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740530.pdf
d (t1 2-0 Zj• Irv✓ 'LI, r [� Ill OZ EOAI, I.O•rVARIANCE OR CONDIT10NiL .UI ADDRESS YE9 NO PERMI NDMBER ❑ TYPE CONNECTION BY n`( A4�i P EPT. A ROVAL DA E: CITY TELEPHONE NUMBER CZ - IS� `C��TI aa.W�� /•i.I Q I ETRE T R/LV BUILDING DEPARTMENT7AppUcantill ZONE—NUB3ER 7405:30 D CIENCY THIS PROPERTY EXISTING STREET R W ........,, FT. EFT NAME ',^ •`v� O `�� W PERMIT APPLICATION Ltno. aoB ADDRESS ,� -7 K, [NAME / PLAN Hulloing. OR NAME OF SUBINEBS) LOTC SBIBLE ^ CDYERAOEs ACTUALJ.P LL LOT COVERAGE TELEPHONE NUMBER N a I W }7 E5 � ClitG,q�LOT MAILING A ftEeO loo S �74 A&e r J I CHECKED BY V d r PERe11HBIBLE HF.1631T� PROPOSED HEIGHT ❑RESIDENTIAL New CITY TEEL7EPHONE NUMBER / 7�/ d ,'— ACTUAL LOT AREA TOTAL BLDO. AREA S p' REQUIRED YARDS PROPOSED YARU9 d (t1 2-0 Zj• Irv✓ 'LI, . [� Ill OZ EOAI, I.O•rVARIANCE OR CONDIT10NiL .UI ADDRESS YE9 NO PERMI NDMBER ❑ TYPE CONNECTION BY n`( A4�i P EPT. A ROVAL DA E: CITY TELEPHONE NUMBER CZ - IS� `C��TI aa.W�� /•i.I Q I ETRE T R/LV �� // la) VUlm,. K 64, ItF.11ARK9 D CIENCY THIS PROPERTY EXISTING STREET R W ........,, FT. EFT NAME ',^ •`v� O `�� W PLAN BT. R/W ............FT. REMARKS ............FT. C ADDRESS PLAN Hulloing. ' t /• CHECKED BY F CITY TELEPHONE NUMBER N a I LYE. NO SPECIAL INSPECTOR REQUIRED OCCUPANCY OUP I I CHECKED BY V METER SIZE I SERVICE SIZE I CLEARANCE Legal of+Property (Show Below Anoc/h� Four Copllea) /lt yDesc)ription '+eVERIFIED L'oi I �I`OC� TYPE CONNECTION BY n`( A4�i y'�•�"Y /��i{/.f' �1/lIJ PROPOrSEII. USE PERMIT NUMBER IS� `C��TI aa.W�� /•i.I Q PL••RC. TEST a n�1AI- 11 ywor'dnj ej �� // la) VUlm,. K 64, ItF.11ARK9 1 ( PLAN Hulloing. E S(NO'nryG,l\ fycpf JA le FIRE ZONE TYPE OF CONSTRUCTION STREET IMPROVE �JSt1j+' I Li�vLc{y—fy ,ce-1 LYE. NO SPECIAL INSPECTOR REQUIRED OCCUPANCY OUP t I � — 1 ❑ LINE GAS PLAN CHECK ❑RESIDENTIAL New D BYO THIS SITE IS LOCATED IN THE CITY FENCE NONRESIDENTIAL El e3GN OF EDMONDS. LOCAL SALES TAX SHOULD BE CODED 31.04. ADD RETAINING DEMOLISH WALL REMARKS 1 t, 169;/ .C8i t f � %FJ�`r 1. YV�-�[�F� 1 C-I�^ V f ALTER EXCAVATE ❑ FENC............) ❑ ORFILL ❑ -MOVE swim •(O 51 [ C iQ5PEcTroK1 . REPAIR ❑ IRE ❑ NUMBER OF STORIES NU" EROF I DWELLING I UNITS Plan Checlr N. ..................... C BUILDING PROPOrSEII. USE C/ _ I ( I1 (1 PLUMBING 1 ( PLAN Hulloing. PLOT (Intllcnte setbacks,_ abutting. Streets)^ _ _ _ HEAT k GAS LINE _ FENCE ►JcU / s1aN RETAINING WALL SWIMMING POOL lam,' f!, (` DEMOLITION �•—•--_-' �` PRE -MOVE INSPECTION I EXCAVATION OR FILL 1/ I ----- ..-_.._.