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740348.pdf� � I j 740348 1 BUILDING DEPARTMENT Applicant FNZONE USEPERMIT NUMBER i Inldo Heavy Lino APPLICATION GADDR/PERMIT I t NAME (OR NAME OF BUSINESS) PEIiM3SSIBLE ACTUAL LOT COVERAGE IAT COVERAGE MA LING ADDRE 0 PERMISSIBLE HEIGHT ftOPOHED HEIGHT i �(•�[7. i= / `� �J ,,µr 6 ! / �O �G e 1 �� T LEPHONE NUMBER z ACTUAL LOT AREA TOTAL DLDO. AREA I ` CITY y� Al A �a� -^/ • +/� Al REQU7)tEU YARDS PROPOSED YARDS FRONT SIUE HE FRONT SIDE REAR NAME F LEGAL LOT VARIANCE OR CONDITIONAL USE I NUMBER ADDRESS YF NO PERh11T ; FW+ yy PLANNING DEPT. APPROVAL DATE: i ,•�, TELEPHONE NUMBER 1 t7 CITY STREET R/W EXISTING STREET R/W .....,......FT. DEFICIENCY THIS PROPERTY T. NAME Fad COhIP. PLAN ST. R/W ............PT. ............FT. w RDMAAKH ^ z C ADDi£Stl^ W P. CRECKED HY TELEPHONE NUMBER I C CITY T I METER SIZE SERVICE SIZE CLEARANCE CHECKED BY STATE LICENSE NUMBER CITY LICENSE NUMBER I i 09 I I REMARKS E Legal Description of Properly (Show Below or Attach Four Copies) TYPE CONNECTION I VERIFIED BY C PERC. TEST PERMIT NUMBER � 1' i � I WREMARKS W W FIRE TYPE OF CONSTRUCTION STREET IMPROVED 1� [3 YES 0 NO I I SPECIAL INSPECTOR REQUIRED GROUP GAS ❑ YES �fNO IOCCUPANCY IS LOCATED IN THE CITY REBIDENTIAL❑ LINE ❑ NEW PLAN CHECKE ry THIS SITE OF EMONDS, LOCAL TAX / ❑ NON-RESIDENTIAL ❑ SIGN SHOULD BE CODED 31045ALE5 ❑ ADD ❑ RETAINING ❑ S REMARKS , 7a DEMOLISH FENCE /� ✓`eD /`►/'L�, ALTER EXCAVATE ❑ OR FILL ❑ (.......... z .......... Fl.) SWIT ?� nt, JLV/G : ❑ REPAIR ❑ INSP. ❑ POOL NUOSBER OF STORIES 1 NUMBER OF DWELLING UNITS NATURE OF WORK TO HE DONE L Valuation Fee Receipt No. F� rmn Check Nn ..................... �{re-Qr/y'.(��l�NrBCT//� y-yit�lJZ{t y BUILDING Y PROPOSE lY USE PLUMBING � I aPLOT PLAN (Indicate Bulidtn6 eetbneke, nbultin6 streets) HEAT & GAS LINE FENCE BION RETAINING WALL N SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL Q / TOTAL AMOUNT DUE I hereby acknowledge that I have rend this application; that the In- rarmallon glven fe correct; and that I scut the owner, or the duly author- irrd agent of the owner. I agree to Comply with city and .tate law. regu- ATTENTION APPLICATION APPROVAL mting construction; end In doing the work authorized thereby, no person be In violation of the Labor Code of the Stale of Washington TIHH PERMIT This application is not a permit until will employed m relating to Workmen'. CoDebs.lioa Iaeuranu. AUTHORIZES signed by the Building Official or his Dep - ONLY TILE uty; and fees are paid, and receipt Is ac - NOTE: Permit limit One Year (E ... pl DEMOLITIONS which WORK NOTED $nowledged in space provided. shall be comPleted In ninety day; MOVED -IN BUILDINGS shall be com- pleled In elx months.) H16NA'CU3tE (OWNER OR AGENT) DATE SIGNED INSPECTION D3RECT BION U E /�� I DEPARTMENT CITY OF DATE EDMONDB NOTE: Applicant Subject to Plan Cbeck Fee 775-2525 This 1'rnnit anenre work to Un done on Prlvotn DIOMrtY ONLY. Any eonslructlon an the Pubile domain (curbs, sidewalks, drRex•ps. FILE marquees, elc.l will require separate Permission. O 0 YES 0 NO PERMIT NUMUNK PLANNING DEPT. APPROVAL DATE: STREET R/lV EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY COMP. PLAN ST. R/W ............FT. ••.-.....