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740403.pdfr Plan Check No ..................... BUILDING 3��00 aYa" I s 6, PROPOSED USE PLUMBING - BUILDING DEPARTMENT Applict FillZONE UBE NUMBERF-puluz 740403 O PERMIT APPLICATION I Inside Heavy Lines JOB ADDRESS .-.SI�IA i NAME (OR NAME OF BUSINESS) tT LLL111 ' { �•. SIGN PERa118B18LE ACC TUAL LOTCOVERAGE tRETAINING WALL LOT COVERAGE m / ' MAILING ADDRE88 ~T PERMISSIBLE HEIGHT PROPOSED HEIGHT /y\ /:%--oA i S 0 _ 7� TOTAL DLDO. AREA X - CITY TELEPHONE NUMBER ACTUAL LOT AREA EXCAVATION OR FILL REQUIRED YARUtl PROPOSED YARDS BIDE REAR k TOTAL AMOUNT DUE t NAME 1 hereby acknowledge that I have rend 161s apDllcntlon; that We In- FRONT HIDE REAR FRONT p t,t ; LEGAL LOT VARIANCE OR CONDITIONAL USE N ADDRESS teed agent of the owner. I agree to comply with city and elate lawn regu- ATTENTION (3 YES O NO PERMIT NUMBER ,at,..Con.lruclion; and in doing the work authorized thereby, no person - PLANNING DEPT. APPROVAL DATE: ' I t U C - CITY TELEPHONE NUMBER < signed by tale Building Official or his Dep - NOTE: Permit Limit One Year (Except DEMOLITIONS which BTRE6T R/\V C �, ehall be completed In ninety days, MOVED -IN BUILDINGS Shall be com- knowledged In space provided. EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY pleted In six month..) NAME `\ COMP. PLAN ST. R/W ............FT. .....FT. W Q Las� it/G�t a Sha lAlO`Y=; / ,.� i� REMARKS fa ADDRESS 23 a �KR- 1747 NOTE: Applicant Subject to Plat Check Fee CHECKED 8Y z la ,q CITY TELEPOHONE NUMBER ( F 17 Any cunei ruction on the public domain (curb., sidewalks, driveways, FILE CHECKED BY marquees, ete.l will require separate pernilssicn. V le0h c,_' 71 —96,61? METER SIZE SERVICE SIZE CLEARANCE STATE LICENSE NUMBER CITY LICENSE NUMBER I I I km REMARKS Legal Description of Property (Show Below or Attach FourCopies) iV /•� 1e t / 4 ria II f n ser LCI PI C7 C(Z. a �], TYPE CONNECTION VERIFIED BY 0; x/. D. rlix-«- y, 1 / —(7L — PERC. TEST PERMIT NUMBER d. w N% o F f. A of dot REMARKS W no M a W _snohomisk N,nunt I FIRE ZONE TYPE/OfF�CONBTR CTION STREET IMPROVED I // _ E9 ❑ NO SPECIAL INSPECTOR QUIRED OCCUPANCY GROUP ❑ YES I RESIDENTIAL 6A8 ❑ LINE PLAN CHECKED BY NEW THIS SITE IS LOCATED IN THE CITY NON-RESIDENTIAL � i^� OF EDMODS. LOCAL SALES TAX SIGN A 7G (nL.� BE CODED 31.04. ,® ADD ElDEMOLISHWALT RETAINING MARKS FENCE �J.�y7 r �G��(1� laeZ/ (/SCS / P/J ALTER EXCAVATE OR FILL (.......... x.......... 1't.) r//D r ❑ REPAIR [:]N PMOVE O SWIM POOL B f' D/- NUMBER OF STORIES NUMBER OF DWELLING ( UNITS NATURE OF la TO BE DONE Valu.tien Fes Receipt No. L r Plan Check No ..................... BUILDING 3��00 aYa" 6, PROPOSED USE PLUMBING - Q PLOT PLAN (Indicate Building setbacks, abultln6 attecta) BEAT & GAS LINE O l � FENCE { SIGN tRETAINING WALL N — BWIMMiNO POOL - DEMOLITION - PRE -MOVE INSPECTION EXCAVATION OR FILL TOTAL AMOUNT DUE 00 1 hereby acknowledge that I have rend 161s apDllcntlon; that We In- / turmoilon riven Is correct: and that I am the owner, or the duly author - teed agent of the owner. I agree to comply with city and elate lawn regu- ATTENTION APPLICATION APPROVAL ,at,..Con.lruclion; and in doing the work authorized thereby, no person hill he employed In violation of the Labor Code of the Stale of Washington THIS PERMIT This application Is not a permit until mlatleg to Workmen's Compen U.n. Imuran.. AUTHORIZES signed by tale Building Official or his Dep - NOTE: Permit Limit One Year (Except DEMOLITIONS which ONLY THE WORK NOTED uty; and fees are paid, and receipt is Bc- ehall be completed In ninety days, MOVED -IN BUILDINGS Shall be com- knowledged In space provided. pleted In six month..) SIGNATUREER OI AGENT)DATE SIGNED INSPECTION DEPARTMENT DI BIG