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740549.pdf�S C4 CITY I TELEPHONE NUMBER NAME (I o Ut ADD�REd °� TELEPHONE NUMBER F O 404. 7 t?Lve k3) r -Qu /i,` .",vii 19--a - S ^— O irXd u7YLR 2 [-[Jl�'N SA /!J tr'./FSe.glc?.y� V � v a STREET T R/W rr++,� • EXISTING STREET R/W�Wr,.q,j�I.Q1T. EPICIENCY THIS PROPERTY RESIDENTIAL ❑ UBE PERMIT 740549 NUMB ER B U I L D I N G DEPARTMENT Applicant Fill ZONE O PERMIT APPLICATION I Ina1dB IleaYy LinesO J7 —ADDRESS C ED Y 3�f � I (OpR/[ E W" DEMOLISH / Ntd IA�D'URE08� Ul/JAA L RM ISdIDA ^ o LFD[`<r LT F�9LOT" COVEAOE —K�AM� MAILING 2Tye. Zk — � v Gc.• PERA11tlSIDLE } EIOIIT[ PIIOI'OtlED HEIGHT , ' TOTAL II�O�A�EA EXCAVATE ❑ T-LEPIGIIINII NUMBER ACTU L �r 71 ff G /C'I+ {Z Zl/-1 O[V ISS � 6 1` / O(^ REQUIRE YD(A ROD(tl P�R,OPOBED YA RDH REAR (x..........Ft.) NAME FRONT SIDE REAR FRONT SIDE Z .� 7NAL U W ADDRESS LEOAI, LUT VARA Olt C DITIOUBE (g YES ❑ NO PERMIT NUMBER �S C4 CITY I TELEPHONE NUMBER NAME (I o Ut ADD�REd °� TELEPHONE NUMBER F O 404. 7 t?Lve k3) r -Qu /i,` .",vii 19--a - S ^— O irXd u7YLR 2 [-[Jl�'N SA /!J tr'./FSe.glc?.y� V � v a VATURE OF WORK TO BE DONE Pjv O EPT. A PROVAL All STREET T R/W rr++,� • EXISTING STREET R/W�Wr,.q,j�I.Q1T. EPICIENCY THIS PROPERTY RESIDENTIAL ❑ LINE• � Emewmpp l NEW ❑ NON-RESIDENTIAL C ED Y gION I ADD ❑ DEMOLISH ❑ RAIZNINC ALTER EXCAVATE ❑ ENC ff G ❑ OR (x..........Ft.) REPAIR PnE_INSP. tOVE SWI ❑ RETAINING WALL O POOL (UMBER OF STORIES NUMBER OF SWIMMING POOL DWELLING DEMOLITION j UNITS / VATURE OF WORK TO BE DONE Pjv O EPT. A PROVAL All STREET T R/W rr++,� • EXISTING STREET R/W�Wr,.q,j�I.Q1T. EPICIENCY THIS PROPERTY COMP. PLAN ST. R/Y1ltL.oq,'T. ....{..J.I`T. REMARKS Driveway slopes not to exceed those indicated on Standard Dwq. No. 103 � Emewmpp l HE HED BY METS/R SIZE SERVICE SIZE CLEARANCE C ED Y I 1 I .2 .O REMARKS n/ TYPE CONNECTION VERIF ED BY gW�2 PERC. TEST I PEA A[BER REMARKS z ra kMI M . p 1 r 1 li I �I FIRE --ZONE I TYPE OF CONST/RUCTION STREE IMPROVED j ay SPECIAL INSPECTOR/g� GUIRED OCCUPANCY GROUP � YES E�T�V PLAN CHEC Dr THIS SITE IS LOCATED IN THE CITY OF EDMONDS.LOCAL SALES TAX SHOULD BE CODED 31.04. MAR 9 // O�✓ L%�/!/CT/dam% /�� L/ (%/.3G /i i i Valuation Fee R ... 1pl No. No ..................... .................... I BUILDING (I ' 4 PROPOSED USE �— .2 .O PLUMBING Q d PLOT PLAN (Indicate Building setbacks, abutting streets) HEAT A GAS LINE ff G PENCE SIGN RETAINING WALL N SWIMMING POOL DEMOLITION j PRE -MOVE INSPECTION EXCAVATION OR FILL TOTAL AMOUNT DUE I hereby acknowledge that I have read this application; that the In- formation given Is correct; and that I am the owner, or the duly author - tied agent of the owner. I agree to comply With City and state law. regu- ATTENTION APPLICATION APPROVAL lating construction; and In doing the work authorized thereby, no peter. w111 be employed In violation of the Labor Code of the State Of Washington THIS PERMIT This application is not a permit until ' relating to Workmen'. Compensation IMUesace. AUTHORIZES signed by the Building Official or his Dep - NOTE: Permit Limit One Year (Except REMOI.ITIONS which ONLY TIIE WORK NOTED uty; and fees are paid, and receipt is ac .hall be completed In ninety days; MOVED -IN BUILDINGS shall be coon- OWlelged in space provided. . plated In six months.) ) (OWNER OR AGENT) DATE tlIONEU INSPECTION DIT'!.NATURE ZATUIIII 7q DEPARTMENT e clTy of EDMONDS DAT NOTE: Applicant Subject to Plan Cheek Fee 775-2525 This Prn.lt N.'rr. work 1. be dune an private property ONLY. Any construction on file public domain (curbs, sidewalks, drive oz., marque— rlc.) will require separate permWIon. FILE I BUILDING DEPARTMENT AppucantFil t%C_Bice` ` PERMIT OPUCATION I Inside Heavy Lines NAME (OA NAME OF BUSINESS) � % �. - .J•'._. MA LIN ADDR SB V, ACT AL LOT COVERAOD LOT COVERAGE .