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740529.pdf.... ... . ,r ., v.- RESIDENTIAL E]LINE ized agent of the owner. f agree to comply with city and state laws rego. ❑ NO BUILDING DEPARTPERMIT MENT AppllcantFLU ONE NUM13OR 74 529 TIBB PERMIT retail.. to Workmen's Compensation Insurance. , �-` PLOT I QNON-RESIDENTIAL Z PLAN (Indicate Building setbacks, abutting street.) ❑ ZION UItE (OWNER OR AGENT) FENCE PERMIT APPLICATION Inside Heavy Lines DEPARTMENT '011E >6 .'0, r. BIGN RETAINING WALL ADD A ADDRESS ^ a! E] RETAINING REMARKS NAME loll NAME OF BUSINESS) ALTER CJ` DEMOLISH EXCAVATE ❑ PEN C Ln -Y —y�f, •�IIPiOh-�YLs<Ti�rnlr PERMI881BLE / ACTUAL LOT COVERAGE LOT COVESYAOE ORF X..........Ft.) !A/ 1✓�O MAILING ADDRESS `�r: ❑ � ❑ 1 PERM I8tl1BLE HEIGHT PROPOSED liEIGHT iUMBER OF STORIES G ACTUAL LOT AREA TOTAL BLDG. AREA •I CITY TELEPHONE NUMBER REQUIRED YARDS PROPOSED YARDS I UNITE NAME FRONT HIDE REAR FRONT HIDE REAR . I i (� LEGAI. LOT VARIANCE OR CONDITIONAL USE W ADDRESS O YES [3 NO PERMIT NUMBER 1 J PLANNING DEPT. APPROVAL DATE: C CITY TELEPHONE NUMBER 1 I STREET R/W p EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY NAME COMP. PLAN BT. R/W ............FT. ............FT. � NJ I LO 1 AG- REMARKS ti C ADDRESS LE �'� 1S' G 14 w 7660 ,TIF ti (CHECKED BY CITY TELEPHONE NUMBER / / U Y1 ed,, n G METER SIZE SERVICE SIZE CLEARANCE CHECKED BY ' STATE LICENSE: NUMBER CITY LICENSE NUMBER I I I pp 2-Z 3--0 1 — I ~Zy'y C7REMARKtl Legal Description Property Below Attach Four Copies), of (Show or I .... ... . ,r ., v.- RESIDENTIAL E]LINE ized agent of the owner. f agree to comply with city and state laws rego. ❑ NO lacing construction; and in doing the work authorized thereby, no person NEW will be employed In Vlolatlon of the Labor Code of the State of Washington TIBB PERMIT retail.. to Workmen's Compensation Insurance. AUTHORIZES PLAN CRECKED BY PLOT Shell be completed In ninety days; MOVED -IN BUILDINGS shall be cons- QNON-RESIDENTIAL Z PLAN (Indicate Building setbacks, abutting street.) ❑ ZION UItE (OWNER OR AGENT) FENCE 0 / �% SIGN DEPARTMENT '011E >6 .'0, r. BIGN RETAINING WALL ADD ❑ E] RETAINING REMARKS PRE -MOVE INSPECTION ALTER DEMOLISH EXCAVATE ❑ PEN C ❑ ORF X..........Ft.) El REPAIR ❑ PRE -MOVE ❑ SWIM POOL iUMBER OF STORIES NUMBER OF DWELLING UNITE .... ... . ,r ., v.- Plan Check No.... .......... ized agent of the owner. f agree to comply with city and state laws rego. BUILDING lacing construction; and in doing the work authorized thereby, no person ly 4 PROPOSED USE will be employed In Vlolatlon of the Labor Code of the State of Washington TIBB PERMIT retail.. to Workmen's Compensation Insurance. AUTHORIZES PLUMBING PLOT Shell be completed In ninety days; MOVED -IN BUILDINGS shall be cons- HEAT & GAS LINE Z PLAN (Indicate Building setbacks, abutting street.) x ZION UItE (OWNER OR AGENT) FENCE 0 / �% SIGN DEPARTMENT '011E >6 .'0, r. y RETAINING WALL N SWIMMING POOL This .oven work to bo done property ONLY. 775-2525 DEMOLITION PRE -MOVE INSPECTION marquee., ete.) will require separate permis.lon. EXCAVATION OR FILL I hereby acknowledge that I have read this application; that the In- TOTAL AMOUNT DUE formation given Is correct; and that I am the owner, or the duly author- ized agent of the owner. f agree to comply with city and state laws rego. ATTENTION lacing construction; and in doing the work authorized thereby, no person will be employed In Vlolatlon of the Labor Code of the State of Washington TIBB PERMIT retail.. to Workmen's Compensation Insurance. AUTHORIZES NOTE: Permit Limit One Year (Except DEMOLITIONS which ONLY THE Shell be completed In ninety days; MOVED -IN BUILDINGS shall be cons- WORK NOTED pleled In six months.) ZION UItE (OWNER OR AGENT) DATE