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740535.pdf..7 _..... ... _ ... --' _ - . _ _ _._. _. ...._ ..._--- -- _. l BUILDING DEPARTMENT Fill VBp' ZOO RS - 0 PERMIT 740535 NUMBER Applicant I -ADDRESS/ _ PERMIT APPLICATION Inelds Heavy Lines °g q q 19 - �o — jz y_ NAME (OR NAME Ve BUSINESS) -rte but el h-Q_y PERAtIBBIBLE IAT COVERAOE^e . ACTUAL LOT COVAAGE i ) . CSL{ t ILING ADDRESS L! t , MA/qrf/c/ �� °( / PERMISSIBLE HEIGHT PERMISSIBLETG PROPOSED HEIGHT O y ' CITY TE LEPHONE NUMBER ACTUAL LOT AREA TOTAL BLDG. AREA x'0.q REQUIREDYARDS PROPOSED YARDS e NAME FRONTBD FRONT REAR 7,0 LEGAL LOT VAIIIANCE OR CONDITIONAL UB 1 W ADDRESS YES NO PERMIT NUMBER h P G D P L DATE: u C CITY TELEPHONE NUMBER EXIST STREET R/W ............FT. DEFICIENCY THIS PROPERTY 7� NAME COMP. PLAN ST. R/W ............FT. ............FT. a W ' REMARKS m nnDREtlB o W � �(/ CHECKED BY / N O CITY I TELEPHONE NUMBER �(' �1 I V METER SIZE SERVICE SIZE CLEARANCE CHECKED BY STATE LICENSE NUMBER CITY LICENSE NUMBER I I I 1[,C REMARKS ^A IJ I / I Legal Description of Properly label Bela, 11 Attach Four Coplee) TYPE CONNECTION VERIFIED BY Z G ! ) TESTPER MIT NUMBER L. iPERC. I w h7 p REMARKS P/ 'i W.7 ' IMPROVEDFI TYPE OF CON7CTION if I ISTREET 0 YES [:I NO I SPECIAL INSPECTOR REQUIREDIOCCUPANCY GROUP RESIDENTIAL GAS gPLANSCHECK IIYO ❑ NEW LINE THIS SIE IS LOCATED IN THE CITY NON-RESIDENTIAL ❑ OF EDMONDS. LOCAL SALES TAX. SION SHOULD BE CODED 31.04. ADD RETAINING F-1 WALLEl REMARKS 'J DEMOLISH r C ALTER EXCAVATE FENCE / OR FILL (.......... x..........Ft.) REPAIR PRE -MOVE swi ❑ INSP. POOL El NUMBER OF STORIES NUMBER OF DWELLING _ UNITS NATURE OF WORK TO HE DONE co V.lunllon Fee Receipt No. Evel f— Cue'— L? W Ol� I'T� Plan Check No ..................... �/ / N /� BUILDING .2 0 © q PROPOSED USE PLUMBING O OPLOT PLAN (Indicate Building atbacks, abutting streets) HEAT A GAS LINE 21 IJ O �dtfS Q. FENCE 1 ll ----'/fes—� SIGN I I t RETAINING WALL G SWIMMING POOL CDEMOLITION I /---� PRE -MOVE INSPECTIONqp EXCAVATION OR FILL Zv 1 TOTAL AMOUNT DUE I hereby acknowledge that I have read this appllcntlon; that the In- d l J 7 formation given in correct; and that I am the owner, or the duly author- C- ascot rho owner, i agree to comply with city and state taws tegu- ATTENTION APPLICATION APPROVAL lUlduti t taring conetructlon; and In doing the work authorized thereby, no person will be employed 1n 110111U.. of In. Labor Code of the State of Washington THIS PERMIT This application is not a perralt 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 TILE WORK NOTED uty; and fees are paid, and receipt Is ac- shnli be completed In ninety days; MOVED -IN BUILDINGS shall be com. Imowledged In space provided. pleled In six months.) tliCNATU3tE (OWNER Oft A6 ) INSPECTION DIRECTOR'S BiCjQ A� �T$�BIONEp DEPARTMENT �/ /// �����- 7 c / '�' - OITY OF NOTE: Applicant Subject to Plan Check Fee EDMOND3 DATE �j — Z7 -�7 t� 775-2525 E This 1'ertnit cure. ,ask Wbe done on private properly ONLY. Any construction on the public demos. (Curb,, sidewalks, dri—ays, FILE