�-� 11 CITY—N. UMBER ACTUAL LOT AREA ( i n$'flAJ I NAME PROPOSED YARDS ADDRESS ADDRESS �� n� :41 �� � _.-". � % �. - .J•'._. PERDSItld[DLE ro ACT AL LOT COVERAOD LOT COVERAGE .�-� 11 PERMISSIBLE H,IGIITr ROPOHND HEIGHT ACTUAL LOT AREA TOTAL. Bl.D-. A.rEA CHE ED BY / I ItE4Ut—It-ED' ARDS PROPOSED YARDS FRONT SIDE REAR FRONT SIDE REAR r LEOA1. LOT VAIZIANCL• OR CO D TIONAL USF. YES NO PERMIT NUMBER N y PLA�'jNINO DEPT. APPROVAL DATE: O TELEPHONE NUMBER a CITY �] ! I STREET R/W � t�'l n•�" `�7 Y.1 D EXISTING STREET R/WrA.:Gtvt'• 1�E�+'Id1L1 NTHIS PROPERTY COMP. PLAN ST. R/Wta .L^.?1tT. •••.(•.aFT• W I REMARKSz I)1 vvvidy Slores not to Il 11 1113 w 1 CHECKED BY , METER SIZE I SERVICE SIZECLEARANCE CHE ED BY / I E]IE NPLANS { i ' I CH: ' � NON-RESIDENTIAL ❑ N y PLA�'jNINO DEPT. APPROVAL DATE: O TELEPHONE NUMBER a CITY �] ! I STREET R/W � t�'l n•�" `�7 Y.1 D EXISTING STREET R/WrA.:Gtvt'• 1�E�+'Id1L1 NTHIS PROPERTY COMP. PLAN ST. R/Wta .L^.?1tT. •••.(•.aFT• W REMARKSz I)1 vvvidy Slores not to L'xcaPd incticatoo oil Standard Flwa t30. 1113 w .� r� MX S, E/VS,a1AE' r A 2 / CHECKED BY , METER SIZE I SERVICE SIZECLEARANCE CHE ED BY / RE RKS E]IE 3! —/J I 0 -?SBL ---p NO ;CTOA REQUIRED OCCUPANCY -ROUP D BY THIS SITE 1S LOCATED IN THE CITY li Of EDMONDS.. CAL SALES TAX SHOULD BE CODEDLO31.04. /��'t,ir".iJi l /.%�- L/ Vii;••;'`., ; �� _,<' Io •. , ' _-q? f l%Ur• tld AV flan Check No ..................... j - • ' HUILbING � `:.t'-:.x':».�....... -, -. � r O� SPECIAL O RESIDENTIAL E]IE NPLANS [3 nNEW CH: ' NON-RESIDENTIAL ❑ BICN - nADDE] ❑ �R`rEALL TA DUNG REMARK: DEATOLISH S(' SIGN n ALTER ❑ EXCAVAOR ILL E El .......... X.. =•'/ /.. El REPAIR ❑ ❑ SWIM INSPDfOVE POOL ." 4^ IUMSER OF STORIES NUMBER OF DEMOLITION DWELLING 1 I ' UNITS PATURE OF WORK TO DE DONE 3! —/J I 0 -?SBL ---p NO ;CTOA REQUIRED OCCUPANCY -ROUP D BY THIS SITE 1S LOCATED IN THE CITY li Of EDMONDS.. CAL SALES TAX SHOULD BE CODEDLO31.04. /��'t,ir".iJi l /.%�- L/ Vii;••;'`., ; �� _,<' Io •. , ' _-q? f l%Ur• tld AV flan Check No ..................... j - • ' HUILbING � `:.t'-:.x':».�....... -, -. � r O� PROPOSED USE PLUMSIN6 PLOT PLAN ( Indlea101;iulldlaj� }af �e�@; abutting streets) HEAT & GAS LINE PENCE SIGN RETAINING WALL N _— SWIMMING POOL DEMOLITION I PRE -MOVE INSPECTION EXCAVATION OR FILL TOTAL AMOUNT DUE I hereby acknowledge that I have read this application; that the In- formation given Is correct; and that I sm the owner, or the duly author- Ized agent of the owner. I agree to comply with city and stale laws regu- ATTENTION APPLICATION APPROVAL `S ,at,.. construction; and In doing the work authorized thereby, no person will be employed In Violation of the Labor Code of the State of Washington TIHS rERIKIT 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 DE:11OLITIONS which ONLY TILE {YORK NOTED uty: and fees are paid, and receipt is ac- i shallbe completed In ninety days; MOVED -IN BUILDINGS shall be coo. knowledged in space provided. plelcd In six menthe.) .1 - I IIGNATURE (OWNER OR AGENT) DATE SIGNED INSPECTION DIRECTOR'S SIGNATURE , DEPARTMENT ., • 4 1- j ..:...:.. -- CITY OF ED5IONDS UATE - NOTE: Applicant Subject to Plan CGcck Fee —'7 775-2525 This 1'ennit covers work to be done on private properly ONLY. Any construction on the put, le domain (curbs, sidewalks, driveway., INSPECTOR marquees, etc.) w'lll require separate Dernnleslon.