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740531.pdf- _ _i.-� -� `- BE NUUB>It 740531 } BUILDING DEPARTMENT AppltcantI'M �S"O PERMIT APPLICATION I II1BIdB Heavy Lines ,G a C ADORES NAME (OR NAME OF BUe1NEe8) ��/ /. PERMISSIBLE ACTUAL % 1 LOT COVERAGES ?C /J LOT COVEItAOE MAI NNO]A D H -Gei-r J✓ L PROPOS ED HEIGHT PEItt118SSHLE HEIOIIT rGt 3° rc ACTUAL LOT AREA TOTAL BLDG. AREA CIT TELEP,HyONE UMHh.R 1 / (! PROPOSED YARDS � 1 U— U 9 REQUIRED YARDS r FRONT SIDE REAR FRONT BIDE REAR AME , a cad [r GAL LOTUBE 3 yUj ADDRESS [� YES ❑ NO PERMIT NUMBERNDITIONAL � ! F gi PLANC�1�� T.A ROVAL D TE: U CITY TELEPHONE NUMBER ZD STREETR/W EXISTING' STREET R/W ............FT. DEFICIENCY THIS PROPERTY O NAME COMP. PLAN ST. R/W ............FT. ............FT.In (a O 94 ADDRESB W -/ U CHECKED HY ' JJ.• a 61 CITY TELEPHONE NUMBER A/14 �( I� F � I V METER B3LE SERVICE 872E CLEARANCE CAECKED HY O STATE LICENSE NUMBER I CITY LICENSE NUMBER AEMARKH P Legal Description of Property (Show Below or Attach Four Copies) i TYPE CONNECTION I VERIFIED BY 1., PERC. TEST PERMIT V ... W 3, I i, Ij W REMARKS m O F'iX I TG1/VG �i aFIRE TYPE OF C, NIT 182REE le1PRNO Yli/L' [3 NO I � SPECIAL INSPECTOR GROUP /REQUIREDOCCUPANCY C] YES m.if0 ED Y IN THE CITY RESIDENTIAL El6A8 LINE NEW PLAN CHEC THIS SITE IS LOCATED LSALES TAX NON-RESIDENTIAL 11 SIGN OF EDMODS. CODED 3OCAL SHOULD BE 1.04. ADD DEMOLISHE]WATI.AilKING RK9 j ALTER ❑ ORCAVATPILLE ❑ (ENC x... Ft.) REPAIR ❑ PRE -IN PMOVE EDSWIM �f�iUCIG Com/ lI� VN Y�� ���✓ �VY/� r NUMBER OF STORIES NUMBER OF if DWELLING I UNITS NATURE OF WORK TO BE DONE .. VAlunllan Fee Rceclpt No. t r / / �77, a an PI Cheek Na ..................... p / , �1 7 BUILDING / \ -60 •— �s•_ PR/ OSED UBE C J PLUMBING PLOT PLAN (Indicalo Building setbaeka, abutting streets) HEAT @ GAS LINE �LsCr �L /IN% i � FENCE SIGN RETAINING WALL — N 1 SWIMMING POOL i DEMOLITION r PRE -MOVE INSPECTION EXCAVATION OR FILL TOTAL AMOUNT DUE I hereby acknowledge that I have read this apPllcatlPn; that the fn- formation glvcn Is eerreet; and that I — the owner, or the duly author - Ind ascot of the owner. I agree to comply with city and elate laws regu- ATTENTION APPLICATION APPROVAL ' lath. construction; and In doing the work authorized thereby, no person Will be employed In vlolntlon 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 {PORK NOTED uty; and fees are paid, find receipt is ac - .hall be completed fn ntaety days; MOVED -IN BUILDINGS shall be Co.- knowledged in space provided. pleled In nix months.) S1GNA'rUR6 ( WNER OR AGENT) ,. DATE SIGNED INSPECTION 3 O SIGN TU ;(i/`/G av ! ~ DEPARTMENT f CITY OF - ---- EDBIONDS DA a �•�..r--'— NOTE: Applicant Subject to Plan Check Fees - 775 -2525 This Permit r ..,it lu be done on prirmle ProPerty ONLY. Any eouelruellan on the public domain (curbs, sidewalks, driveways, FILEmarquees, etc.) will require separate permission. t J .. _ _. .__ - _ .. __=—R-•— USE( PERMIT '7,4 ') ' BUILDING DEPARTMENT Applicant Fin E°"E >—� ND"BE" t PERMIT APPLICATION I Inside Heavy Lines NAME (OR NAME OF BUSINESS) MAI NO AD HEEBB CITY , TELEPHONE NUMBER NAME 14 ADDRESS ADDRESS II , — (. �/WW` . (/V A" -L - _ P...AHBBIHLE ACTUAL EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY LOT COVERAGES :,I LOT COVERAGE ❑ J J A) m \ C� F PERMISSIBLE HEIGHT PROPOSED HEIGHT ��,•�. �i 7� I SERVICE SIZE STATE LICENSE NUMBER ACTUAL LOT AREA TOTAL BLDG. AREA NUTfDER OF STORIES REQUIRED YARDS PROPOSED YARDS