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740463.pdfc RMIT BUILDING DEPARTMENT ,pplicant Fill ZONE NUMBER 740463 PERMIT APPLICATIONInside Ifeavy Lines NAME (OR NAME OF BUSINESS) �ADDR 8888 � /♦ /9 a PnN- CC T—I Y TELEPHONE N MHSR NAME yADDREHS JOB ADDRESS / h S6 (ACTUAL PERMISBIBLE ^e LOT COVERAGE LOT COVE AGE PERMISSIBLE HEIGHT PROPOSED HEIGHT ACTUAL LOT AREA TOTAL BLDG. AREA REQUIRED YARDS PROPOSED YARDS FRONT BIDE REAR FRONT BIDE REAR ii LEGALLOT VSNO VARIANCE OR CONDITIONAL UBE PERMSIT NUMBER i I' (i t Z ii aU F !� i sesssmsnd PLANNING DEPT. APPROVAL DATE: ii aU CITY TELEPHONE NUMBER I ��S STREET O EXISTING TREET R/W ............FT. DEFICIENCY THIS PROPERTY NAME COMP. PLAN 8T. A/W ............F1'. ............FT. //�� � / J � /�J IV A / V/V Z C.CJ? T 7-`�UI a'1 b�- REMARKS 1 doF iQ ADDA/EBB i U /!- j� A 3 ]rr�- `/ �F 4J,.,,4- CHECKED BY D . W / ( (/CIITTY/ r� TELEPHONE NUMBER I . 81LE SERVICE SIZE CLEARANCE CHECKED BY STATE LICENBD NUMHER CITY LICENSE NUMBER METER .22 3- O I / fo Cy REMARKS Legal Descrlpllon of Property (Show Below or Attach Four Copies) {I TYPE CONNECTION VERIFIED BY '. C PERC. TEST PERMIT NUMBER d. I N REMARKS ,OII !G { FIRE ZONE TYPE OF CONSTRUCTION STREET IMPROVED I YES [] NO I SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP El RESIDENTIAL GAB ❑ YES NO NEW LINE PLAN CHECKED BY THIS SITE IS LOCATED IN THE CITY EjNON-RESIDENTIAL ❑ BION OF EDMONDS. LOCAL SALES TAX ADD ❑RETAIMN0 DEMOLISH WALL REMARKS SHOl1LD BE CODED 31.04. 1 ALTER ❑ PEN Cx- ❑ ORFILLEXCAVATE ........ Ft.) REPAIR ❑ PRE-INSP. MiOVE swim POOL NUMBER OF STORIESI NUMDER OF DWELLING UNITS N RE O WORK TO H DONE .- _/ Valuation Fee Receipt No. qj� Plan Cheek No ..................... // '� 1 O , W BUILDING PROPOSED USE PLUMHINO O q W r' O PLOT PLAN (Indicate Building setbacks, abutting streets) HEAT &GAB LINE q � FENCE SIGN tRETAINING WALL N SWIMMING POOL DEMOLITION I PRE -MOVE INSPECTION EXCAVATION OR FILL - TO AL AMOUNT DUE S O I hereby acknowledge that I have read this application; that the In. r [ormntlan given le correct; and that I aca the owner, or the duly auther- Ized agent of the owner. I agree to comply with City and state laws raga- ATTENTION APPLICATION APPROVAL 1 toting 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 application Is not a permit until relating to Workmen's Compensation Insuraaos. 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: MOVED -IN BUILDINGS shall be cern- knowledged in space provided. pl<led In mix moalhs.) 0610NATURE '-R OR AGENT) DATE d3GNED INSPECTION D CTOR•B IONAT RE DEPARTMENT ,f y 2ti CITY OF IM1W'�£•1✓/"�, EDMOND3 DATE J�-__�---- NOTE: Applicant Subject to Plan Check Fee — rR a-uoy This Permit covers work to be done on private property ONLY. Any construction an the public domain (..,be, sidewalks, driveways, FILE marquee., ate.) will reeniro separate perMsslon. sesssmsnd PERT BUILDING DEPARTMENT AppH.tFM USE NUMBER r; •St�� PERMIT APPLICATION Inside Healy Llnoe D , ADDRESS NAME (OR NAME OF BUSINESS) PERMISSIBLE ACTUAL l 1 ,L� • LOT COVERAGE LOT COVERAGE PERMISSIBLE HEIGHT PROPOSED HEIGHT Cl ACTUAL LOT AREA TOTAL BLDG. AREA - ' '1�- P ONE NUMBB.A REQUIRED YAItllS PROPOSED YARDS i NAME FRONT AIDE: RF'Alt FRONT B(UI: REAR ADOREtl5 LEGAL LOT VARIANCE OR CONDITIONAL USE F+ EI YES � NO PE}iMIT NUMBER ��CCC CITY - REMARKS TELEPHONE NUMBER CHECKED BY METER SIZE I SERVICE SIZE I CLEARANCE I CHECKED BY REMARKS NAME VERIFIED BY PE TE A P M ADDRESS I ❑ LINE ❑ No SCHECKED ❑BY CITY TELEPHONE NUMBER f NEW I � BTAE LICENSH NUMBER CITY LICENSE NUMBER THIS SITE IS LOCATED IN THE CITY r Legal Description of Property (Show Below or Attach Four Copies) z I I I ` slax SHOULD BE CODED 31.04. ADD RETAINING DEMOLIAH WALL REMARKS I ALTER ❑ ORCFILL AVATE ❑ FENCE _........ Ft.) a W t7 V � PLANNING DEPT. APPROVAL DATE: STREET H/W EXISTING STREET R/W ....... .... FT. DEFICIENCY THIS PROPERTY COMP. PLAN ST. R/W ............FT. ............FT. REMARKS I CHECKED BY METER SIZE I SERVICE SIZE I CLEARANCE I CHECKED BY REMARKS TYPE CONNECTION VERIFIED BY PE TE A P OCCUPANCY GROUP I � FIRE ZONE TYPE OF CONSTRUCTION STREET IMPROVED I I I xO I SPECIgL INSPECTOR REQUIRED OCCUPANCY GROUP I ❑ LINE ❑ No SCHECKED ❑BY I f NEW I � — i THIS SITE IS LOCATED IN THE CITY r NON-RESIDENTIAL ca I I I ` FIRE ZONE TYPE OF CONSTRUCTION STREET IMPROVED I YES Ej NO i SPECIgL INSPECTOR REQUIRED OCCUPANCY GROUP RESIDENTIAL ❑ LINE ❑ No SCHECKED ❑BY I NEW PLAN THIS SITE IS LOCATED IN THE CITY NON-RESIDENTIAL OF EDMONDS. LOCAL SALES TAX slax SHOULD BE CODED 31.04. ADD RETAINING DEMOLIAH WALL REMARKS I ALTER ❑ ORCFILL AVATE ❑ FENCE _........ Ft.) ElREPAIR 0 IRE -MOVE ❑ SWIi POONUMBER OF STORIES NUMBER OF DWELLING I UNITS NA OF WORK TO BE DONE' - Valuation Fee Receipt No. / / /Ju Plan Check Nn..................... BUILDING PLUMBING � 7'o PLOT PLAN (Indicate Building setbacks, abutting street.) HEAT k GAA LINE b O FENCE 1 1 SIGN RETAINING WALL N _ SWIMMING POOL DEMOLITION - PRE -MOVE INSPECTION EXCAVATION OR FILL I / TOTAL AMOUNT DUE 0 1 I I hereby acknowledge that I have read this application; that the In. '�-' -� formation given 1. correct; and that I = the owner, or the duly anthar- Ized agent of the owner. I agree to compiY with elty and elate inwe rogu- ATTENTION APPLICATION APPROVAL letmg construction; and In doing the work authorized thereby, no person will be employed In Wolatlon of the L.bor Cods o! the Slate o[ Wmblagton THIS PERMIT This application is not a permit until relntlbg to Workmen'. Compensation Insurance. AUTHORIZER Signed by the Building Official or his Dep - NOTE: Permit Limit One Year (Except DEMOLITIONS which ONLY THE WORN THE Uty; and fees are paid, and receipt is ac - .hall be completed In ninety days; MOVED -IN BUILDINGS .hall be coin- knowledged in space provided. ' Dleted In six months.) SIGNATURE (OWNER OR AGENT)DATE SIGNED INSPECTION DIREC OR'S SIGNATU _ DEPARTMENT `1 v CITY OF EDbIOND$ DA.TW NOTE: Applicant Subject to Plan Check FeePB / 6-1107t C1 This Permit coven work to be done on private property ONLY. / 1i Any construction on the public domain (curbs, sidewalks, driveways, INSPECTOR marouees, etc.) wIll rcaWre separate permlulon. 1 0 1 f. .. .. .. ,.. .. ... t k ......... ...... .... .. ............_ 4. \i a' .-, � 1 .ex:>:b"+">n".�i '�4 �i1f��:� ii. �'. k.i• :. .......: .:... _ ... .. _.. _. r 4d..., e...li• �n'14f �a$i K'g$ Ytp t , st a , Ila f i } I '1 } I f x.;51 I , t � ( I I ...... _-__..... .... .... _... ... ._.. (• ._.__.. ! � �.:, lit 1 _... -' i r,.' I '. RECORD-OF INSREC, Dat;' P�s.ea Foundation —_ PIUMbing (Pnrt?ai) (Rough) - Frame Furnace & Fuel Lines _ 'Final • � 1 , y • 0