elONEU INSPECTION / �% DEPARTMENT '011E >6 .'0, r. y CITY OF EDMONDS NOTE: Applicant Subject to Plan Check Fee This .oven work to bo done property ONLY. 775-2525 .strut (c bs,PrivateSid Any eonelruelimr on the public domain (curbs, Sidewalks, QflVeways, marquee., ete.) will require separate permis.lon. D YES E] NO OCCUPANCY GROUP THIS SITE IS LOCATED IN THE CITY OF EDMONDS. LOCAL SALES TAX SHOULD BE CODED 31.04. Valuation I Fee I Re.elpt No. I d r b"V I APPLICATION APPROVAL This application Is not a permit until signed by the Building Official or his Dep- uty; and fees are paid, and receipt Is ae- Imowledged In space provided. FILE BUILDING DEPARTMENT Applicant Fill ZONE PERMIT UL BOR i PERMIT APPLICATION I Inside Heavy Lines PERelItlS10LE LOT COVERAGE NA81E (OR NAME OF BUSINESS) PERMISSIBLE HEIGHT PROPOSED HEIGHT TMAILING ADDRESS ! REQUIRED YARDS PROPOSED YARDS FRONT SIDE REAR FRONT SIDE REAR O p `� CITY, TELEPHONE NUMBER VARIANCE OR CONDITIONAL USE PERMIT NUbIBER NAME NAME / "t 0 • h. WADDRESS i yHy PERelItlS10LE LOT COVERAGE ACTUAL LOT COVERAGE PERMISSIBLE HEIGHT PROPOSED HEIGHT ACTUAL LOT AREA TOTAL BLDG. AREA REQUIRED YARDS PROPOSED YARDS FRONT SIDE REAR FRONT SIDE REAR FIRE ZONE TYPE OF CONSTRUCTION STREET IMPROVED p `� LEGAL LOT YES [] NO VARIANCE OR CONDITIONAL USE PERMIT NUbIBER i yHy PLANNING DEPT. APPROVAL DATE: ' t ' pS CITY I TELEPHONE NUMBER STREET it/1V EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY FIRE ZONE TYPE OF CONSTRUCTION STREET IMPROVED p `� I COMP. PLAN ST. R/W ............FT. ............FT. � Ib W ' `. L NAME / "t 0 • h. REMARKS SPECIAL INSPECTOR REQUIRED ❑PLANS I OCCUPANCY GROUP 1 0 ADDRESS / CHECKED BY CHECKED BY CITYTELEPHONE ^�%I 't `•7•I,•:t NUMBER. METER SIZE SERVICE SIZE CLEARANCE CHECKED BY ADD RETAININGREMARKS .+ I I I C STATE LICENSE NUMBER CITY LICENSE NUMBEIt ~Legal REMARKS.: Description of Property (Show Below or Attach Four Copies) REPAIRPRE-SWIM ❑ TYPE ECTIONVERIFIED BY ED INSPhIOVE POOL I f NUMBER OF STORIES NUMBER OF PER C Y" D UNITS V REMARKS W Ia i t � f FIRE ZONE TYPE OF CONSTRUCTION STREET IMPROVED I C] YES ❑ NO SPECIAL INSPECTOR REQUIRED ❑PLANS I OCCUPANCY GROUP GAS LINE CHECKED BY THIS SITE IS LOCATED IN THE CITY ❑RESIDENTIAL NEW NON-RESIDENTIAL SIGN UE DLLOCAL SALES TAX SHOULD BE CODED 31.04. 0110 ADD RETAININGREMARKS .+ DEMOLISH [:] LL ALTER EXCAVATE E](. ❑ On FILL x .......... Vt.) REPAIRPRE-SWIM ❑ ED INSPhIOVE POOL I f NUMBER OF STORIES NUMBER OF DWELLING i UNITS NATURE OF WORK TO BE DONE Valuation Fee RecelPt Nor i ,an Check No ..................... BUILDING - �O 4 PROPOSED USE PLUMBING b PLOT PLAN (Indicate Building setbacks, abutting streets) HEAT A GAS LINE FENCE it SIGN i 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 tris In- formation given le correct; and that I a n the owner, or the duly author- Ized agent of the owner. I agree to comply with city and state laws regu- ATTENTION APPLICATION APPROVAL Iating 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 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 - shall be completed In ninety days; MOVED•IN BUILDINGS shall be com- knowledged in space provided. pitted In six months.) SIGNATURE (OWNER OR AGENT) DATE SIGNED INSPECTION DEPARTMENT DIRECT R'SSIG TU-- i�J ...i. / �,✓GC /n W CITY OF NOTE: Applicant Subject to Plan Check Pee EDDfOND$ DATE (/— A/ 775-2525 This Permit r ivero work to be done an private properly ONLY. Any constructlan an llle public domain (curbs, sidewalks, driveways, INSPECTOR marquees, etc.) will require separate permission. - � ��I . - � . r _. � �� ;.. .. _ _. _ ; � � �� .. �.... ;: �� :; � .. F - .. _ ,. :;: :' ; .. _ _ , _..,. S a_ .. ....... . � � .. ... , �� - ...: j, I Ott_ � _ _ � � a +<< �� V � �t..�� .. _. � a' I ,. ,, i