ATU CITY OF iJ EDMONDS DATE NOTE: Applicant Subject to Plat Check Fee � � a _ F 775-2525 Till. Permit a vork lu be sone on private property ONLY. Any cunei ruction on the public domain (curb., sidewalks, driveways, FILE marquees, ete.l will require separate pernilssicn. I NATURE OF ORK TO BE DONE - V.1-11.. _ i BUILD 1 N G DEPARTMENT Applicant]LInes USE �1 E°`� T -_r — PERMIT NUMBER i `r W El 11 LINE CHECKED BY ❑PLAN O El NEW Inside HeavATD PERMIT APPLICATION ADDRESS SIGN (OR NAME ON BUSINESS)°'ACTUAL BUILDING %NAME i L LOT COVERAGES REMARKSElDEMOLISH LOT COVESiAOE94 U HEIOFIT PROPOSED HEIGHTPElibtISS18LE PLOT PLAN (Indicate Building setback., abutting ntrects) ACTUAL LOT AREA ❑ TOTAL BLDG. AREA ?. U E CITY REQUIRED YARDS PROPOSED YARDS NAME FRONT SIDE REAR FRONT SIDE REAR LEGAL LOT VARIANCE OR CONDITIONAL USE f ADDRESS YES ❑ NO PERMIT NUMBER i PLANNING DEPT, APPROVAL i DATE: - - - --'------- Tit -.1 ? , IC4 LADDRESS3 r,( 1. R - 71 —&LTY / STREET It/W EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY COMP. PLAN ST. R/W ............Fr. . ............FT, REMARKS CHECKED BY NATURE OF ORK TO BE DONE - V.1-11.. Fee Receipt No. SPECIAL INSPECTOR 0 RESIDENTIAL El 11 LINE CHECKED BY ❑PLAN O El NEW ❑ NON-RESIDENTIAL SIGN / V I BUILDING ADD i L SNC WALL REMARKSElDEMOLISH U LINE 11- Lnre� PLOT PLAN (Indicate Building setback., abutting ntrects) ALTER ❑ OR AVAILL E z..........Fl.) PENCE ❑ REPAIR S PRE -MOVE '� l iGr(jl tYl�tl. 1 .7 ❑ INSP. POOL ;UMBER OF STORIES STREET It/W EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY COMP. PLAN ST. R/W ............Fr. . ............FT, REMARKS CHECKED BY / I aT, E9 ❑ NO OCCUPANCY GROUP THIS SITE IS LOCATED IN THE CITY OF EDMONDS. LOCAL SALES TA) NATURE OF ORK TO BE DONE - V.1-11.. Fee Receipt No. SPECIAL INSPECTOR �� RESIDENTIAL El 11 LINE CHECKED BY ❑PLAN O El NEW ❑ NON-RESIDENTIAL SIGN / V I BUILDING ADD i L SNC WALL REMARKSElDEMOLISH U LINE FENC PLOT PLAN (Indicate Building setback., abutting ntrects) ALTER ❑ OR AVAILL E z..........Fl.) PENCE ❑ REPAIR PRE -MOVE SWIM 1 ❑ INSP. POOL ;UMBER OF STORIES NUMBER OF N DWELLING I SWIMMING POOL UNITE i / I aT, E9 ❑ NO OCCUPANCY GROUP THIS SITE IS LOCATED IN THE CITY OF EDMONDS. LOCAL SALES TA) NATURE OF ORK TO BE DONE V.1-11.. Fee Receipt No. �� I )1.— Plan Check N. ..................... / V I BUILDING i PROPOSED USE PLUMBING U LINE PLOT PLAN (Indicate Building setback., abutting ntrects) HEAT A, GAS s:'.J PENCE 1 SIGN RETAINING WALL N SWIMMING POOL DEMOLITION i PRE -MOVE IN13PECTION EXCAVATION OR FILL / TOTAL AMOUNT DUE I hereby acknowledge that I havo read this application; that the In formation given le correct; and that I am the owner, or the duly author - told agent of tho owner. I agree to comply with city and elate laws regu- ATTENTION APPLICATION APPROVAL tall.. construction; and In doing th. work authorised thereby, no person will be employed In Violation Of the Labor Code of the Stale of Washington THIS PERMIT This application is not a permit until ..at,.. to Workmen'. Compensation Insurance. AUTHORIZES Signed by the Building Official Or his Dep - NOTE: Permit Limit One Year (Except DEMOLITIONS which ONLY THE WORK NOTED Uty, and fees are paid, and receipt Is ne- ehall be completed In ninety days: MOVED -IN BUILDINGS .hall be cum- knowledged In space provided. { Ileal In .1. ...the.) - SIGNATURE (OWNER OR AGENT) DATE SIGNED INSPECTION DIRECTOR'S 8113NAYUIT /// _ DEPARTMENT I - t_ r /,)„'`•1%;�i1- C/! CITY OF ” Subject to Plan Check Fee EDMONDS DATE 4r NOTE: Applicant 775.2525 \This Permit corer.work to b. done on private property ONLY. the domain (curbs, emewniks, drWewgs' P �I' Any construction on public nmryueee, etc.) will require eeparal. permission. INBPECTOA '