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740548.pdf'El<- [I NO SP ECTAL INSPE�CTO/R �IQUIRED CCUPANCY GROUP x'77 RESIDENTIAL ❑ CAB 1' BUILDING DEPARTMENT AppLeav Fill DBE PERMIT 740548 ZONE NUMBER 1 AI NEN 1 1 PLAN CHECKE BY PERMIT APPLICATIONInsldo Heavy Linos I Jp ADDRESS, NON-RESIDENTIAL U� S. LOCAL SALES TAX N tE (OR NAME OF BUtlINEBe) �ARH / (/ ll V I ADD RETAINING ❑ DEMOLISH WALL j I t I , / ) fee- G LOTC VERA r ^r ACTUAL LOT COVERAGE LOT COVESRAOE Q,'<r •Ju On OR FILL FL) ❑ . � D ; ! R(Cpr�i /c// 7—?� D AIL1N0 ADDR 'eB PROPOSEDGIT PEW} 7 NUMBER OF STORIES NUMBER OF 2z&/(, AR DWELLING �„f UNITE , -•S (IF-SS-zeT TD /l ,(/ .SIJ L� ���Y%%O CITY 7E LEPHONENUMBER AES, sIZ T7"E2/-G Valuation / Y REQ IRED YARDS PROPOSED YAR..1- Plan Check No.. ................... BUILDING NAME FRONT BIDE REAR FRONT 81DE REAR �o3 , 2 2 1 ' �5�5 ` � PROPOSED USE PLUMBING I. LOT VARIANCE OR CO D1-UNAL BE a / 7 1 HEAT A GAS LINE O LEGA ADDRESS ® YES ❑ NO PERMIT NUMHER .M U O O Sec �Y-Tq CK FLD PLAN N DEPT. PPROVAL D TE I ) � 1 j CITY TELEPHONE NUMBER STREET R/VV J p JI } tRETAINING WALL EXISTING STREET R/ (�T. DEFICIENCY THIS PROPERTY a NAME �//�t�����..qq � COMP. PLAN ST. R/Vl'30�.{.7A 4.1. .....O..FT. DEMOLITION I p PRE -MOVE INSPECTION REMARHH Driveway slopes not to exceed thosest n EXCAVATION OR FILL ADDRESS indicated on Standard Dwq. No. 103 BY 6T TOTAL AMOUNT DUE e I herebyacknowledge that I have read thin application; that the In- CHECKED � F CITY TELEPHONE NUMBER � 1 ized agent of the owner. I agree to comply with city and elate laws regu. ATTENTION APPLICATION APPROVAL o� I t=/� METER SIZE j SERVICE SIZE CLEARANCE Washingtonwill be employed 1, vlolntlop of the Labor Code of the State of Washington THIS PERMIT This application is not a permit until C C E B relntmg to Workmen's Compensation Insurance. J STATE LICENSE NUMBER CITY LICENSE NUMBER ,jam I /% NOTE: Permit Limit One Year (Except DEMOLITIONS which ONLY TIIE WORK NOTED uty; and fees are paid, and receipt is So. shall be completed In ninety days; MOVED -IN BUILDINGS shall be corn- 1D3 ledged In Space provided, I I Oil AGENT) DATE 816NED INSPECTION IRE '8 TORE , REMARKS !� 1 Legal Description or Property (Show Below or Attach Four Copies) L—n, 0/673 rTYPE ' 7o P7, o6 � f -7 �� 3 CONNECTION VERIFL/•,DnBY DATE -- _/Nook S V�ue (I l i 775-2525 lu d7 La KE' PERC. TEST P I N HER c Any construction on Ilse public domain (curbs, sidewalks, driveways. FILE a w 13 aLLi nlf /a G� T oa fir eC(Z /, '/`-' • S4;0. •wA REMARKS ��sen/wvrs UT c� —vGn/ /� dcl� W FIRE ZONE TYPE OF CONSTR ION ETRE IMPROVED I 'El<- [I NO SP ECTAL INSPE�CTO/R �IQUIRED CCUPANCY GROUP x'77 RESIDENTIAL ❑ CAB [3 YES �ti I ,�O 1 AI NEN LINE PLAN CHECKE BY THIS SITE 15 LOCATED IN THE CITY NON-RESIDENTIAL U� S. LOCAL SALES TAX SIGN �ARH SH ULD BE SHOULD BE CODED 31.04. I ADD RETAINING ❑ DEMOLISH WALL I , ALTER EXCAVATE ❑ FENCE fee- G Ii On OR FILL FL) ❑ . SWIM REPAIR ❑AOVE OPOOLINSP R(Cpr�i /c// 7—?