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740419.pdfI � 1 I 1 BUILDING DEPARTMENT Applicant FillZ°E ,�/�{ LNU�BI>�t 740419 PERMIT APPLICATION I Inside HeavyLines NAME (OR NAME OF BUMNE88) STEVENS OCNTAL C�:NT�R. { MAILING ADDRESS r o ao_1A-'7�JC�I• CITY TELEPHONE NUMSEa tz:pMaND5 ) 6VA. tiFa-A-o NAME WADDRESS OB ADDRESS ;Z0 7 A 7_ I 74l -� PERMISSIBLE^� LOT COVERAOEe ACT AL ry LOT COVERAGE PERMISBIBLE HEIGHT PROPOSED HEIGH9-- ACTUAL LOT AREA TOTAL BLDG. AR REQUIRED YARDS FRONT SIDE REAR PROPOSE FRONT B 1 I LEO LOT VARIANCE Olt CONDITIONAL US S NO PERM T NUMBER It' AIR Z YES ONO e I GROUP G 1 I IOCCUPANCY YES ONO SPECIAL INSPECTOR REQUIRED GROUP G I,A a DEPT. \ OV / D "- IOCCUPANCY ❑ RESIDENTIAL NE t5 CITYTELEPHONUMDER // ' C D ❑PLAN S IN STREET R/ EXISTINd TREET R/W ............FT. �/F I CIENCY THIS PROPERTY p NAME THIS SITE IS LOCATED THE CITY PLAN ST. R/W ............FT. ............FT, NON-RESIDENTIAL ® slGx J ROSS SJGN Ca'COMP. ADD RETAINING REMARKS SHOULD BE CODED 31.04. a ADDRESS/ 3f2,'t 13'5" B. AV4 VA \ 5L.*rrLe. At•t: 1J3 r� REMARKS CHECKED BY Z W I _ C1TY TELEPHONE NUMBER II CoMONDS WA. SfroZo PR ��� METER SIZE SERVICE SIZE CLEARANCE CHECKED BY STATE LICENSE NUMBER �57� ���a73 CITY LICENBE NUMBER I REMARKS I I I NATURE OF WORK TO BE DONE Valuation Fee Rccclnt No. t, yw0j10 1 N 57nLL 19 S L'>'>= -S 1,-i 17 clan check N , Legal Description of Prepelty t.how Below or Attach Four Copies) o ANO IN 5.M" :10 ;')K 7 ¢bro.Vcco SIC -n7 ilt G2oJND •• BUILDING TYPE CONNECTION VERIFIED BY I I I o �+ PLUMBING PERC. TEST � a i PERMIT NUMBER I HEAT & GAS LINE W i U W REMARKS to I 1 O I SIGN ` / A FIRE ZO TYPE OF CONST UOTION STREET IMPROVED i YES ONO SPECIAL INSPECTOR REQUIRED GROUP , IOCCUPANCY ❑ RESIDENTIAL ❑ LINE D ❑PLAN S IN NEW CHECKBY THIS SITE IS LOCATED THE CITY NON-RESIDENTIAL ® slGx J OF EDMONDS. LOCAL SALES TAX ADD RETAINING REMARKS SHOULD BE CODED 31.04. ❑ DEMOLISH ❑ WAIT' ❑ ALTER ❑ FENCE EXCAVATE OR PILL (..........x..........Ft.) _ ❑ REPAIR ❑ PRE-INSP. El SWI I POOL 1 NUMBER OF STORIES NUMBER OF DWELLING �l,, ! UNITS A 6H f NATURE OF WORK TO BE DONE Valuation Fee Rccclnt No. t, yw0j10 1 N 57nLL 19 S L'>'>= -S 1,-i 17 clan check N L T 2- o ANO IN 5.M" :10 ;')K 7 ¢bro.Vcco SIC -n7 ilt G2oJND •• BUILDING [-� W PROPOSED USE I IPt U6,vrJFICt�T�Arll PLUMBING Q PLOT PLAN (Indicate Building setback., abutting streets) HEAT & GAS LINE � PENCE I SIGN ` i I RETAINING WALL I SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL I TOTAL AMOUNT DUE acknowledge that I have read this application; that the In. I hereby a ✓ O / formation given In correct: and that I and the owner, or the duly author- ized agent of the owner. I agree to comply with city and state law. regu. ATTENTION APPLICATION APPROVAL lating cons motto.; and In doing the work authorized thereby, no person x•111 be employed In violation of the Labor Code of the Slate of Washington THIS PERMIT This application is not a permit until relating to Workmen's Compensation Insurance. AUTHORIZES signed by the Building Official or his Dep - NOTE: Permit Limit One Year (Except DEMOLITIONS which ONLY TILE WORE NOTED Uty; and fees are paid, and receipt Is ac - .hall be completed In ninety days; MOVED -IN BUILDINGS .hall be com- knowledged in space provided. pleted In I. month,.) S(ONA'1'LIRE (OWNER OR A EN DATE SIGNED INSPECTION DEPARTMENT DI TOR'S AT - ��19v 6rn�� c� y 7/��/7/ CITY OF '7tii,::,.i..,1.'