–�� UhI )AfDWl2lf IJ�L6(f�lsl`I�� RETAINING •O]iE ES'D BY SHOULD BE CODED 31.04: SH C � • METERj IZE BEAVl1/BI'LE CLEARANCE STATE LICENSE NUMBER CITY LICENSE NUMBER J I / I 0 REPAIR ❑ INSPMOVE ❑ POOL d 1 k 9 3 �y� /� ,, % y� //J /• V /(/ NUMBER OF STORIES NUMBER OF DWELLING a a3 REMARKS Legal Description of Properly (Show Below or Attach Four Copies)Z/ r /� 7D. Fee Receipt No, CONNECTION /v V •�RIFIEU CLQ Plan check No ..................... '•� BUILDING iy V W PERC. TEST P • t U BEH EL PLUMBING G e, REMARKS - V FIRE ZONE TYPE OF CONBTRUCTI/O�( STAFF IMPROV. ! ES [] NO HEAT & GAS LINE - SPECIAL INBPE`CTOR/REQUIRED OCCUPANCY OR UP i •LN RESIDENTIAL ❑ L}NE GAS ❑ YES 5 NEW PLAN CHECKED BY THIS SITE LOCATED IN THE CITY NON-RESIDENTIAL SIGN EDMONDS. LOCAL SALES TAX El ADD RETAINING R ARKS SHOULD BE CODED 31.04: SH " WALL F]A FENC �L (�ir/�i Z,916 ALTER ❑ z..........Ft.)✓ifG��/'� ❑ ❑ EXCAVATE OR FILL TE 0 REPAIR ❑ INSPMOVE ❑ POOL �y�/I "4 (/•O rJ (7 V �7.0 �y� /� ,, % y� //J /• V /(/ NUMBER OF STORIES NUMBER OF DWELLING UNITS NATURE OF WORl//yK TO BE DONE y l!_ Valuation Fee Receipt No, Plan check No ..................... '•� BUILDING PROPOSED USE PLUMBING /Q aPLOT PLAN (Indlc¢to Building setbacks, abutting streets) HEAT & GAS LINE � 7 FENCE SIGN RETAINING WALL N SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL TOTAL AMOUNT DUE ,y VV I ✓J y�� I hereby acknowledge that I have rend this aDplicnllan; that Na In• /�� 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 .lata laws regu• ATTENTION APPLICATION APPROVAL Iaum, construction; and In doing the work authorized thereby, no person will be employed In violaUa¢ or the Labor Code of the State of Washington TIDN I•ER511T 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 DEMOIATION8 which ONLY TIRE WORK NOTED uty; and fees are paid, and receipt is ac - shall be completed In ninety days; MOVEDAN BUILDINGS shall be com. lu owledged in space provided. Mcled in nix months.) SIGNATURE OWNER` AGENT) _ / D.1 7 INSPECTIONNATURE DEPART MENT tq[/'� '1'�I`(C]•�'.(//u CITY OF _i '� EDD10ND3 DATE NOTE: Applicant Subject to Plan Check Fee 775-2525 Tide 1'ermlt coven work to he doneon private property ONLY. Any construction an it,.11.411. damaln (curb., sidewalks, drl a ye, marquees, sic.) will require separate perminlon. 0-11 ADD ❑ALTER REPAIR RESIDENTIAL ❑ NON-RESIDENTIAL DEMOLISH EXCAVATEFENCE OR FILL PRE -MOVE INSP. ❑ ❑ Lj El GAB LINE BION?��' RETAINING WALL (..........x .......... Ft.) SWIM POOL C] YES b -14O I �( i 41 1 PLAN CfiECKED BY THIS SITE IS LOCATED IN THE CITY _ OF EDMONDS. LOCAL SALES TAX. /6.. --t-------"—' SHOULD BE CODED 31.04. REUARKS tr ✓fJ - %` / ` iUMBER)OF STORIES NUMBER OF BUILDING DEPARTMENT Applicant FIU Us f / PERMIT ,t�_i)0 ZOO /`� NUMBER ATTENTION PERMIT APPLICATION Inside Heavy Lines SOHO ADDRESS / /IT1 /0 -' ��,/C./ (j �Q/),.?'s i•v DWELLING NAME (OR NAME OF BUSINESS) /}i ('�i /� �� /L C,J �, /e ( PEItAHUSIBLE ^/ ./)` / IAT COVERAGE^ I15 a LOT COVEIIAtlE/ / `/ THUS PERMIT MAILING ADDRESS - Y•�% h/' :... t i �` �� J' YEAMIddlDLE HEIGHT ) PItOPOBEDH OHT , ) n i /z,X �. UNITS C1T_Y r /E}LEPHO`�I1/E �v NUMBS ACTUL LOST/J(�REA TOTAL BLDO.