740344.pdf(DEPARTMENT
OM" 4IVAL it PR iN (C L6/i.
I herebyacknowledge that I have read thle application; that the In.
BUILDING
PERMIT APPLICATION
Appllcaut Fill
Inside Heavy Lines
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ADDRE88
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NAME (OR NAME OF BUSINESS)
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1-1 A F,
PERatIBSIBLE
LOT COVERAGE
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CITY
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It 9 CITY TELEPHONE NUMDEI
S)UONOI'1f5K `)ka40 15 6Fs'�66�FC
O STATE LICENSE NUMBER ( CITY LICENSE NUMB
Yrs. ?.27-0 4044
3
740344
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REQUIRED YARDS PROPOSED YARDS
FRONT SIDE REAR FRONT SIDE REAR
LE At, LOTA ANCE OR CONDITIONAL USE
O YES (] NO PERMIT NUCONDITIONAL
PLANNING DEPT. APPROVAL DATE:
STREET R/W
EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY
COMP. PLAN ST. R/W ............FT. ............FT.
REMARKS
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/N .1 / A I_l..
OM" 4IVAL it PR iN (C L6/i.
I herebyacknowledge that I have read thle application; that the In.
Plan Check No .....................
0
ys r 3 (� ,
TYPE CONNECTION
(VERIFIED HY
BUILDING
O
t'
.
/i/5w �A/✓dSCAp„��(r-1
will be employed In vlolatlon of the Labor Code of the State of Washington
PLUMBING
PLOT PLAN (Indicate Building setbacks, abutting strecte)
AUTHORIZES
[TEAT & CAS LINE
d
PERC. TEST
I PERMIT NUMBER
FENCE
.C,
h7
UGNATUR R OR AGENT) DATE SIGNED
INSPECTION
SIGN
DEPARTMENT
OF
h
REMARKS
O
N
SWIMMING POOL
Thls i—Al corers work to be done on private property ONLY.
Ana' rnn�I nlrllnn nn !hI' I,nbllc Anntnin Icnrhe, nldewalkn, 111Yen'nye,
DEMOLITION
O
"1
PRE -MOVE. INSPECTION
FIRE ANE TYPE OF CONSTRUCTION STREET IMPROVED
EXCAVATION OR FILL
}Y1l 0 YES E3 NO
I
SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP
RESIDENTIAL GAS
❑ YES �`'NO F —
I
PLAN CHECKED 13Y THIS SITE 15 LOCATED IN THE CITY
NEW LINE
®
®r6
PR'"'t t✓
OF EDMONDS. LOCAL SALES TAX
NON-RESIDENTIAL
r� n
SHOULD BE CODED 31.04.
ADD
❑
WALL KING
REMARKS
DEMOLISH
ALTER
RFILL EXCAVATE
OR
FENCE
(x Ft.)
A
U�C' I
.......... ..........
REPAIR �I IN -MOVE ElBP O`
SP
NUMBER OF STORIES IIUMI1FRDWELLING
I
UNITS
_
NATURE OF WORK TO BE DONE
I Valuation Fee R-1.1
ra„
/N .1 / A I_l..
OM" 4IVAL it PR iN (C L6/i.
I herebyacknowledge that I have read thle application; that the In.
Plan Check No .....................
0
ys r 3 (� ,
[zed agent of the owner. I agree to comply with city and elate Iowa Mgu-
BUILDING
G PROP SED UHE
`Iy
SP21wic�d
.
/i/5w �A/✓dSCAp„��(r-1
will be employed In vlolatlon of the Labor Code of the State of Washington
PLUMBING
PLOT PLAN (Indicate Building setbacks, abutting strecte)
AUTHORIZES
[TEAT & CAS LINE
21
shall be completed In ninety days; IfOVED-IN BUILDINGS shall be com-
W'OR,I NOTED
FENCE
UGNATUR R OR AGENT) DATE SIGNED
INSPECTION
SIGN
DEPARTMENT
OF
RETAINING WALL
NOTE: Applicant Subject to Plan Check Fee
N
SWIMMING POOL
Thls i—Al corers work to be done on private property ONLY.
Ana' rnn�I nlrllnn nn !hI' I,nbllc Anntnin Icnrhe, nldewalkn, 111Yen'nye,
DEMOLITION
�r,li,r.•+, r i,) x•111 relnir,• nepnn,Ir p,•rnd.Hen.
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 space provided.
DIRECT BIO U
FILE
TOTAL AMOUNT DUE
I herebyacknowledge that I have read thle application; that the In.
normntlon given le correct; and that I am the owner, or the duly author.
[zed agent of the owner. I agree to comply with city and elate Iowa Mgu-
ATTENTION
lating conetructlon; and In doing the work authorized thereby, no person
will be employed In vlolatlon of the Labor Code of the State of Washington
THIS PERMIT
rotating to Workmen's Compensation Ineurence.
AUTHORIZES
NOTE: Permit Limit One Year (Except DEMOLITIONS which
ONLY TIRE
shall be completed In ninety days; IfOVED-IN BUILDINGS shall be com-
W'OR,I NOTED
pleted In alx menthe.)
UGNATUR R OR AGENT) DATE SIGNED
INSPECTION
f1
'ter”IPZCITY
DEPARTMENT
OF
EDMONDS
NOTE: Applicant Subject to Plan Check Fee
775-2525
Thls i—Al corers work to be done on private property ONLY.
Ana' rnn�I nlrllnn nn !hI' I,nbllc Anntnin Icnrhe, nldewalkn, 111Yen'nye,
�r,li,r.•+, r i,) x•111 relnir,• nepnn,Ir p,•rnd.Hen.
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 space provided.
DIRECT BIO U
FILE