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740383.pdf
,I • i BUILDING DEPARTMENT Applicant Fin zolErE rPtEinwlETlt �/,LJ 7�G383; ' Inside Heavy Linos PERMIT APPLICATION IOB ADDRE88 1 NAME (OR NAME OF BU8INEBB) PKltnI IHeIBLF: ^ A j •� 1 G T C © / G 1-1 C' RA �B / L L- Lo LOT COVERAGES L I.OT COVF.iQAOE 7 MAILING ADDR ;� �� PERMISSIBLE. 71EIOIIT / l0 'OtlF.'lJ lid O e / Y � 5 a s ► y ";TN o 2 W NY�JT17i O CITY TE'L//EgP7ktONE ACTUAL LOT A A 1'O'I' IL l). /1 M ' /f Af'� �" lel / `/f! �/�ts�•..�, /I��tF� RI•'gt)'IItEU YAll1/H ' OVII.e 1 YARDS FRONT' HIDE, llEAlt FRON Hill" HEAR NAME LF.G .LOT \A t ANC' tl 11 CttN 11TIU Al. HE F ADDRESS .tl NO PSRMiT NUMBER ' 1' NO r. a CITY TELEYFIONE NUFIUEIi H 'IIF:F t/\V �t ���c••' EXI O NTRf:ET R/\Y 1.q!!iMr DEFICIENCY 1'iliS F'ItOP1:R NAME f h � % �1 �y�'� D 4 r� COMP. PLAN ST. R/lC ... REMARKS O • driveway slopes not to exceed those IWo V ADDRESS I O 3 8 g �„� indicated on %and ld -7 }t CilECKE RY CITY TELEPHONE NUMDEii `�' ri-C'Cecl) �ne���1t T I p N• oU � � r74:3 -�{ 31 0 �..T n SIZE HU w� iti SIZE �CJXAH N AtGTEIi tll'LE tlE1tVICF. tll'I.E ()I.EAItA NCE: t C IRCC1 ED BY V S�lTfA- 6 TSE LICENSE NUMBER/., �% �y -3 CITY LICENSE NUMBER 5/3 �J(Ne'a.�� O .0— / — / / O ItEMA IKtl e � Legal Deecrlptl.n of Property (Show Below or Attach Four Copies) i� !_'W, l.F�,, �\ C) FnLO. L2 L E9 d w JC\.J S TYPE CONNECT ON VERI I ' ID E :Z0 E3. V e 7" 3 % �k UAZU W 0 AL-K- !'L•'1IC. TF.tl1' YEIiM T NUMBER a, U �vAciN TOG tA� LT�MT FA 2n' OFND. loci- RI,'MARKS w O w/ ►�7 7' Fc MT o nr IVO o / o T2 ! 807 FIRE ZONE TYPE OFF CONSTRUCTION ;RE IMPROVED .Z7r 'F / �. AlEB NO •', SPECIAL INtlf'ECTOR/RLE9• UIR�EvD OCCUPANCY GROUP - RESIDENTIAL❑ O GAH C] YES [LIU NF.W PLAN C11E Ell U, Y TY TTHIS SITE 15 LOCATED IN T-HE AX ❑ NON•REBIDENTIAI. S3GN ALES �HOULD BEC ODED 31.04. , ADD❑ MAIL DEMOLISH 1:1 \R A, LLINFNO ALTER EXCA\'ATE FENCE. �J �/ 2 / L'-/C� t/ / 1-3 On FIVIi, I.......... ....... .... F't.) Ej REPAIR 0 PRE MOVE 8WIAt INSP. POOL NUMBER OF HTORIKS NUM IF. OF I U1\'FEEING I UNITS NATURE OF WORK TO BE DONE Valuation Fee Receipt No. BULLA NL%/ S1IN fie- FAi✓.1yi Plan Check N...................... 1 oi< A) l a{yf' BUILDING 7 1 �i .� DO I / 11 7y _cs PROPOSED USE PLUMBING V PLOT PLAN (Indicate Ifulidln9 setbacks, .hutting elroo ll) HEAT k OAS LINE j ? (G ` FENCE elON � 1J I s t 'l, N RETAINING WALL SWIMMING POOL DEMOLITION PRE-MOVE INSPECTION p zS'M1 I EXCAVATION OR FILL , TOTAL AMOUNT DUE / �0 ec.wlad.e that 1 have reed this application; that I hernuy lin a in- foration 9111" Is correct; and that 1 un the ner, or the duly author- m ",'I .pont of the aM'n1r. I .gree 1. comply with and .late taws peso- ATTENTION APPLICATION APPROVAL ' ' lhclly holing c.natruction; and In d"", Ula work .uorDad thereby, no person will be empmyed In vmlellon of the .,.I I Code of the Slate .f Washl.A.. THIS PERMIT This application is not a permit until relatlni t. Workmen's C.enpene.U.. Insurance. AUTHORIZES Signed by the Building Official or his Dep- ' NOTE: Permit mit One Year (Except DEMOLITIONS which ONLY THE WORK NOTED uty; and fees are paid, and receipt is se- 0.11 be complete � ninety day., MOVED-IN BUILDINGS shall be win-ledged in space provided. ph:lcd In I. a Ill ) l-11 6 NIi3NA'1'U U\VNF A NT) - DATE SIGNED _ ..