-------' - TOTAL AMOUNT DUE I hereby acknowledge that I have read this application; that -a In- VVV formation given le correct; and that I am the owner, or the duly author- Ired agent of tho owner. I agree to comply with city and .Into law. regu- ATTENTION APPLICATION APPROVAL inti., construction; and In doing the work authorlrad thereby, no person will ba employed to violation of the Labor Code of the Slate of Washington THIS PERMIT This application Is not a permit unto relating to Workmen. Compensatlo. Insurance, AUTHORIZER signed by the Building Official or his Dep - NOTCy Permit Limit One Year (Except DEMOLITIONS which ONLY THE µO D( NOT uty; and fees are paid, and receipt Is ac- ehnll/UI completed In ninety days; MOVED -IN BUILDINGS shall be conn- 3[nowtedged In space provided. plat In six months.) SIGN TU1[E (OLrN R.DRMO ) �.,.�' DATE 1GNkIU Fi INSPECTION DIRECTO l'e ONA R • _ -`i DEPARTMENT CITY Or EDMONDS DATE •—� NOTE; Applicant Subject to Plan Cheek Fee — 775-2525 This ('anal( Boren work to be done on private Droperty ONLY. Any construction on the nubile domain (curbs, sidewalks, driveways, FILE marquees, Ole.) will require separate permission. �a Legal Description of Property (Show Below or Attach Four Copies) ..........FT. DEFICIENCY THIS PROPERTY [p C, PROPOSED USE Q 710 o f •r -r u.'e(re'( "a) 1/0 fit., C ! REMARKS :: 00C (r Pf c%11rrJ F, f, v ` - _ / X r= � C 1 = 1 _........._ -.. _ ` FENCE ©GAS RESIDENTIAL ❑ LINE NEN ^ !CHECKED BY ❑ NON-RESIDENTIAL El SICN ADD SERVICE SIZE CLEARANCE 7� jar/0-USE ElALTER ❑ ORCAVATFILL E ❑ FENC...........Ft.) 3 NUMBER OF STORIES NUMBER OF I DWELLING I UNITS BUILDING DEPARTMENT AppllcantFill PERMIT ONE Y_S-� NUMBER l�iliJJ�� EXCAVATION OR FILL "I A2 F REMARKS Inside Heavy LIDes PERMIT APPLICATION JOB ADDRESS - 1�' �v formation given le correct; and that I are the owner, or the duty auther- Ized agent at the owner. I agree to comply with city and state laws regu. ATTENTION Iating construction; and In doing the work authorized thereby, no person 1005 THIS PERMIT relating to Workmen's Compensation Insurance. AUTHORIZES NOTE; Permit Limit One Year (EXCept DEMOLITIONS which ONLY THE WORM NOTED NAME (OR NAME OF BUSINESS) PERa11SeII.LE ACTUAL qq LOT COVERAOEv LOT COVERAGE pleted In six months.) SIGNATURE (OWNER OR AGENT".DATE SIGNED INSPECTION a MAILING AD RESB r ' PERbIIBeIDLE HEI6IIT ..- _ 7 PROPOSED HEIGHT O _.. EDIHONDS NOTE: Applicant Subject to Plan Check Fee CITY / TELEPHONE NUMBER ACTUAL LOT AREA TOTAL BLDG. AREA x Any construction on the public domain (curbs, sidewalks, driveways, marquee., etc.) will require separate permission. i y3E, —REQUIRED YARD. PROPOSED YARDS FRONT SIDE REAR FRONT S[DE RE R7 NAME -2i !—,''+tti W ADDRESS CO2 • FGAL LOT VARIANCE OR CONDITIONAL U E / L�,YE9 NO PERMIT SNUMHER. 