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740507.pdf4_ /1 BUILDING DEPARTMENT AppueantFill PERMIT APPLICATION I Inside Heavy Lines ME NAME (OR NAOF BUe1NEe f7 %/I.f} S _ / • t �ii/�. L_ L M M IL(NO A—T)DRE98 cACTUAL USENUMBER 740507 ID ADD PERASISSIIlLE ACTUAL LOT COVERAGES LOT COVERAGE 0 PEItA7188I8LE HEIOIIT PROPOSED HEIGHT 0 , l , I i CITY TELEPHONE NUMBER LOT AREA TOTAL BLDG, AREA Z I 1 J 9_5" REQUIRED YARDS PROPOSED YARDS d (- NAME FRONT SIDE REAR FRONT SIDE REAR j ADDRESS LEGAL LOT VARIANCE OR CONDITIONAL USE 0 YES (:J NO PERMIT NUMBER O C CITY TELEPHONE NUMBER PLANNING DEPT, APPROVAL DATE: ! STREET R/W a EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY NAME 70. l • COMP. PLAN ST. R/W ............FT. •• ........FT. bl , 1 71-,1-4 mto S —I—_ L� L_ % ee �j REMARKS 1 f-0 ADDRES8 z rEj S U CHECKED BY Cl TELEPHONE NUMBER \J I �L/J�/, - L U //// u A (.ems N /('O�/ / V LICENSE METER BILE SERVICE SIZE CLEARANCE CHECKED BY STATE NUMBER CITY LICENSE N MBER I REMARKS Legal Description Cl Property (Show Below or Attach Four Copies) 7 9 TYPE CONNECTION VERIFIED BY G r / ) VOrt O• 4121 ISI al PERC. TEST PERMIT NUMBER a ^� ITy D F REMARKS W ) a � .7 FIRE ZONE OF CONSTRUCTION STREET IMPROVED (TYPE YES 0 NO SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP RESIDENTIAL ❑ (]PLAN YE8CHECKED NO L N NEW LINE RY THIS SITE IS LOCATED IN THE CITY 1:1NON-nESIDENTIAL SIGN OP EDMONDS. LOCAL SALES TAX ADD RETAINING EMARKs SHOULD eE CODED 31.04. F] DEMOLISH WALL C\\ 1 ❑ ALTER EXCAVATE FENCE ❑ ❑ OR FILL (.......... x .......... Fl.) I � REPAIR ❑ INR -MOVE El SWI P. POOL i NUMBER OF eTOR169 NUMBER OF DWELLING UNITS NATURE OF WORK TO 13E DONE Valuation Fee Receipt No* i Plan Check No ........ _........... I FBUILDING LIQ d 6, PROPOSED USE PLUMBING �7 U Q PLOT PLAN (Indicate Building setbacks, rebutting streets) HEAT A GAS LINE 0 FENCE SIGN RETAINING WALL BWIASMIN6 POOL i DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL i I hereby acknowledge that I hove rend this application: that the In- TOTAL AMOUNT DUE pO lormatlen given to correct; and that I am the owner, or the duly author. lied Agent of the owner. i agree to eomD1Y with Illy and slate Inwe regu• laling censtnctlon: and In doing the work Authorized thereby, no person ATTENTION APPLICATION APPROVAL ' will be employed In Violation of the Labor Code or the State of Washington THIS PERMIT This application is not a permit until relatingWorkmen's Camp ensatloa Imurmce. AUTHORIZER signed by the Building Official or his Dep- ermit Limit One Year (Except nEMOLITION8 which ONLY THE WORK NOTED Utyi and fees are paid, and receipt is ac- mpleted In nicely days; MOVED -IN BUILDINGS shall be nom- knowledged in apace x months.) provided. (OWNER Oji ACENT) DATE B10NED /.LTESDEPARTMENTIti INSPECTION D1TOR'8 HHH��GNAT EC _'.e. 1.✓%<..Li / j( ,�/r`,L( �:. / ,,h (/J//^• CITY OF EDMONDS DATE ---'—'—'- N TE: Applicant Subject to Plan Check Fee i�� This Yemdt ween work lu be done an private property ONLY. 775-2525 �� Any contract on on ll,e nubuc domain (Curbs, sidewalks, defteways, m_quees, ele.)will require separate permission. FILE NATURE OF WORK TO ON DONE flan Cheek No ..................... V-luatlon Fee Receipt No. I n r BUILDING V— PROPOSED uHr PLUMBING . < HEAT & GAS LINE L -•. .� a !"