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740534.pdft OAS RESIDENTIALI El El LINE [3 YES O r 1 PLAN CHEC ED IIY THIS SITE S LOCATED IN THE CITY pC NEW E] NON.RESIDENTIAL 1 BUILDING DEPARTMENT Applicant Fm °� S _ j 2 NUMBER 740534 } �-- Ann RETAINING DEMOLISH WALL PERMIT APPLICATION Inside Heavy Lines JOB ADDRESS /, �' /y.• D ALTER EXCAVATE FENCE /}jrGo,r/T��i�/cre� f d,6G //77.3 NAME (OR NAME OF DUBINESB) A, �C! (f/Y,�/�✓ /� ❑ OR FILL (....................Ft.) REPAIR ElPNSP. RE -MOVE POOL ❑ SWIM I 7 / W� �T Co�15T ©2l EUT F? MISS1BLE ACTUAL, LOT COVERAO ? J <U LOT COVESYAOE ea /� r GI NUMBER OF STORIES NUMIIER OF ) m MAILING DREBB t45;0 Lj��ip gl-DL�r F'ERffIBeIHLE liC1GIiT PROPOSED REMY t I O E 1 { Ut-'r LLOM6i--i- 3l'r Z. Valuation Fee Reeelpl No. \ A�Fla/ �--®:J S-r2CJC r%CIU CITY TELEPHONE NUMBER ACTUAL LOT AREA TOTAL DID,'. AREA / 1 Oo 3 . BUILDING GO pp L•� 02E QIJ SO'�— �OZZ(D REQUIRED YARDtl PROPUMh YARDS W / /3 -3 NAME L PROPOSED USE `yf �t0C,L 4�i�Ml�ycl-Pe0q RONT SLUE REAR FRONT BIDE REAR i HEAT A GAS LINE C,IOr 7 i �, ' 36 4 ID 73� c FENCE LE AL LOT VARIANCE OR CONDITIONAL UBE y) ADDRESS ® YES ❑ NO PERMIT NUMBER N ? SWIMMING POOL S d r PLA NJ16 E APY[tOV AL 7� D TF.: I PRE -MOVE INSPECTION CITY TELEPHONE NUMBER L EXCAVATION OR FILL < TOTAL AMOUNT DUE//�, I\� 59 �1 STREET R/W ```` DEFICIENCY TRIS PROPERTY O 7 I hereby acknowledge that I have read this applies ton; that the In- (O t � formation given I. correct: and that I am the owner, or the duly author- EXISTING STREET R/RGH 7C tsed agent of the owner. I agree to comply with city and state law. regu- ATTENTION APPLICATION APPROVAL NAMF. COMP. PLAN BT. R/ ..... 9 1 Will be employed In Violation or tae Lobar Code of the state of Washington THIS PERMIT .1. i AUTHORIZES signed by the Building Official Or his Dep - 0\4/1Lelp,- REMARxs Drivewayslopes not to exceed those p O uty; and fees are paid, and receipt is ac- ahali be completed to ninety days; MOVED -IN BUILDINGS Shall be com. ADDRESS indicated on Standard Dwe No. 103 w , DEPARTMENT a's SIGN TU TELEPHONE NUMBER SIGNATURE ( CHEC ED Y 1 h 7 CITY I uMrmAr)r1Vp WNW: I G 1 METER 812E SERVICE SIZE CLEARANCE CHE ED IIY O STATE LICENSE NUMBER CITY LICENSE NUMIIElt I I I REMARKS Legal Description of Property (Show Below or Attach Copies) /�r 73 -, `Four -LO`l 21 ONN�ECTIO/N VERIFIED. aY n JbiV �lC. 1�' F PEAC. TEST NUMBER C W REMARKS i .7 FIRE ZONE IMPROVED TYPE OF CONSTRUCTION STRYES I SPECIAL INSPECTOR.sREE4�QUI//REE//D// OCCUPANCY GROUP OAS RESIDENTIALI El El LINE [3 YES O r 1 PLAN CHEC ED IIY THIS SITE S LOCATED IN THE CITY pC NEW E] NON.RESIDENTIAL OF EDMONDS. LOCAL SALES TAX SIGN SHOULD BE CODED 31.04. j Ann RETAINING DEMOLISH WALL MAR D ALTER EXCAVATE FENCE /}jrGo,r/T��i�/cre� f d,6G //77.3 n ❑ OR FILL (....................Ft.) REPAIR ElPNSP. RE -MOVE POOL ❑ SWIM I 7 d NUMBER OF STORIES NUMIIER OF DWELLING ' I UNITS NATURE OF WORK TO BE DONE Valuation Fee Reeelpl No. \ A�Fla/ �--®:J S-r2CJC r%CIU Plan Check N. ..................... . BUILDING GO y / /3 -3 L PROPOSED USE `yf �t0C,L 4�i�Ml�ycl-Pe0q PLUMBING �B B�o HEAT A GAS LINE C,IOr 7 O PLOT PLAN (Indlcnta Hulldtn setback., abutting streets) c FENCE SIGN tRETAINING WALL N ? SWIMMING POOL DEMOLITION I PRE -MOVE INSPECTION EXCAVATION OR FILL TOTAL AMOUNT DUE//�, I\� 59 �1 I hereby acknowledge that I have read this applies ton; that the In- (O t � formation given I. correct: and that I am the owner, or the duly author- tsed agent of the owner. I agree to comply with city and state law. regu- ATTENTION APPLICATION APPROVAL hada, construction: and In doing the work authorised thereby, ao person Will be employed In Violation or tae Lobar Code of the state of Washington THIS PERMIT This application is not a permit until relating to Workmen's Compenealloa In uirance. AUTHORIZES signed by the Building Official Or his Dep - NOTE: Permit limit One Year (Except DEMOLITIONS which ONLY TILE WORK NOTED uty; and fees are paid, and receipt is ac- ahali be completed to ninety days; MOVED -IN BUILDINGS Shall be com. knowledged in space provided. pleted In six month..) DEPARTMENT a's SIGN TU . SIGNATURE ( DATE SIGNEDINSPECTION q - 7� -19 CITY OF EDMONDS A i NOTE: Applicant Subject to Plan Check Fee 775-2525 TW. 1'ennit call. cork to be done on Private property ONLY. Any constructionon the public domain (curbs, .Id.