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740458.pdfT, NUSE MI BUILDING DEPARTMENT Applicant Flll ER ZONNE �-5— Inside Heavy Linos JOB PERMIT APPLICATION ADDRE88) NAME OF BUSINEBB NAME (ORA 1;1,4 R �/ /V Il l� A GE —PERMISSIBLE 7o LOT // LOT COVERAGE LOT COVERA E .. MAILING ADDRESS PERMISSIBLE HEIGHT PROPOSED If GHT O j 0 Zoo z 5 CITY TELEPHONE NUQMDhli ACTUAL LOT AREA TOTAL BLDG. 1{REA , V 0 N REQUIRED YARDS PROP IIF,D YARDS NAME FRONT SIDE REAR FRONT BIDE nEAR 7 11� LEGAL LOT VARIANCE OR CONDITIONAL USE kUl ADDRESS 0 YES [I NO PERMIT NUMBER F -PLANNING DEPT. APPROVAL DATE: C CITY TELEPHONE NUMDER STREET R/{V O � , EXISTING STREET R/W ............FT. DEFIC CY THIS PROPERTY 9 NAME COMP. PLAN ST. R/W ............FT. ...........FT. W , 0 (!J N REMARKS 9 . CADDRESS Q c x HEC 8Y E a0 CITY TELEPHONE NUMBER z I METER SIZE SERVICE SIZE CLEARANCE ED BY STATE LICENSE NUMBER CITY LICENSE NUMBER I IHE - [94 REMARKS .4 Legal D ... rlptkm of Property (Show Below ar Allach Four Copies) r �o T# TYPE CONNECTION VERIFIED 87{ I I r A�L.A A / /7 FERC. TEST PERMIT NUMBER M pj REMARKS m 'I O I W FIRE TYPE OF CONSTRUCTION STREET IMPROVED ��d1 fLIN ES NO I ECIAL INSPECTOR REQUIRED OCCUPANCY GROUP YES OijMAR:� i RESIDENTIAL LINE L HEC ) E] NEW THIS SITE LO ATED IN THE CITY El NON-RESIDENTIAL Bich OF EDMUNDS. OCAL SALES TAX ® ADDSHOULD BE COD D 31.04. J ElDEMOLIStI ❑ WEATILNING FENC 7 /� �/J7 �// l// �U� / � fir /CJC.J 197 I ALTER ❑EXCAVAILL E ❑ z«........Ft.)/✓ U SWIM pMOVE ElPOOL REPAIR ❑ NSP. NUMBER OF STORIES NUM BEa OF I DWELLING UNITS NA(/ncURE OF WORK TO BE DONE Valuation Fee Reeelpl No. 'J«/ 0 S L 4 B i4 CO U e /Q r/q Plan Check No. BUILDING 7 p6 PROPOSED USE AZO° PLUMBING PLOT PLAN (Indicate Building .etbock., abutting .treat.) HEAT & GAS LINE _ 9 FENCE SIGN _ tRETAINING WALL N SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL TOTAL AMOUNT DUE I Hereby acknowledge that I have rend this application; that the In. formation given Is correct; and that I am the owner, or the duly author- 111 Ized agent of the owner. I agree to comply with city and elate law. regu- ATMNTION APPLICATICeN APPROVAL lating 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 This appllcatiofi is not a permit until f relating to Workmen'. Compensation Insurance. AUTHORIZES eigned by the Buildjng Official or his Dep- NOTE: Permit Limit One Year (Except DEMOLITIONS which ONLY THE WORK NOTED uty; and fees are aid, and receipt is ac - r`II .hall be completed In ninety days; MOVED -IN BUILDINGS shall be core- I mowledged in spaprovided. PlOcA In six month..) le tl1G TULLE (OWNEli Olt AGENT) DAT$ BI NED INSPECTION IAE 'B B NA E I DEPARTMENT L CITY OF ) EDMOND$ ATE Ll I NOTE: Applicant Abject to Plan Check Fee 775.2525This _ Permit raven )nark to be done on privnte property ONLY. j Any terudluetiull an file public domain (curb., eldewWk., &I—y., FILE I marquee., etc.) will require separate permission. I II 1 I :�. . ,' . ..� - l�, t � .. ' '� .; :., . ,. .. ., �� � � . s ... ..:� ,�.:. .., ... BY Plan Check N. ..................... ! FIRE ZONE' TYPE OF R E�(iL PROVED Li V L/ BUILDING DEPARTMENT Applicant FLU USE PERMIT I if ZONE r' (/ NUMBER J — 1 -1 . �7.n PERMIT APPLICATION Inside Fioavy Lines ADDRESS �r % h' �/ - /' ,C/ONSTRUCTI'OIZJ 0 NO I ��N 2(_1 " `( �'+ J - e • �tl' 1/ } �0. NAME (OR NAME OF BUSINESS) n/ /�AC'rt<� '1 .