•• �� FENCE uRE UHD PERMIT -, ' _ I I SIGN tRETAINING BUILDING DEPARTMENT Applicant Fill NUMBER"/ .PERMIT APPLICATION Inside Leavy Lines JOB ADDRESS - DEMOLITION NAME (OR NAME OF BUSINESS) I.OT COVESRAOE y PRE -MOVE INSPECTION EXCAVATION OR FILL ,.. LOT COVERAGE. ; TOTAL AMOUNT DUE �n n M PEIt\fltltllBLE ilt: UIIT '1lO 'Otl ;D E G T formntIun given Is correct: and that. I nm the owner, or the July mllhor- MA3LIN0 ADDRESS tied agent of the owner. I -gree in comply with city and state laws regu- 0 APPLICATION APPROVAL ' ACTUAL LOT AREA U . 1 1 A t :A I CtTYTELEPHONE NUMBER THIS PERMIT This application is not a permit until REQUIRED YARDN ' lDl>UHN:) YAIt 1N HEAR AUTHORIZES signed by the Building Official or his Dep - NOTE: Permit Limit One Your (Except DEMOLITIONS which NOTE: FRUN7' HIDE ItEAll FRON' STEM' and fees are paid, and receipt is ac - "hall be completed In ninety days; MOVED -IN BUILDINGS shall be corn. NAME' pleted In six months.) I I iIONATURE (OWNER Olt AGENT) DATE SIGNED INSPECTION DI CTOR'S GNAT I,EOA1. LOT A t A C , 011 CO I' O A, St: n�fG I W Yl. -,H ❑ NO 1't.IIA11 NU MIIEll CITY OF ADDRESS EDMONDS DATE ---- This 1'ennil em ea work to be done on private property ONLY. >LANNlNO I :P A "ItU A . IIATN:: / Any <onslruetlml on the public domain (curb., Ad INSPECTOR INSPECTOR marquee., etc.) x'111 require separate permission. - i CITY TELEPHONE NUMBER ! EXt7 IST( IL/tV EXISTING tlTRF:ET R/W ............1•T. DEFICIENCY Till PROPERTY CFI COMM PLAN ST. R/W ............ PT, ............IT. NAME /!i <- /.'- / (.i �l REMARKS tC % W CIfECICEU HY ADDRESS [,• J, , / a � /t- CITY TELEP110 E NUMDEit I CI r{.� %i �'. ' 1�. � ./i � . C�, r� / AIE'l'Elt tll'LE tl191tvICE a1zl", CLEAIIANCN cHrOKLD BY Ad I I I STATE LICENSE NUMHER CITY LICENSL'NITMBEIt I 1tEMAlIKtl p 1 Leges Description of Properly (Show Halow or Allaea Four Coplce) ' •I 1 .r / �� r:..i. ..'� J- C1 t: %; i! •'i / 'I TYPE CONNECTION I VERIFIED BY r // �•r r NUMBER ayk.l a (PERMIT ce OEI FIRE 'LONE TYPE OF CONSTRUCTION STREET IMPROVED I] YES ❑ NO I SPECIAL INSPECTOR REQUIRED i OCCUPANCY GROUP � I ❑ YES I] NO BY LOCATED IN THE CITY OAR �. RESIDENTIAL LINE ❑ NEW I PLAN CHECICED THIS SITE IS LOCAL SALES TAX El NO NRESIDENTIAL 1:1HION OF EDMONDS. SHOULD BE CODED 31,04. ADDEl❑ TlTLl.ININU tY. i REMARKS % DEMOLISH ❑ALTER EXCAVATE. El FENCE, ❑ OR PILI. (..........g... -......Ft.) •, REPAIR ❑ IPnE NH(>AtOVF. ❑ Pool, I, NUAIHEI2 OF ST011ii':H NUMB : t OF U W ELI', NO I UNITS NATURE OF WORK TO ON DONE flan Cheek No ..................... V-luatlon Fee Receipt No. I n r BUILDING V— PROPOSED uHr PLUMBING PLOT PLAN (Indicate D1111JInS ellott-l-lnk slrcele) HEAT & GAS LINE (setback.. FENCE SIGN tRETAINING WALL I, eWIMMIN6 POOL DEMOLITION t PRE -MOVE INSPECTION EXCAVATION OR FILL TOTAL AMOUNT DUE �n n I Oarehy ecknowleJge that I (lave read this application; that the In• formntIun given Is correct: and that. I nm the owner, or the July mllhor- tied agent of the owner. I -gree in comply with city and state laws regu- ATTENTION APPLICATION APPROVAL ' (ming cone ruction; and In doing the worll authorized thereby, no person will noemployed 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 - NOTE: Permit Limit One Your (Except DEMOLITIONS which NOTE: ONLY TILE WORE NOTED and fees are paid, and receipt is ac - "hall be completed In ninety days; MOVED -IN BUILDINGS shall be corn. knowledged in space provided. pleted In six months.) I I iIONATURE (OWNER Olt AGENT) DATE SIGNED INSPECTION DI CTOR'S GNAT DEPARTMENT n�fG I / ✓L0 CITY OF NOTE: Atplicant Ssbject to Plat. Check Fee EDMONDS DATE ---- This 1'ennil em ea work to be done on private property ONLY. 775-2525 / Any <onslruetlml on the public domain (curb., Ad INSPECTOR INSPECTOR marquee., etc.) x'111 require separate permission. - i doY I 1 � S d }