�REA raj/ Ar? �AEQUIREDAIIDB value',,, I Fce Receipt I ;�',: i� Ni) ��•� y7 �\ `+ �l YROPOBt:DyY RUB NAME / 0'1. r<i�/� / t l L, . �S/ J 9 k �v S�!P !i.' FRONT. HIDE REAR FRONT SIDTII REAR G N ADDRESS �, . LEGAL LOT VAR .NCE 'Oft CONDITIONAL UeE [�f j'Eil• _.Q. NO /r PERMIT NUMBER - ... r t DEPARTMENT -- PL NNING- SPT. AP RO AL. h TES 9 t� 1.14"�'. i" / ',� '" I! ' pJ� CITY.,.. TELEPHONE NUMHER Tf - l N II ( ft-- f/ .' `t•`. //f STREET R/W / / `•DEFICIENCY THIS PROP3sRTY EDMONDS EXISTING' ST REST R/W FT. ( 1 NAME .� . J_ _ ! ., J1 •(- COMP. PLAN ST. R/W(� FT. ..FT This Perritt c rete -k to be den n private properly ONLY. �- ��J rh'1 i--..`•1• REMARKS ! .... _�Oj; YIJG Lt! [- CBL. �) t `>`'•' 02 ADDRESS i.__i✓� f rZ� . t Cf'(l (sn••, t andar� 1 ,1. E / i (t �i -, t�.fYiC. { i L`.. 1 CHECK I BY C CITY 171lL9d A/(�� bL' %1 LEPH I TEONE NUMBER e qc(d a 7 - t (lflli171 r1.L� I p V /n METER SIZE BERVICE SIZE CLEARANCE CHECKED BY STATE LICENSE NUMBER CITY LICENSE NUMBER /�/ I REMARKS Legal Description of Property (Show Below or Attach Four Copies) 11 r /"/// TYPE CONNECTION VER{FIED BYE C V n W PERC T PERMIT TMBE J RE A D FII-R,E—ZONE TYPE OF C--O�NSTRU IO 8' RE I V. 0-11 ADD ❑ALTER REPAIR RESIDENTIAL ❑ NON-RESIDENTIAL DEMOLISH EXCAVATEFENCE OR FILL PRE -MOVE INSP. ❑ ❑ Lj El GAB LINE BION?��' RETAINING WALL (..........x .......... Ft.) SWIM POOL C] YES b -14O I �( i 41 1 PLAN CfiECKED BY THIS SITE IS LOCATED IN THE CITY _ OF EDMONDS. LOCAL SALES TAX. /6.. --t-------"—' SHOULD BE CODED 31.04. REUARKS tr ✓fJ - %` / ` iUMBER)OF STORIES NUMBER OF hed agent of the owner. I agree to comply with city and Itntelaws regu- ATTENTION latmg -..,Mellon; and In dolog the work authorized thereby, no person I ; I � DWELLING will be employed In violation of the Labor Code of the State of Washington THUS PERMIT relating to Workmen'. Compensation Insurance. / UNITS NOTE: Permit limit One Year (Except DEMOLITIONN M111h I value',,, I Fce Receipt I `IATURE OF WORK TO BE DONq_ xl [o Y PROPOSED UeE •� PLOT PLAN (Indicate IIu 7 / Plan Check No ..................... BUILDING PLUMBING HEAT & GAS LINE FENCE SIGN RETAINING WALL N SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL 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 apace provided. DIRECTOR'S SIGNATURE •DATE I INSPECTOR TOTAL AMOUNT DUE 1 hereby acknowledge that I have read this application: that the in- formation given le correct; and that I am the owner, or the duly aulhor- hed agent of the owner. I agree to comply with city and Itntelaws regu- ATTENTION latmg -..,Mellon; and In dolog the work authorized thereby, no person I ; I � , t will be employed In violation of the Labor Code of the State of Washington THUS PERMIT relating to Workmen'. Compensation Insurance. AUTHORIZES NOTE: Permit limit One Year (Except DEMOLITIONN M111h ONLY TIIE WORK NOTED shall be completed In nloely days; 31OVED-IN BUILDINGS shall be com• plated in I.months.) IIONATURE (OIVNER Olt AGENT) ., DATE BIGNEU INSPECTION �. 'p, I DEPARTMENT '• t' h - -i•_.:_ �e.1 'v .. CITY OF EDMONDS NOTE: Applicant Subject to Pfau Check Fee 775-2525 This Perritt c rete -k to be den n private properly ONLY. Any co.aructimt on the liable, domain (,,,the,eld-1k., drlveway., ntareuees, Ste.) .111 require separate perntl�elon, 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 apace provided. DIRECTOR'S SIGNATURE •DATE I INSPECTOR r+ I i 1 1 J I ; I � , t S� 1 I 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 apace provided. DIRECTOR'S SIGNATURE •DATE I INSPECTOR