� PNUMISe1BLE^/ ACTUAL LOT COVERAGE. LOT COVESvtAGE RESIDENTIAL � /lr iI Nf, SS AO ADDRE PERMISSIBLE HEIGHT PROPOSED HEIGHT t7 CITY TELEI NUMBER ACTUAL LOT AREA TOTAL BLDG. AREA PLLA"NN ORECKE Y THIS SITE IS LOCATED IN THE CITY ❑ ,PHONE REQUIRED YARDS PROPOSED YARDS SIGN CODED 31L SALES TAX L 'J� �l OF ED NAME FRONT S1Di: RF.AIt FRONT SIDE REAR RETAINING ,I• �c..,r� BE ❑ DEMOLISH ❑ LF,GAL .OT VARIA - Olt CONDITIONAL USE W ADDRESS 0 YES 0 NO PERMIT NUMBER FENCE ,/ ` / -✓ /%% : .. / J'r,.'" � � % � PLANNING DEPT. APPROVAL -'" GATE: ❑ G CITY TELEPHONE NUMBER /�� ' REPAIR PRE -MOVE INSP. DEMOLITION STREET It/W j EXISTING STREET R/W ............FT. -� DEFIC CY THIS PROPERTY G 7UAIBER 04' STORIES NAME COMP. PLAN 8T. R/W ............FT. ............F7'. � X11 �� tp RE.SAR3C8 ie O AllDltEtld L ltl V UNITS CHEC'B W F CITY TELEPHONE NUMBER TOTAL AMOUNT DUE Valuation Fee Receipt I I r p •".nnu M TER SIZE I SERVICE 81ZE I CLEARANCE I CHECKED BY I Y BY &._0 U e /i/ Plan Check N. ..................... ! FIRE ZONE' TYPE OF R E�(iL PROVED Li V L/ OBUILDING �7.n ,C/ONSTRUCTI'OIZJ 0 NO I ��N �0. SPECIAL INSPECTOR UIRED OCCUPANCY GROUP - RESIDENTIAL E]OAB U 0 YES Q`O' �,� NEW PLOT PLAN (Indicate Building setbacks, abutting street.) LINE PLLA"NN ORECKE Y THIS SITE IS LOCATED IN THE CITY ❑ NON-RESIDENTIAL SIGN CODED 31L SALES TAX L 'J� �l OF ED © ADD FENCE RETAINING ,I• �c..,r� BE ❑ DEMOLISH ❑ WALL RETAINING WALL EXCAVATE FENCE ,/ ` / -✓ /%% : .. / J'r,.'" � � % � ALTER ❑ OR FILL (.........ar..........Ft.) ._ .. / REPAIR PRE -MOVE INSP. DEMOLITION SWIM_ POOL % 7. / /%� r !,/Z' L/' -/J f /-• /� 7UAIBER 04' STORIES NUMBER OF PRE -MOVE INSPECTION DWELLING I UNITS 4ATURE OF WORK TO BE DONE _ TOTAL AMOUNT DUE Valuation Fee Receipt I l ,.,motion given Is correct; and that I am the owner, or the duly anthor- Ised agent of the ¢caner. I agree to comply with city and elute laws regu• &._0 U e /i/ Plan Check N. ..................... i OBUILDING �7.n PROPOSED USE �0. PLUMBING - U PLOT PLAN (Indicate Building setbacks, abutting street.) HEAT & GAB LINE FENCE i SIGN RETAINING WALL N SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL _ TOTAL AMOUNT DUE by ,knowledge that I have rend this application; that Na In• I herek l ,.,motion given Is correct; and that I am the owner, or the duly anthor- Ised agent of the ¢caner. I agree to comply with city and elute laws regu• ATTENTION APPLICATION APPROVAL litUng construction; and In doing the work authorized thereby, no person will be employed In violation of the Labor Code of the State of Washington TITIN PERMIT This application is not a permit until relntlag to Workmen's 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 ac - .hall be completed In ninety day.; MOVED -IN BUILDINOS shall be com- knowledged in space provided. j pleted in six months.) / SIGNATURE (OWNER OR AGENT)DATE 11101YEU INSPECTION DIRECTOR'S BI NATURE DEPARTMENT t CITY OF D ED 6fOND 3 ATE 1 / NOTE:`Applicant Subject to Plan Check Fee 775-2525 This 1'e'"'It encs[. work to tw done un prlyoln properly ONLY. Any eoastructl.n on the public domaln (curb., sidewalks, drivew•ars. INSPECTOR marquees, ele.) will require separale perndnl.n. 7��LlS� RECORD OF INSPECTIONS Date Passed Foundation Plumbing (Partial) (Rough) Frame Furnace & Fuel Lines Final _ i _ , "r i I •I i f i. 7��LlS� RECORD OF INSPECTIONS Date Passed Foundation Plumbing (Partial) (Rough) Frame Furnace & Fuel Lines Final