� NUMBER OF STORIES NUMBER OF DWELLING �„f UNITE , -•S (IF-SS-zeT TD /l ,(/ .SIJ L� ���Y%%O NATURE OF WORK TO 13E DONE Valuation Fee Reeelpt No. Plan Check No.. ................... = BUILDING 93 PROPOSED USE PLUMBING ,,?7/ a / 7 O aPLOT HEAT A GAS LINE a PLAN (Indicate Building setbacks, abutting streets) O O Sec �Y-Tq CK FLD I FENCE SIGN JI } tRETAINING WALL N SWIMMING POOL DEMOLITION I PRE -MOVE INSPECTION EXCAVATION OR FILL TOTAL AMOUNT DUE I herebyacknowledge that I have read thin application; that the In- i6 formation given Is correct; and that I nm the owner, or the duty author- ized agent of the owner. I agree to comply with city and elate laws regu. ATTENTION APPLICATION APPROVAL lating construction; and In doing the work authorised thereby, no person Washingtonwill be employed 1, vlolntlop of the Labor Code of the State of Washington THIS PERMIT This application is not a permit until relntmg to Workmen's Compensation Insurance. AUTHORIZES signed by the Building Official or his Dep - NOTE: Permit Limit One Year (Except DEMOLITIONS which ONLY TIIE WORK NOTED uty; and fees are paid, and receipt is So. shall be completed In ninety days; MOVED -IN BUILDINGS shall be corn- 1D3 ledged In Space provided, pleted in six months.) Oil AGENT) DATE 816NED INSPECTION IRE '8 TORE , DEPARTMENT _ Ljj0WNEII 9-2G -7 ' CITY OF EDDtONDS DATE -- NOTE: Applicant Subject to Plan Check Fee Zd 775-2525 This Perinll coven work to be done on private property ONLY. Any construction on Ilse public domain (curbs, sidewalks, driveways. FILE mnrpurrs, etc.) -111 require separate permleelon. NEW RESIDENTIAL ❑ LINE 7 ,,, SITE IS LOCATED IN THE CITY 110-_-EBIDENTIAj ON 061 I ; , � -,. -_2 RETAINING /1-(. . .2. RE ARKBI 11121MIN1261)'D 31.04. 0LL DEMOLISH WA ElALT.. E] FENCE ❑PENCE OR FILL ( X... Ft.) UaE PERMIT REPAIR E] PRE -MOVE El SWIM 0 U I LDING DEPARTMENT AppU,,ntFlu heavy Lines ZONE b4 NUMBER –ju— INSP. POOL Inside PERMIT APPLICATION a i" ADDRESS —BUSINESS) NAME (OR NAME OF U NITS F PFR1,11811115'. ACTUAL LO, COVERAGE. LOT COVERAGE NATURE OF WORK TO BE DONE . 64 PERMISSIBLE HEIGHT PROPOSED HEI IT Receipt No. Plan Check N. ................... ... At, BLDG. AREA (A11)&1")S /Vo/ It POS REQ RED YARDS PROED YARDS BUILDING NAME FRONT SIDE REAR FRONT 81—DF REAR PLOT PLAN (Indicate Building sot c batting street.) HEAT & GAS LINE ADDRESS LEGAL LOT - &VARIANCE OR CO�DITIONAL dS`L PERMIT NUMBER 0 YES [3 NO PLANNING DEPT.'APPROVAL PENCE CITY TELEPHONE NUMBER ",IT7E STREET it/ IV 0 SIGN EXISTING STREET R/ :JFT. DEFICIENCY THIS PROPERTY N NAMECOMP. PLAN ST.- It/ 47 10 FT. Pl SWIMMING POOL 1,v r, REMARKSdopes not to (,,Xceel DEMOLITION 41 AD.REG iiwicati,(f on Standard !In. z PRE -MOVE INSPECTION CHECKED BY CITY TELEPHONE NUMBER I TOTAL AMOUNT DUE METER SIZE BERVI./-, I.. CLEARANCE CHEC BY I ' th do he' - I = a "er, or the formation given is correct; and that I outo the Owner, or the duty author - y ".,�CED STATE LICENSE NUMBER CITY LICENSE NUMBER , " complyWf' g elate p b d - laws.... Iced agent of Ills owner. I agree to comply with city arid late laws rtgu- R, .L