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740488.pdfREQUIRED YARDS PROPOSED YARDS �' FRONT SIDE REAR FRONT SIDE REAR Zb 5 l� LEGAL LOT VARIANCE OR CONDITIONAL USE YES 0 NO PERMIT NUMBER 1' PLANNING DEPT. APPROVAL DATE; i STREET R/W O EXISTING STREET R/W ............FT. DEFICIENCY THI8 PROPERTY A N (OR AME OF Rj1BINEBB) t 03 AILING AD REBtl ( X07 — Bif1cc O BUILDING DEPARTMENT Applicant Fill USE ` ' SNE /L NUMBER vnaanR 740488 W inside Heavy Llnoe PERMIT APPLICATION I A D ADDnEeB .� /KI Nr.�t� , CHECKED HY PEIiTfItlBIHLE LOT COVERAGE `i ACTUAL LOT COVEitAOE REQUIRED YARDS PROPOSED YARDS �' FRONT SIDE REAR FRONT SIDE REAR Zb 5 l� LEGAL LOT VARIANCE OR CONDITIONAL USE YES 0 NO PERMIT NUMBER 1' PLANNING DEPT. APPROVAL DATE; i STREET R/W O EXISTING STREET R/W ............FT. DEFICIENCY THI8 PROPERTY A N (OR AME OF Rj1BINEBB) t 03 AILING AD REBtl c, GJp y X07 — Bif1cc O CITY TELEPHONE NUMBER W ��b -1fOS NAME CHECKED HY ADDRESS CITY TELEPHONE NUMBER /(,I Q CITY F A TELEPHONE NUMBER REQUIRED YARDS PROPOSED YARDS �' FRONT SIDE REAR FRONT SIDE REAR Zb 5 l� LEGAL LOT VARIANCE OR CONDITIONAL USE YES 0 NO PERMIT NUMBER 1' PLANNING DEPT. APPROVAL DATE; i STREET R/W O EXISTING STREET R/W ............FT. DEFICIENCY THI8 PROPERTY A 7 sraaJ NAME COMP. PLAN ST. R/W ............Pr. REMARKS C ADDRESS W CHECKED HY CITY TELEPHONE NUMBER /(,I Q F A j METER SIZE SERVICE SIZE CLEARANCE CHECKED 11 O HTATE LICENSE NUMBER I CITY LICENSE NUMBER F REMARKS Legal Description of Property (Show Below or Attach Your Copies) / 1 /� TYPE CONNECTION VERIFIED HY f PEIiC, TEST PERMIT NUMBER � I W 7 REMARKS /^ A FIRE 2( 1 TYPE O1r�QNSTRUCTjON I I STREET IMPROVED .A jMWS, l/'V%/� I ,) � YES 0 NO .�f/i/i//�- SPECIAL INSPECTOR REQUIRED, I OCCUPAN R UPa�..,+ / GAS ❑YESNO j. / _ / NTIAL ❑ LINE PLAN CRECK ➢Y THIS SITE IS LOCATED IN THE CITY NEtVOF [LBIDE SALES TAX N -RESIDENTIAL ❑ EDMONDS. LOCAL SIGN SHOULD BE CODED 31.04.j� AO RETAINING ❑ DEMOLISH WALL REMARKS �r • /�3 06p / 2 /� OZ OI ALTER E%CAVATE ❑ FENCE OR FILL (.......... x..........Ft.) r AJ 4- . I1 rlr-f''v�t —ra, C( 1,',, 6 /N ❑ REPAIR ❑ INSP.PRE-O POOL -� �C�D'I/AJ_S1S7— 61j NUMBER OF STORIES M191peNIo- VS7- d96 c � AS DNUMBER WELLINGF / UNITS " ' i NATURE/9F WORK TOj DONE VAluntlan Fee Receipt No. /HE [.-1 t�S//{{�� Pian Check No ..................... ��,,../YI � 51rrSYF 1e_ -S$PIep n BUILDING 10-0J �Or 4 PROPOSED USE '7y PLUMBING U 7 PLOT PLAN (Indicate Building setbacks, abutting streets) HEAT A GAS LINE i q O PENCE SIGN RETAINING WALL N SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION ' EXCAVATION OR FILL 7l TOTAL AMOUNT DILE v I I hereby acknowledge that I Savo read this application; that the In. tormatlon Riven le correct; and that I am the owner, or the duty author. Izrd agent of the owner. I agree to comply with city and state laws regu- ATTENTION APPLICATION APPROVAL lating construction; and In doing the work authorized thereby, no person ' will be employed In violation of theLabor Code of the Slate of Washington THIS PERMIT This application Is not a permit until ' ,,lating to Workmen's Compensation Insurance. AUTIIORIZE13 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 com- knowledged in space provided. pWrit In six ...the.) S1ON UItE ( \VNElt OR AGENT) DATE SIGNED INSPECTION DIRECT SI DEPARTMENT t CITY OF EDMONDS DATE N E: Applicant Subject to Plan Check Fre 775-2525 This 1'ernlll entero ..,it to be done on prlrate DroDeNy ONLY. Any eunslruetten on the public domain (curbs, sidewalks, drlvetrays' FILE marquees, ele.) will require separate permisdon. 