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740411.pdf_ 2a 6�j VO RESIDENTIAL FIRE ZON TYPE OF CONSTRUCTI STREET IMPROVED AS LINE l7 I USE PERMIT % /� (i /� NUMBER r YI J T OCCUPANCY GROUP - BUILDING 'DEPARTMENT Appuelult Flu ZONE QS ❑ NON-RESIDENTIAL PERMIT APPLICATION ADDRESS I Inside Heavy Linos AD / O j�� I hl 't❑' ADD ❑ DEMOLISH NAME (on N M OF UUHINEBB) 1...���j 1 1rJ [[ �14 E U-0 I P- l 1_ P PEHMIBSIBLE � LOT CO % LOT COVERAGE LOT COVERAGE yEALL NTNG fR+l Z MAS/IjLINJG� ADDRESSPERMISSIBLE HEIGHT PROPOSED HEIGHT — I !' '- I/�1 -'� �,/y, J�D� / / t/ V V t�Vr `^"'— "— rTOTAL BLDG. AREA LOT AREA x C ❑ uyl. TELEPHONE NUMBER ACTUAL NUMBER OF REQUIRED YARDS PROPOSED YARDS FRONT S[DE REAR a 5 2 DEMOLITION DWELL NO FRONT BIDE REAR NAME 1 J VARIA NCh. NDITIONAL USE LEGAL LOT OR CO PRE -MOVE INSPECTION ADDRESS 0 YES 0 NO PERMIT NUMBER VATUREOFF WORK TOO BE DONE II 7 PLANNING DEPT. APPROVAL DATE: � V I CITY TELEPHONE NUMBER STREET R/W EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY C a ' (zed agent of the owner. I agree to comply with city and stale lawn regu- lating construction; and In doing the work authorized thereby, no person will be employed In violation of Ne Labor Code of the Stale of Washington THIS PERMIT NAMEId 1 �S COMP. PLAN BT. R/W ............fT. ............FT. (� relating to Workmen's Compensation Insurance. AUTHORIZES ONLY TH NOTE: Permit limit One Year (Except DEMOLITIONS which Wons: NOTED hall -hallbe completed In ninety days; MOVED -IN BUILDINGS shall be was. Signed by the Building Official Or his Dep - uty; and fees are paid, and receipt Is ac- knowledged in space provided. C) WIV C"I REMARKS b (OWNER OR AGENT) DATE SIGNED INSPECTION t _ DEPARTMENT ADDRESS Z Vs BY This 1'emul Cos'en work Io be dune an prit'rtle praperlY ONLY. (CHECKED CITY TELEPRONE NUMBER FILE N O I METER 8fLE .-.VICE SIZE CLEARANCE CHECKED BY V STATE LICENSE NUMBER I CITY LICENSE NUMBER I REMARKS Legal De11"Jillan 11 Praparlyy{ "I Below or Attach Four Copies) ` 1 L v^r; a -F rJ TYPE CONNECTION VERIFIED BY (1 I? �7 PERO. TEST I O PERMIT NUMBER C I r REMARKS ; ►J V 2a 6�j VO RESIDENTIAL FIRE ZON TYPE OF CONSTRUCTI STREET IMPROVED AS LINE l7 NbW 9 CIAL//L�INSPECTOR REQUIRED OCCUPANCY GROUP - ❑ YES ❑ ❑ NON-RESIDENTIAL ❑ SIGN j�� I hl 't❑' ADD ❑ DEMOLISH ❑ yEALL NTNG ALTER ❑ onOFILLTE F1. FENC .......... Ft.) REPAIR ❑ IN PSIOVE ❑ POOL IUMBER OF STORIES NUMBER OF 2 DEMOLITION DWELL NO 1 UNITS PRE -MOVE INSPECTION WHl_NU� S i EXCAVATION OR FILL VATUREOFF WORK TOO BE DONE II \ 1= �I/ C�yC� Plan Check No.....................too BUILDING 2a 6�j VO FIRE ZON TYPE OF CONSTRUCTI STREET IMPROVED i l7 YES 0 NO 9 CIAL//L�INSPECTOR REQUIRED OCCUPANCY GROUP - ❑ YES ❑ V aPLOT PLAN (Indicate Building setbacks, abutting streets) HEAT a: GAS LINE PLAN CHECKED Y THIS SITE IS LOCATED IN THE CITY ' OF EDMONDS. LOCAL SALES TAX cl FENCE SHOULD BE CODED 31.04. REMARKS RETAINING WALL Plan Check No.....................too BUILDING 2a 6�j VO l7 c/ W PROPOSED USE 'a PLUMBING V aPLOT PLAN (Indicate Building setbacks, abutting streets) HEAT a: GAS LINE cl FENCE 5 SIGN RETAINING WALL µOUSE / SWIMMING POOL 2 DEMOLITION PRE -MOVE INSPECTION WHl_NU� S i EXCAVATION OR FILL II TOTAL AMOUNT DUE I hereby acknowledge that I Gnus read t61e nDpllentlan; that the 1n - Iormntlan given Is enrrect; and that I area the owner, or the duly author- ri (zed agent of the owner. I agree to comply with city and stale lawn regu- lating construction; and In doing the work authorized thereby, no person will be employed In violation of Ne Labor Code of the Stale of Washington THIS PERMIT This application is not a perralt until relating to Workmen's Compensation Insurance. AUTHORIZES ONLY TH NOTE: Permit limit One Year (Except DEMOLITIONS which Wons: NOTED hall -hallbe completed In ninety days; MOVED -IN BUILDINGS shall be was. Signed by the Building Official Or his Dep - uty; and fees are paid, and receipt Is ac- knowledged in space provided. pleted in elx months.) (OWNER OR AGENT) DATE SIGNED INSPECTION t _ DEPARTMENT DIRE URE J- ,.Q,..