15) , 1 ]...CY-�-6 \I� �a Legal Description of Property (Show Below or Attach Four Copies) ..........FT. DEFICIENCY THIS PROPERTY [p C, PROPOSED USE Q 710 o f •r -r u.'e(re'( "a) 1/0 fit., C ! REMARKS :: 00C (r Pf c%11rrJ F, f, v ` - _ / X r= � C 1 = 1 _........._ -.. _ ` FENCE ©GAS RESIDENTIAL ❑ LINE NEN ^ !CHECKED BY ❑ NON-RESIDENTIAL El SICN ADD SERVICE SIZE CLEARANCE E]DEMOLISH Lj WALLINING ElALTER ❑ ORCAVATFILL E ❑ FENC...........Ft.) REPAIR ❑ INSPnIOVE O PWINI OOL NUMBER OF STORIES NUMBER OF I DWELLING I UNITS EX194IN6 STREET R/W ..........FT. DEFICIENCY THIS PROPERTY [p C, PROPOSED USE COAfP. PLAN ST. R/W ............FT. ............FT. ! REMARKS j HEAT & GAS LINE ... .. C 1 = 1 _........._ -.. _ ` FENCE W ^ !CHECKED BY 1 METER SIZE SERVICE SIZE CLEARANCE CHECKED BY SWIMMING POOL I I I At PRE -MOVE INSPECTION _—. ' ✓y M-T-� --�� EXCAVATION OR FILL "I A2 F REMARKS WA, W /Al" FIREr�Z)ONETYPE OFr CON�S3TRUCTION STREET IMPROV! I J1�11-�L' I`M. YES ❑ NO YES `Ki NO I i -- OF EDMONDS. LOCAL SALES TAX SHOULD BE CODED 31.04. REMARKS To SIS 1ti5FECY141.1 . 15-0 54S 1 Valuation Fee fteccl pt No. r. Ir�, CJ I �iud 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 ac- knowledged in space provided. _ 24'- jzl INSPECTOR Plan Check No ..................... 31 BUILDING [p C, PROPOSED USE -� PLUMBING OPLOT PLAN (Indicnlo �uildlgC..af(D}1r�ka;, bu[[Ing, streets)^ HEAT & GAS LINE ... .. = 1 _........._ -.. _ ` FENCE 1 SICN RETAINING WALL I I t I SWIMMING POOL 0 1 � , [ DEMOLITION �' 1 ( iI PRE -MOVE INSPECTION _—. ' ✓y M-T-� --�� EXCAVATION OR FILL "I TOTAL AMOUNT DUE I hereby acknowledge that I have read this application; that the In- formation given le correct; and that I are the owner, or the duty auther- Ized agent at the owner. I agree to comply with city and state laws regu. ATTENTION Iating construction; and In doing the work authorized thereby, no person will be employed In violation of the Labor Code of the Slate of Washington THIS PERMIT relating to Workmen's Compensation Insurance. AUTHORIZES NOTE; Permit Limit One Year (EXCept DEMOLITIONS which ONLY THE WORM NOTED shall be completed In ninety days; MOVED -IN BUILDINGS .hall be com- pleted In six months.) SIGNATURE (OWNER OR AGENT".DATE SIGNED INSPECTION DEPARTMENT CITY OF _.. EDIHONDS NOTE: Applicant Subject to Plan Check Fee 775-2525 This !'clad[ covers work Ur be done on private property ONLY. Any construction on the public domain (curbs, sidewalks, driveways, marquee., etc.) will require separate permission. 15-0 54S 1 Valuation Fee fteccl pt No. r. Ir�, CJ I �iud 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 ac- knowledged in space provided. _ 24'- jzl INSPECTOR I i