� INSPECTION DEPARTMENT AEC R' Bi RE c01 i CITY OF DS d'-% r ` EDhiON25 NOTE: A/i(dirk fGjrrt to Nan Check DATE _ _ / 7-tO-�'- _ •— ---• �• 775.2525 ----- y ONLY. 7'lils 1'ernill t•nvrn work I. U. done on behold property ONLY. Any eonstrucllun .n the public domain (curbs, ridewnike, drR•ew.ys, �/�---� FILE niargneee, etc.) w'lll require eepwate pernilsslon. Yir `t • .\SIS 2i ... , rips.. • . / •Pu ll - � o - PL oT: PLA AI I, F1ACT.. J.:P.L. SAT .OF - �i�3; SIA. 51 > :..TO G er .'trir� �'+� s^'r .. . u t`ic G1vS?� tri�£V e� ThiF A' WE �Y :, . , -, = .5•��' �' SAV, AVE (5 f 6 �''FPT�C A ATA; _ - .. _ _: .. • :v'Mr�v PErZC 3 [So�M gNSTALt IBO LNFs 3' r1eL'NGN I t -ZOO' S { �l 9o.O GA1LoN/ 7WNK •'_':•ice' F-zo0� ixRo off,_ - : . ;�TUBO:lT' 109 00 I LOT flN Gt.'��4Ra7t A'J t sf , _ • I r.GN so• LONG I W/$7oroowVS Aa' RAV0.. 0 i to . ,s Yir `t • .\SIS 2i ... , rips.. • . / •Pu ll - � o - PL oT: PLA AI I, F1ACT.. J.:P.L. SAT .OF - �i�3; SIA. 51 > :..TO G er .'trir� �'+� s^'r .. . u t`ic G1vS?� tri�£V e� ThiF A' WE �Y :, . , -, = .5•��' �' SAV, AVE Legiii.Dan,ription at raj'Z,.jrty (snow Below or Attach Four copies) TYPE CONNECTLPp Vi .1 "I"T r"I . ... . ....... "ll 0. 10 C f ni � 4F. Aj -4 BUILDING PROPOSED F, O PLOT PLAN (Indicate TgffMi`i" Ipti-sts) FIRE ZONE) BUILDING DEPARTMENT AppHeant Fill 1180 PERMIT ZONE I NUMBER PENCE SPECIAL INSPECTOR REWUL PERMIT APPLICATION I Inside Heavy Lines -j-oW- ADDRESS J/ 1 ❑LINE L El YES [3'N0 PLAN CHECKED, BY NAME /OR NAME OF BUSINESS) i '4 PER IISSIBLE 7 LOT COVERAGE RETAINING WALL NON-RESIDENTIAL ❑ SIGN Id -PE—ItMISSIBLE HEIGHT _TR POSED IIFIOI1T 14 ri P1. BER -rC—TUAL LO AREA PENCE CITY ❑ OR FILL PROPOSE YARDS a' REPAIR PRE -MOVE EJ REAR FRONT SIDE FRONT BIDE REAR . NAME TOTAL AMOUNT DUE NUMBER OF, STORIES_ NUMBER OF hereby -k..Wlldg. that I have read this application) that e In- t 2th.1- — LEMAMM VARIANCE oil DWELLING I - Ized agent of the owner. I cg..e to comply with city and statelaw. re"' UNITS hitIng construction; and in doing the work authorized thereby, no person DATE: z will he,played in ka.11.. or the labor Code of the State of Washington TELEPHONE NUMBER CITY Er' 0 AUTHORIZES ONLY TIM NOTE: Permit Limit One Year (Except DEMOLITIONS Which 1W ExlsrxG DEFICIENCY THIS PROPERTY STREET R/w4J.,Jt.rr.f/ .bull be completed In ninety day,; MOVED -IN BUILDINGS shall be com- NAME comp. PLAN ST. R/W�:q;_ZJT. INSPECTION SIGNATURE E SIGNED DEPARTMENT ed ADDRESS CHE .1ED BY EDMONDS i:nA 775-2525 Thl, Fe"I"It -%en work to he done on p,11.t. Pr-pc1tY ONLY. -61-T—y TELEPHONE NUMDER Any construct"n r. the public d .In d1l'...Y., n,arqueez, etc.) t,Ijj regw,r separate pe -q -ton. -=T= SIZE BERV3CE SIZE CLEARANCE C ECKED by STATE LICENSE NUMBER r CITY LICENSE NUMBER I I ') '? '-" -- ; TI , - REMARKS Legiii.Dan,ription at raj'Z,.jrty (snow Below or Attach Four copies) TYPE CONNECTLPp Vi .1 "I"T r"I WE -*, '� - "o -..z I " / �? 