�,t_z�Yl/ f �.S J CITY OF EDIIIONDS NOTE: Applicant Sujcct to Plan Check Fee 775-2525 Vs DATE +yy 7 —�Ij / This 1'emul Cos'en work Io be dune an prit'rtle praperlY ONLY. Any construction on ilio public domain (curbs, sidewalks, driveways, marquees, etc.) uu,111requlre separate pefnllulon. FILE C11 USE„. PERMIT 4 BUILDING DEPARTMENT npplleant Fm ZONE25 L NUMBER PERMIT APPLICATION inside Heavy Linea JOB - ADDRESS NAME (OR NAME OF BUSINESS) -/ /, l/ � )"1 L�t�t ♦c i PRMISSIBLE %. ACTUAL J •� �_. � l_ i'� � _ I LET COVERAGE LOT COVERAGE , MAiLINO ADDRESSv i PERMISSIBLE HEIGHT PROPOSED HEIGHT C l ' TELEPHONE NUMBER ACTUAL LOT AREA TOTAL BLDG. AREA CITY I REQUIRED YARD H PROPOSED YARDS NAME FRONT SIDE REAR FRONT ­­SIDEREAR LEGAL LOT VARIANCE OR CONDITIONAL USE I 1 yF ADDRESS YES 0 NO PERMIT NUMBER PLANNING DEPT. APPROVAL DATE: C CITY I TELEPHONE NUMBER c STREET R/IV p ' EXISTING eTREET R/N ............FT. DEFICIENCY THIS PROPERTY NAMEy CODfP. PLAN 8T. R/W ............FT. ............FT, W tlj o C 1 �- RIIMARKB �+ ld ADDRESS i CHECKED BY CITY 11 TELEPHONE NUMBER O METER SIZE I SERVICE SIZE I CLEARANCE I CHECKED BY O STATE LICENSE NUMBER I CITY LICENSE NUMBER y' REMARKS / i Legal Description of Properly (Show Below or Attach Four Copies) A ' / _ d1 1v _ 4 TYPE CONNECTION VERIFIED BY 0 gl .L �+ PERC. TEST PERMIT NUMBER aiC I j REMARKS w � lL 67 FIRE ZONE TYPE OF CONSTRUCTION aTREET IMPROVED a r 1 ` 1 — fV ❑ YES [:I NO I SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP AS C] YES [I,” fn NEW � RESIDENTIAL � GLINE PLAN CHECKED ➢Y THIS SITE IS LOCATED IN THE CITY � NON-RESIDENTIAL a1cN OF EDMONDS. LOCAL SALES TAX aASHOULD BE CODEI'D731.04. DD RETAINING REMARKS 0 DEMOLISH WALT ❑FENCE 11, ,\.1. 1111."✓'N, f�11�� •�\ ( ��•t' { ALTER ❑ OR FILLTE (......... .x ......... Ft.) ❑ REPAIR PRE -MOVE D SWIM INSP. POOL NUMBER OF STORIES NUMBER OF DWELLING '1 UNITS NATURE OF WORK TO BE DONE Valuation Fee Reecipt No. O V ( 1 c •- Pion Cheek No ..................... O BUILDING !.Z% / }, dv c. PROPOSED USE PLUMBING U M PLOT PLAN (Indicate Bulls t ec ` .U.g etre...) HEAT A GAS LINE � , I FENCE �Ii SIGN ' RETAINING WALL 4 I SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION I T EXCAVATION OR FILL I 'a f) TOTAL A3130DNT DUF. I hcrcby acknowledge that I have read this application; that the In- faramth" given Is correct; and that I am, the owner, or the duly author- I.1d agent of the owner. I agree to comply with city and state lawn regu- ATTENTION APPLICATION APPROVAL laling construction; and In doing the work authorlred thereby, no person will be employed In violation of the Labor Cade of the State of Washington THIS PERMIT This application is not a permit until relating to Workmen's Compeneatlao Inauranee. 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 ac - shall be completed In ninety days; 31OVED-IN BUILDINGS shall he cam- knowledged in space provided, pleted In six months.) 31ONATURE (OWNER OR AGENT) DATE SIGNED INSPECTION DIRECTOR'a,SIG) A.TURE f I DEPARTMENT _ ! 4' C CITY OF �. EDIILONDB DATE NOTE: Applicant Subject to Plan Check Pce 775.2525 This P. olt covers work to be sane on Private Property ONLY. Any cenelruetlon on the public dmnedu (curbs, eldewalke, drieewye, INSPECTOR nmpures, etc.) will ire .....parole P_d..lon.