—M., driveway., FILE marquee., etc.) will require Separate permission. f I I USE PERMIT •-"'."• .1 BUILDING DEPARTMENT APpllcant Fill ZONE '�\5_ �'' NUMBER _ PERMIT APPLICATION I Inside Heavy Line- ,OB '!�G ti.j ADDRESS J.) ) l / ,.{ NAME (OR NAME OF BUSINESS) .> El'-✓ �' 1 �'(P J CL)I,4_!r••/� ' PER3118-IDLE _ ACTUAL % ,•1 ) ! C. _t'I LOT COVERAGES \? J (U LOT COVERAGE MAILING ADDRESS PERMISSIBLE HEIGHT PROPOSED HEIGHT / z 1 C - ACTUAL LOT AREA CITY TELEPHONE NUMDER � I CI.) 3 'LOYAL 81,7. Ir�RE� .4 REQUIRED YARDS PROPOSED YARDN ^ I 1 NAME1 .FRONT SIDE REAR FRONT SIDE. REAR )-::_ L VARIANCE OR CONDITIONAL USE AL LOT W ADDRESS© YES 0 NO PF,S2MIT NUMBER F .r•. Y,!_—. PLANNING DEPT• APPA ROVAL iJ� _, t? TE: CITY TELEPHONE NUMBER =) ' �' •Y'" r' 4 1 STREET R/\V /A r� a I EXISTING STREET A/t{/•'lFl I:/.F'r• DEFICIENCY THIS PROPERTY NAME f ' _?!, n• \ COMP. PLAN ST. R/WZ.•(.,r..:. FT. ....�.1FT. ir�71 4.l (= IZ O IH'-� ( REMARKS n,( t ': Cl C ADDRESS Q inc'.i t 'd nn L+S 1 r d { ,tr, nn. till yzj I 6 CHECKED BY I CITY I TELEPRONE NUMBER V pMET ER 81LE SERVICE SIZE CLEARANCE CHECKED BY fi STATE LICENSE NUMBER CITY LICENSE NUMBER REMARK8 Legal Description of Property (Show Below or Attach Four Copies) CONNEC`TIO)Nr- VER1r EI)BY ( �` PERQ �T W V FIRE ZONE TYPE OF CONSTRUCTION STREET IMPROVEDi,l� SPECIAL INSPECTOR REQUIRED I OCCUPANCY GROUP I RESIDENTIAL ❑ GPINA8E Cl YES E].NU -.% -- ` — NEW PLAN CHECKED; BY THIS SITE IS LOCATED IN THE CITY NON-RESIDENTIAL ❑ SIGN _•. • i' OP EDMONDS. LOCAL SALES TAX /� / <..-<_. - SHOULD BE CODED 31 04. _ ADD❑ RETAINING REMARK ' - ❑DEMOLISH WAIT' ALTER ❑ EXCAVATE FENCE '•iI ;.'� !%,I-//.-� is%/' Yf/'./ A .i` i / '.? On FILL (.........5.......... Eq.) REPAIR ❑ PRE-MOVE ❑ SWIM - - I INSP. POOL '. i ',1'` �-'! �✓ S / iTJ //•:/.f :".L i, / ':;, JJ NUMBER OF STORIES I NUMBER OF ` DWELLING t 1 UNITS NATURE OF WORK TO BE DONE Valuation Fee Receipt No. Plan Check N...................... z O BUILDING --- G PROPOSED USE _ r `PLUMBING 'T_: ri�i�`-''l •''-I '1,4 �1..:L �: ).J cam.'- _ PLOT PLAN (Snit-t\ �lln&. \ `jr,) Wtung Streets) HEAT do GAS LINE � FENCE I SIGN t RETAINING WALL - N SWIMMING POOL DEMOLITION PRE-MOVE INSPECTION EXCAVATION OR FILL TOTAL AMOUNT DUE I hereby acknowledge that I have read this application; that the In-- farmnllon given le Correct: and that I nm the owner, or the duly author- Ized agent of the owner. I agree to comply with city and State law. Lego- ATTENTION APPLICATION APPROVAL lating Construction; and In doing the warlt authorized thereby, no person Will be employed In violation of tris Labor Coda of the State of Washington THIS PERMIT This application is not a permit until ,.hRlag to Workmen's Compensation laauranes. AUTHORIZES signed by the Building Official or his Dep- ONLY TIIE and Pees IIr8 6 NOTE: Permit Limit One Year (Except DEMOLITIONS which WORK NOTED uty paid, and receipt i8 Be shall be completed In ninety days; 31OVED-IN BUILDINGS shall be Co.- Imowledged in space provided. pleted In sl: months.) SIGNATURE (OWNER OR AGENT)I DATE SIGNED INSPECTION DIRECTOR'S SIGNATURE ' DEPARTMENT % CITY OF ' EDMONDS DATE NOTE: Applicant Subject to Plan Check Fee 775-2525 This Permit covers work to be dune on private property ONLY. Any eoselructlan on the public domain (curbs, sidewalks, driveways, INSPECTOR marquees, etc.) will require separate permission.