murqueee. etc.) will require separate permission. l e�anttttt>w ( l"• ER ZOO "u� � 1 ..: BUILDING PE P A R T M E N T Applicant rill (�c -PERMIT IRBIdG Ilcavy Linea PERMITIOLICATION G _. _ �- ADDRESS / I��� NAME (OR N OF BUBINEeH) r�L�u � 1 �, PFUMIHBIBLE ^o GAL IAT COVERAGE LOT' COV RAGE 1 � „�� � 1 r X � MAWNG8 G `/ C -Ur PERMI8HIIILP, HEIGHT PUOPOHED HEIGIIT �f rl � •( - C CITY 'l TELEYIiONE NUMIIEIt ACTUAL LUT AREA TOTAL BLDG. AREA (�CI�OU`�.7 7 f(j ) Gf C }tEQU1RED YAR US PIIGPOSFD YARD8 i FRONT tlIDE REAR; FRONT e3 UE REAR A NAME so • LEGAL LOT VA}t1ANCL Olt CONDITIONAL UHF W ADD YES NO PERMIT NUMBER F •yi PLA jN0 UE jTi APf•li L DATE: / t td CITY TELEPHONE NUMBER yrfet -4 , < ., '... 8T R lV EXIBTJ'd STREET R/W ............FT. DEFICIENCY THIS PROPERT ti ' NANS COMP. PLAN ST. R/W ............FT. ............PT. W REMARKS q/ -- ADDRESS W CHECKED BY . KLE / PITY B TEPHONE NUMER I METER BILE SERVICE SIZE CLEARANCE CHECKED BY U HTATE LICENBII NUMBER I CITY LICENSE NUMBER I I I REMARKS Legal Description of Property (Show Below or Attach Four Copies) /J4 V1 TYPE ON10 �-��?_,�•••-., Y�RIFIED BY ���:•�.)NE C F PER IfrIT N M V M � w REMARKS m � a `A !, � / ' nV7 FIRE ZONETYPE OF CONSTRUCTION STREET IMPROVED ' �Tf I '— A /•� I 0 YES [] NO SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP LINE ❑ YES �[J NO IN THE CITY f NEW [E]GAB L.313.14TIAL PLAN CHECKED BY THIS SITE IS L CATED LOCAL SALES TAX N -RESIDENTIAL � SIGN OF EDMONDS. SHOULD BE CODED 31.04. 0 ADDRETAINING ❑ E] DEMOLISH WALL REMARKS ,( )•� / � V�fj� J'/ LIF(/2 /'-^ PENCE ALTER F-1ORFILL EXCAVATE (..........x -........Ft.) r ' REPAIR ❑ INSP. El SWIM POOL 1 NUMBEROF STORIES NUMBER OF DWELLING UNITS NATURE WORK TO BE DONE Valuation Fee Receipt No* %OF j/^ f e /'t1 rl L o V P' r O lir' r Y/ 'JG L/ Plan Check NO ..................... z ,'L/ x` —� BUILDING n•f n n 0 C J 4 PROPOSED UBE a PLUMBING ' V a PLOT PLAN (Indicate Build '�L a uttin6 etrcete) `tr HEAT A GAS LINE 1 L' L( ;; a FENCE - -.... SIGN 171 T1 RETAINING WALL - I SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION 1� EXCAVATION OR FILL TOTAL AMOUNT DUE rl � O I /' •l R 1 hereby achnowletlga that I haus rend this apDllcaUon; that Um In. formation given le correct; and that I nm the owner, Or the duty author- ized ogenI of in. owner. I agree to Comply with city and elate laws regu• ATTENTION APPLICATION APPROVAL lacing construction; and in doing the Work authorized thereby, no Dereon ' will be employed In violation of the Labor Code of the Slate 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 core• knowledged in space provided. pleted In six months.) ! SIGNATURE (OWNER OR AGENT) DATE SIGN INSPECTION DIRECTOR'S S1rAT RE DEPARTMENT J, //u` CITY or EDMONDS DATE' NOTE: Applicant Subject to Plait Check Fee .--, � 2-7 — � 77S -2525r This Permit a rs work to be done on private property ONLY. Any construction an the public domain (cube, sidewalks, driveways, INSPECTOR marquees, etc.) will require Separate pe,nd.,lon. - 7yv53s . i RECORD OF INSPECTIONS Date Passed '