••FT• REMARKS TOTAL AMOUNT DUE �I 7ZHI i formation given is correct; and that I am the owner, or the duly author. UE .55A,1&4_ Ized agent of the owner, z agree to comply with city and Stole laws regu- ATTENTION i .. BUILDING DEPARTMENT I Applicant Pill van PERMIT tJ ZONE NUMBER � PERMIT APPLICATION inside Heavy Lines JDB / / / ADD A^ ONLY TRE WORK NOTED shall be completed In ninety days; MOVED -IN BUILDINGS Shall be cam. NAME (OR NAME OF BUSINESS) pleted in elx month-.) SPECIAL INSPECTOR REQUIRED GROUP NEW E.ID.NT.Al GASO E] LINE �ff - PEItMItl t- -,v LOT COVERAGE ACTUAL LOT COVESYAOE THI SITE I LOCATED LOCALISATHE LES TIATY X M MAILING ADDRESS /`� REMARKS PERslltlelDLE HEIGHT PROPOSED 11EtGHT O 1 ' � i i��^(:: (�� r G'!� •� / FENCE (x Ft.) � TOTAL BLDG. AREA 1 ! ACTUAL LOT AREA .• C1TLY•/11 ONE I'l I1177 �/; 111D ✓ ��//� 17 l REQUIRED YARDS PROPOSED YARUH __ _ DWELLING UNITS O 0 YES 0 NO PERMIT NUMUNK PLANNING DEPT. APPROVAL DATE: STREET R/lV EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY COMP. PLAN ST. R/W ............FT. ••.-.....••FT• REMARKS i —7, APPLICATION APPROVAL This application is not a permit until Signed by the Building Official or Ills Dep- uty; and fees are paid, and receipt is ac- knowledged in apace provided. DIRECTOR'S-/ SIGNni 1' DATE INSPECTOR TOTAL AMOUNT DUE �I 7ZHI i formation given is correct; and that I am the owner, or the duly author. UE .55A,1&4_ Ized agent of the owner, z agree to comply with city and Stole laws regu- ATTENTION Iating construction; and In doing the work authorized thereby, no person FIRE ZONE TYPE OF CONSTRUCTION STREET IMPROVED will be employed In Violation of the Labor Code of the State of Washington THIS PERMIT I AUTHORIZES NOTE; Permit Limit One Year (Except DEMOLITIONS which ONLY TRE WORK NOTED shall be completed In ninety days; MOVED -IN BUILDINGS Shall be cam. YES 0 NO pleted in elx month-.) SPECIAL INSPECTOR REQUIRED GROUP NEW E.ID.NT.Al GASO E] LINE S E3 NO IOCCUPANCY PLANCHECKED I)Y THI SITE I LOCATED LOCALISATHE LES TIATY X N -RESIDENTIAL ADD❑ ❑ BICN RETAINING /`� REMARKS SHOULD BE CODED 31.04. DEMLISH E] O WALL { / ' [. C�./�Jt�//" / l.'� ` r � l J ❑�• ALTER ❑ EXCAVATE OR FILL FENCE (x Ft.) :_S Li "'- REPAIR PRE -MOVE INSP. .......... .......... El SWIM POOL / ,r NUMBER OF STORIES NUMBER OF / DWELLING UNITS NATURE OF WORK TO HE DONE Valuation Fee Receipt I Z) • /Cr- CCo-; r, di'! i �,� PL1 Plan Check Nn ..................... q � l � �tI _Yl l{ -r' / ' BUILDING i PROPOBED'U8E PLUMBING �• G & GAS LINE PLOT PLAN (Indlc¢to HW\ldias actb Cke1\-abultln6 sUccla) HEAT FENCE SIGN RETAINING WALL N I SWIh1MING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL i —7, APPLICATION APPROVAL This application is not a permit until Signed by the Building Official or Ills Dep- uty; and fees are paid, and receipt is ac- knowledged in apace provided. DIRECTOR'S-/ SIGNni 1' DATE INSPECTOR TOTAL AMOUNT DUE 1 hereby acknowledge that I have read this application; that the in- formation given is correct; and that I am the owner, or the duly author. Ized agent of the owner, z agree to comply with city and Stole laws regu- ATTENTION Iating construction; 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 relating to Workmen's Compensation Insurance. AUTHORIZES NOTE; Permit Limit One Year (Except DEMOLITIONS which ONLY TRE WORK NOTED shall be completed In ninety days; MOVED -IN BUILDINGS Shall be cam. pleted in elx month-.) iIONATURN (OWNER OR AGENT) DATE BZGNED INSPECTION � DEPARTMENT CITY OF EDMONDS NOTE: Applicant Subject to Plan Cbeck Fee 775-2525 This Permit envers work to be done on private property ONLY. Any construction on the public domain (curbs, sldewaiks, dAvewys, marquees, Ste.) will require separate permission. i —7, APPLICATION APPROVAL This application is not a permit until Signed by the Building Official or Ills Dep- uty; and fees are paid, and receipt is ac- knowledged in apace provided. DIRECTOR'S-/ SIGNni 1' DATE INSPECTOR i ,, ,tr