12- _7 APPLICATION APPROVAL This application is not a pernitt until signed by the Building official or his Dep- uty; and fees are paid, and receipt is ac- knowledged in space provided. DIRECTOR'S SIGNATURE DATE INSPECTOR I "ll 0. 10 C f REMARKS 4F. Aj -4 BUILDING PROPOSED F, O PLOT PLAN (Indicate TgffMi`i" Ipti-sts) FIRE ZONE) 21 PENCE SPECIAL INSPECTOR REWUL RESIDENTIAL ❑LINE L El YES [3'N0 PLAN CHECKED, BY NEW RETAINING WALL NON-RESIDENTIAL ❑ SIGN A.- SWIMMING POOL ❑REMARKS WALL ri DEMOLITION ❑DEMOLISH EXCAVATE PENCE LT,, ❑ OR FILL .......... REPAIR PRE -MOVE EJ ❑ INSP. POOL TOTAL AMOUNT DUE NUMBER OF, STORIES_ NUMBER OF hereby -k..Wlldg. that I have read this application) that e In- t 2th.1- — DWELLING I - Ized agent of the owner. I cg..e to comply with city and statelaw. re"' UNITS hitIng construction; and in doing the work authorized thereby, no person WE -*, '� - "o -..z I " / �? 12- _7 APPLICATION APPROVAL This application is not a pernitt until signed by the Building official or his Dep- uty; and fees are paid, and receipt is ac- knowledged in space provided. DIRECTOR'S SIGNATURE DATE INSPECTOR I PI.. Chcel, N . ..................... 4F. Aj -4 BUILDING PROPOSED PLUMBING O PLOT PLAN (Indicate TgffMi`i" Ipti-sts) NEAT & GAS LINE 21 PENCE SIGN RETAINING WALL SWIMMING POOL DEMOLITION 'elPRE -MOVE INSPECTION EXCAVATION OR FILL TOTAL AMOUNT DUE hereby -k..Wlldg. that I have read this application) that e In- t 2th.1- — formatior, given 1e correct; and that I = the owner, the duly � - Ized agent of the owner. I cg..e to comply with city and statelaw. re"' ATTENTION hitIng construction; and in doing the work authorized thereby, no person will he,played in ka.11.. or the labor Code of the State of Washington THIS PERMIT relating to workmen's compt ... it.. Insurance. AUTHORIZES ONLY TIM NOTE: Permit Limit One Year (Except DEMOLITIONS Which WORK NOTED .bull be completed In ninety day,; MOVED -IN BUILDINGS shall be com- pleted in six months.) INSPECTION SIGNATURE E SIGNED DEPARTMENT CITY OF EDMONDS NOTE: Applicant Snbject to Plan Check Fee 775-2525 Thl, Fe"I"It -%en work to he done on p,11.t. Pr-pc1tY ONLY. Any construct"n r. the public d .In d1l'...Y., n,arqueez, etc.) t,Ijj regw,r separate pe -q -ton. WE -*, '� - "o -..z I " / �? 12- _7 APPLICATION APPROVAL This application is not a pernitt until signed by the Building official or his Dep- uty; and fees are paid, and receipt is ac- knowledged in space provided. DIRECTOR'S SIGNATURE DATE INSPECTOR I m F N J