FRONT HIDE HEAR FRONT SIDE REAR DWELLING TYPE CONNECTION VERIFIED BY LEGA' LOT VARIANCE OR CONDITIONAL USE 17.1 YES II NO PERMIT NUMBER O � 4 F ) PLAN TDATE:( „n. CITY TELEPHONE NUMBER EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY NAME REMARKS ❑ ADDRESS m \ C� F CITY TELEPHO E NUMBER ��,•�. �i METER SIZE I SERVICE SIZE STATE LICENSE NUMBER CITY LSCENeE NUMBER SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP NUTfDER OF STORIES NUMBER OF Legal UeserlPllon of Properly (Show Below or A[tech Four Copies) REMARKS J O YES UNo I DWELLING TYPE CONNECTION VERIFIED BY ' O � E 1 ES'll / P RMIT.SI BE_R V PLAN TDATE:( „n. STREET R/W FIRE ZONE TYPE OF CONSTRUCTION STREET IMPROVED EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY COMP. PLAN ST. R/W ............FT. ............FT. REMARKS ❑ ENC I % V 0-yiE ` []NO CHECKED BY /VA ��,•�. �i METER SIZE I SERVICE SIZE CLEARANCE QHECK Dt SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP NUTfDER OF STORIES NUMBER OF I Y REMARKS J O YES UNo I DWELLING TYPE CONNECTION VERIFIED BY ' �J o� /(%iJ E 1 ES'll / P RMIT.SI BE_R NATURE OF NORK TO BE DON£ NON-RESIDENTIALs1aN -' OF EDMONDS. LOCAL SALES TAX !� �-„-�" SIGN ❑ ;d ElDEMOLISH L] FIRE ZONE TYPE OF CONSTRUCTION STREET IMPROVED 1 ❑ ENC I % V 0-yiE ` []NO BUILDING OR FILLS (...........Ft.) REPAIR❑ I SPASOVE ❑ SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP NUTfDER OF STORIES NUMBER OF O aPLOT RESIDENTIAL 6Aa ❑ LINE O YES UNo I DWELLING HEAT & GAS LINE NEW �J o� /(%iJ PLAN CHECKED �Y THIS SITE i5 LOCATED IN THE CITY n NATURE OF NORK TO BE DON£ NON-RESIDENTIALs1aN -' OF EDMONDS. LOCAL SALES TAX !� �-„-�" SIGN ❑ 1 tRETAINING �;:;.{., .11:� SHOULD BE CODED 31.04. ADD ElDEMOLISH L] RETAIWALL KING ALTER ❑ ENC O BUILDING OR FILLS (...........Ft.) REPAIR❑ I SPASOVE ❑ POOL NUTfDER OF STORIES NUMBER OF O aPLOT DWELLING HEAT & GAS LINE �J o� /(%iJ UNITS NATURE OF NORK TO BE DON£ FENCE r Valuation Fee Recelpl No. • , .r .. ,- - 1.� .., Jfr Plan Check Nn ..................... � O BUILDING PROPOSED UBE PLUMBING I O aPLOT PLAN (Indicate Building Setback., abutting streets) HEAT & GAS LINE �J o� /(%iJ SSSS- _- FENCE ( SIGN 1 tRETAINING WALL _ SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL TOTAL AMOUNT DUE ._ QJ ��, 5• C%.. ' I I heresy acknowledge that I have read this application; that the In. �•v -- .� J tormnllon m given le correct; and that I nthe owner, or the duly author- -- Seed agent of the owner. I agree to comply with city and state law. regu- ATTENTION APPLICATION APPROVAL tall.. conetructlon; and In doing the work authorized thereby, no person will be employed In violation of the Labor Cade of the State of Washington THIS PERMIT This application is not a permit until relating to Workmen'a Compensation Insurance. AUTHORIZES signed by the Building Official or his Dep - NOTE: Permit Limit One Year (Except DE31OLITIONS which ONLY TILE WORK NOTED uty; and fees are paid, and receipt is ac- .hallbe completed fn bluely days; MOVED -IN BUILDINGS eh¢II be cons- knowledged In apace provided. 1 pleled 1..1. menthe.) SIGNATURE (OWNER OR AGENT) DATE SIGNED INSPECTION DIRFy OR'S BIGNATU E .' _ DEPARTMENT _ .. ..- •:J �`%• �DA�1: CITY OF ,-J'., ,.� Applicant io Plan Check Fee EDMONDS % NOTE: Subject 775-2525 This P<rmlt c rern ,.,it to b. done on private property ONLY. , Any cenetructlen on it,. publle domain (curb., e)dewalke, drly .Y., morgue., em.) will mq.1m Separate, p"rolumn. INSPECTOR