7 sraaJ f BUILDING DEPARTMENT ZCNE �,/� j �P Mrr 74U Applicant Flll � PERMIT APPLICATION Inside, Heavy Lines aoB ADDRESS • )-2-, -' ,J1 Ii C! ,. J , NAME (OR NAME OF BUSINE88) (� W PERMf ItltliBLE ACTUAL q / �.�!. �'.•(� LOT COVERAOE LOT COVERAGE a AILING ADDRESS/I x R p PERMISSIBLE HEIGHTPROPOSED HEIGHT u/t)Z' G CITY R ACTUAL LOT AREA TOTAL BLDG. AREA k T,�E/LEPHONE NUMB DF./S^, /j REQUIRED YARDS PROPOSED RONT YARDS I NAME FRONT HIDE REAR FHIDE REAR i ) LEGAL LOT VARIANCE OR CONDITIONAL USE W ADDRESS 0 YES ❑ NO PERMIT NUMBER y I I li6az - EX78TIN0HTREET R/W ............FT, DEFICIENCY THIS PROPERTY YES C] NO COMP. PLAN HT. R/W ............FT. ............FT. W i�17 REMARKS O z W ' RESIDENTIAL CAS ❑ BY NA (CHECKED ` METER SIZE SERVICE SIZE CLEARANCE CHECKED BY NON-RESIDENTIAL OF EDMONDS. LOCAL SALES TAX I I 87cN I SHOULD BE COOED 31.04. ❑ ADD RETAINING ❑ WALL 11 ([air REMARKH r III TYPE COIJ T N RIFIED BY FERC. T T E a VL]jW r7gU i 11 _ V` REMARKS /JLj m � I f FIRE ZONE TYPE OF CONSTRUCTION STREET IMPROVED / �y I I YES C] NO SPECIAL INSPECTOR REQUIRED OCCUPA17 GROUP RESIDENTIAL CAS ❑ ❑ YEe, ".(],NO I .Y PLAN CHECKED BY THIS SITE IS LOCATED IN THE CITY'�! L. NEW , NON-RESIDENTIAL OF EDMONDS. LOCAL SALES TAX 87cN SHOULD BE COOED 31.04. ❑ ADD RETAINING ❑ WALL 11 REMARKS rJA DEMOLISH FE CE L � �1 !c�(y, ❑EXCA�. ALTER ❑ VATE ❑ (..� /Z, (/' (1�;5/_S 11 _ V` 1...........Ft.) I. PRE-FILLMOVE REPAIR ❑ ❑ / �y l �/�� /— -�J 1 INSP. POOL ( ))� �J/1. Ir� /^��_Y L-%�-i/e-I.+L{C:: t ,& NUMBER OF STORIES NUMBER OF DWELLING / I UNITS / I' NATURE qF WORK TO BE DONE Valenti- Fee Receipt No. ,era f. c��a:� Plan Cheek No ..................... �. I / O BUILDING ` xi PROPOSED USE J PLUMBING O W ! PLOT PLAN (Indicate Building setbacks, abutting streets) HEAT & GAS LINE J O FENCE SIGN T 1 RETAINING WALL � SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL I herebyacknowledge that I have read this application; that the in. TOTAL AMOUNT DUE i✓ ` ,.,motion given Is correct; and that I am the owner, or the duly author. ' Ized agent of the owner. I agree to comply with city and elate lewd regu- ATTENTION APPLICATION 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 TIRO PERMIT This application is not a permit until relating to Workmen's Compensation Insurance. ALTHORIZEBTRE signed by the Building Official or his Dep - NOTE: Permit Limit One Year (Except DEMOLITIONS whldl WORK NOTED uty; and fees are paid, and receipt is ac - .hall be completed In ninety day.; MOVED -1N BUILDINGS shall be cam- knowledged in space provided. pleted In six months.) SIGNATURE (OWNER Olt AGENT) DATE SIGNED INSPECTION DIRECTOR'S 810NATURE DEPARTMENT CITY OF ` - `� ` _-- - -- --- EDAIONDS DATE NOTE: Applicant Subject to Plan Check Fee (' 775-2525 This Permit covers work to be done an private property ONLY. Any construction on the public do. (curbs, sidewalks, driveways, marquer., etc.) will requ re separate permission, INSPECTOR-