ATTENTION APPLICATION APPROVAL "._an Riling construction: and In doing the Work authorized thereby, no person ".. -.'it .the - - y 0 REMARKS /- Ne Labor Code of the State of WuhIngton will be employed In violation of Lh TIC18 PERMIT Legal Description of Property (Show Below or Attach Four Copies) , blef Ig ' 10 relating to Workmen'. Comp—atl n Itusuream. AUTHORIZES signed by the Building Official or his Dep - 70 rY' ell( 440t 71 k TYPE CONNECTION VERIF ED BY ONLY TIRE WORK NOTED uty; and fees are paid, and receipt is ac - M , .hall be completed In id..ty day.; MOVED -IN BUILDINGS hall be com. ;�i Imowledged in space provided. pleted In six months.) It', rut Ow &Z /A E I? RC..TES TP!k p7i SIGNATURE (OWNER OR AGENT) DATE SIGNED INSPECTION DEPARTMENT —DIRECTOR -11 SIGNATURE i'. I I L )j CITY OF 7YI, DATE NOTE: Applicant Subject to Plan Cbeck Fce FIRE ZONE TYPE OF CONSTRUCTION STREET IMPROVED This Permit ro-ra Work to be done on Private property ONLY. []'YES [] No Any r—lr H.. on it.e public domain (.tub., sidewalk., dri-Ir".. INSPECTOR SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP C] YES O -NO I NEW RESIDENTIAL ❑ LINE I,.. CHECKED BY ,,, SITE IS LOCATED IN THE CITY 110-_-EBIDENTIAj ON 061 I ; , � -,. OF E LOCAL SALES TAX RETAINING /1-(. . .2. RE ARKBI 11121MIN1261)'D 31.04. 0LL DEMOLISH WA ElALT.. E] FENCE ❑PENCE OR FILL ( X... Ft.) REPAIR E] PRE -MOVE El SWIM INSP. POOL NUMBER OF STORIES NUMER OF DWELLING U NITS F NATURE OF WORK TO BE DONE Valuation Fee Receipt No. Plan Check N. ................... BUILDING PROPOSED USE PLUMBING PLOT PLAN (Indicate Building sot c batting street.) HEAT & GAS LINE PENCE SIGN RETAINING WALL N SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL TOTAL AMOUNT DUE this p I n- ... read is a "C"I"' that I I hereby acknowledge that I have read this application; that the In- ' th do he' - I = a "er, or the formation given is correct; and that I outo the Owner, or the duty author - y complyWf' g elate p b d - laws.... Iced agent of Ills owner. I agree to comply with city arid late laws rtgu- R, .L ATTENTION APPLICATION APPROVAL "._an Riling construction: and In doing the Work authorized thereby, no person ".. -.'it .the - - y 0 Ne Labor Code of the State of WuhIngton will be employed In violation of Lh TIC18 PERMIT This application Is not a permit until ' 10 relating to Workmen'. Comp—atl n Itusuream. AUTHORIZES signed by the Building Official or his Dep - - l NOTE: Permit Limit One Year (Except DEMOLITIONH which ONLY TIRE WORK NOTED uty; and fees are paid, and receipt is ac - M , .hall be completed In id..ty day.; MOVED -IN BUILDINGS hall be com. Imowledged in space provided. pleted In six months.) SIGNATURE (OWNER OR AGENT) DATE SIGNED INSPECTION DEPARTMENT —DIRECTOR -11 SIGNATURE i'. CITY OF EDMONDS DATE NOTE: Applicant Subject to Plan Cbeck Fce 775-2525 This Permit ro-ra Work to be done on Private property ONLY. Any r—lr H.. on it.e public domain (.tub., sidewalk., dri-Ir".. INSPECTOR marque.., etc.) %%III require separate permission.