({i� EUbIONI)8 DATE I NOTE: Applicant Subject to Plan Check Fee 775-2525 Tills 1'ermlt c erre work In be done on private property ONLY. Any esnetrucu.n on the public domain (curb,, sidewalk,, driveways, FILE marquees, etc.) will require separate permission. •' _ ^�•l j ZONE CM L, BUILDING DEPARTMENT Applicant Fill NUMBER .. PERMIT APPLICATION I inside Fienvy Lines D 1 1 A ADDRESS D t� t•' _ / x 7 USIN) NAME (OR NAME OF,HE80 S7C✓��lS vtNTAL. CI=A)TE'/LPERa11ddIBLE a ACTUAL LOT COVERAGE LOT COV&OE 1 i -7 t� M MpILINO ADDRE88' PERMISSIBLE HEIGHT PROPOSED O li 1 1 i /J O C TY n •TELEPHONE NUMBER ACTUAL LOT AREA TOTAL 33LDG. AREA `)I ttIVN nS tVH. ylrUT U REQUIRED YARDS PROPOSED YARDd •I I NAME FRONT BIDE REAR FRONT BIDE REAR [� O LEGAI; LOT VARIANCE Olt CONDITIONAL USE 1 F ADDRESS �E9 0 NO PERMIT NUMBER TT LAS 3 0 DEPT. Air ROV/tD 1� bi CITY TELEPHONE NUMBER r _ ..- �- d - / 1 STREET FT / O EXISTIN TREET R/W ............FT'. EE CIENCY THIS PROPERTY NAME COMP. PLAN ST. R/W ............FT. ............FT. IJ,`! r s/ S_ N I G t.-�j 4) 0 REMARKS F• C O ADDRE88 / 3(2V A. C . 17-4 1, AVLF Ort ( W I.)-5- E. \ LAT T L@, t rFl • J CHECKED BY CITY TELEPHO E NUMBER F c �nnloNOS Lv)a. g94)Z Q METER SIZE eEItVICE SIZE CLEARANCE CHECKED BY .. STATE LICENSE NUMBER CITY LICENSE NUMBER I p) I Legal Descrlptlon of Plepelty 1111111 Below or Attach Four Copleel TYPAMK Etl VERIFIED BY 0 Y S�ti1' PERC. TEST E R 99 • REMARKS O FIRE ZOfJ`E TYPE OF CONSTRUCTION BTR tPROVED 7I �• YES EJ NO I SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP r-- '� V I ❑ RESIDENTIAL GAS LINE C3 YES [24co NEW PLAN CHECKED DY THIS SITE IS LOCATED IN THE CITY NON-RESIDENTIAL �( slcx Q LOF EDMONDS, LOCAL SALES TAX ADD RETAINING REMARK�cr SHOULD BE CODED 31.04. DEMOLISH C WALL ALTER ❑ EXCAVATE ❑ FENCEOR FILL x..........Ft.) SWIM REPAIR u INSP.RE-MOVE O POOL . NUMBER OF STORIES NUMBER OF DWELLING N / UNITS / I (J ii Q.. NATURE OF WORK TO BE DONE Valuation Fee Receipt No. INS ' vN VIV!))IV r` clan Check Nn .............. ....... ( 2• j) S i ,.. -. A ANU rrJSiT4:-t. 3u „x 7 , 6'EnwDuo S IVn� IU CRUVIVO - BUILDING PROPOSED USE F PLUMBING i O PLOT PLAN (Indicate Building setbacks, abutting streets) HEAT & GAS LINE F? r1FyY�19 FENCE SIGN j RETAINING WALL N SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION - EXCAVATION OR FILL � 1 TOTAL AMOUNT DUE i I I hereby acknowledge that I have read this application; that the In- / • formation glVen Is correct; and that I am. the owner, or the duly author. -- Ised agent of the owner. I agree to comply with city and slate Tawe regu- ATTENTION APPLICATION APPROVAL t lating constructiea; 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 This application is not a permit until relating to Workmen's Compensation Insurance, AUTHORIZES signed by the Building Official or his Dep- 1 NOTE: Permit Limit One Year (Except DEMOLITIONS whleh ONLY THEI {YORK NOTED uty; and fees are paid, and receipt is ac - shall be completed In ninety days; MOVED -IN BUILDINGS shall be nom- knowledged in space provided. pleted In Six months.) SIGNATURE (OWNER OR AGENT).-) DATE 8I07ED INSPECTION DEPARTMENT Dlft OR'S r _ I Ca:/ZCrG%�� GL '�'� �•'' '- ' = CITY OF NOTE: Applicant Subject to Plan Check Fee zurIOND3 DATE �� r �� 6l1 i" 775.2525 T61e Permit corers work to 1w done an private properly ONLY. 1 r Any construction on tile public domain IcurbS. Sidewalks, drheways' INSPECTOR marquees, etc.) will require Separate permission. j RECORD OF INSPECTIONS Mate Passed Foundation Plumbing (Parti.11) (RauL!h)