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740559.pdf- I a Id YES [] NO 1 q OCCUPANCY GROnUP / — r RESIDENTIAL ❑❑ GA8 LIN.. ❑ NO - Com - ❑ NEW AN PLAN CFIECK IIy `t THIS SITE IS LOCATED IN THE CITY NON-RESIDENTIAL ❑ SIGN BUILDING DEPARTMENT Applicant Ful °� J NUMBER 740559 ElAnn RETAINING REMARKSWALL SHOULD/) BE COD,ED1.�1.4y.�� PERMIT APPLICATION Inside Heavy Linos JOB ADDRESS /1 oo ElDFI ❑ FENCE JJ�J•s PC�• rJ / �oeCJ /N L �•/v'I�Iv NAM (OR NAME OF BURIN B) / 0 ALTER ❑OR FILL EXCAVATE ❑ (z Fl.) .......... .......... ❑ REPAIR [:] INSP. RE -MOVE ❑ PSWIMOOL �� I�l �/� % V�CJ�/L ONL 7 . ALL IVd/_K_ PC ��J�I NUMBER OF HTIR1E0 NUMBER OF —' DWELLING PEIIMII10IBLE . LOT COVERAGE /, 3 ACTUAL LOT COVERAGE O k UNITS 1 NATURE OF WORK TO BE DONE T' MAILINGADDREUS PERMISSIBLE HEIGHT PROPOS D EIGHT �oIJa�C d JI 0 BUILDING l Soo /Oooy F LL/RV ao' 7? / --- jljjjJJJ D PLOT PLAN (Indicate Building sethaflkB, abutting streets) .� HEAT & GAS LINE < O CITY TEyLEPH//ONE NUMBER ACTUAL LOT pgSp TOTAL BLUO. AREA z FENCE / B1GN PROPOSED YARDS RETAINING WALL - NAME N FRONT BIDE REAR BIDE REAR SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION LEGAL( ® YES LOTO NO PERMIT NUMBEI N ISO AL 8E 1 `t,"'I N� D EXCAVATION OR FILL ADDRESS 7 V 1 hereby acknowledge that I have reed this application ; that the In- PLAN D AP OVAL /a CITY TELEPHONE NUMBER Iarmntion given le correct; and that I am the owner, or the duly author. tzed agent of the owner. I agree to comply with city and elate laws raga• I APPLICATION APPROVAL STREET n/w EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY o a will be employed In violation of Ne Labor Code of the State of Washington TRIS PERMIT NAMEa 1 COUP. PLAN 8T. R/W ............Fr. ............FT. � I i NOTE: Permit Limit One Year (Except DEMOLITIONS which ONLY THE WORK NOTED uty; and fees are paid, and receipt is aC- ' / Q Dlal z/ shall leled Inn ys; BUILDINGS shall be fleas• REMARKS kRowledged LR space provided. 'a eted Ia six me GADDRESS SIGNATURE (OW R OR AOE DATE BIG ED INSPECTION DIRECT B B10NATU x DEPARTMENT [. pC CITY OF EDMONDS R TELEPHONE NUMDE / �/� (CHECKED BY W This 1•ermit rovers work to be done on Private property ONLY. C (. CITY I Any constrn rtlon nn the public demnin (curbs• able -1k., drh­a iii ,r,l„r,•�, � , rr 111 rr,l etre xrpnretr prrmissisn. � I 0 O STATE LICENSE NUMBER CITY LICENSE NUMBER METER SIZE I SERVICE SIZE I CLEARANCE 1 It !1t� CHECKED BY y •. I ��1C�Mr 1`V `��C REMARKS Legal Description of Property (Show Below or Attach Four Copies) r• TYPE CONNECTION VERIFIED BY 0 {r+ y. PERO. TEST PERMIT NUMBER U I W J REMARKS. (C EXLST• m l FI AE TYPE O ONSTRUCTION STREET IMPROVED i - I a Id YES [] NO 1 SPECIAL INSPECTOR REQUIRED OCCUPANCY GROnUP r RESIDENTIAL ❑❑ GA8 LIN.. ❑ NO - Com - ❑ NEW AN PLAN CFIECK IIy `t THIS SITE IS LOCATED IN THE CITY NON-RESIDENTIAL ❑ SIGN (��(11jj//t). 'A L, ) OF EDMONDS. LOCAL30SALES TAX ElAnn RETAINING REMARKSWALL SHOULD/) BE COD,ED1.�1.4y.�� ElDFI ❑ FENCE JJ�J•s PC�• rJ / �oeCJ /N L �•/v'I�Iv ALTER ❑OR FILL EXCAVATE ❑ (z Fl.) .......... .......... ❑ REPAIR [:] INSP. RE -MOVE ❑ PSWIMOOL �� I�l �/� % V�CJ�/L ONL 7 . ALL IVd/_K_ PC NUMBER OF HTIR1E0 NUMBER OF —' DWELLING /, 7�7, ` I) (.,.o f 1'e -n -o /'Y' /-> 14 to /�, UNITS NATURE OF WORK TO BE DONE Valuation Fee Receipt No. �7 ^�e %J'7fI.�7cLr �K/r, % /it/C• !/['/iL/JiA/E: Plan Check No ..................... JI 0 BUILDING l Soo I, /��~ PROPOSED USE I G MM L PLUMBING C 7? / --- jljjjJJJ D PLOT PLAN (Indicate Building sethaflkB, abutting streets) .� HEAT & GAS LINE < FENCE B1GN RETAINING WALL - N SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL TOTAL AMOUNT DUE 1 hereby acknowledge that I have reed this application ; that the In- Iarmntion given le correct; and that I am the owner, or the duly author. tzed agent of the owner. I agree to comply with city and elate laws raga• ATTENTION APPLICATION APPROVAL leting construction; and In doing the work authorized thereby, no person will be employed In violation of Ne Labor Code of the State of Washington TRIS PERMIT This application Is not a permit until 1 relating to Workmen's Compensation Insurance. AVTDOBIZES signed by the Building Official or his Dep- I i NOTE: Permit Limit One Year (Except DEMOLITIONS which ONLY THE WORK NOTED uty; and fees are paid, and receipt is aC- shall leled Inn ys; BUILDINGS shall be fleas• kRowledged LR space provided. eted Ia six me SIGNATURE (OW R OR AOE DATE BIG ED INSPECTION DIRECT B B10NATU � / -7W y DEPARTMENT Check Fee CITY OF EDMONDS - DATE TE: pplieast Subject to Pid 775-2525 This 1•ermit rovers work to be done on Private property ONLY. ' Any constrn rtlon nn the public demnin (curbs• able -1k., drh­a FILE, ,r,l„r,•�, � , rr 111 rr,l etre xrpnretr prrmissisn. � s � , Y+r +eT ..l':',1 -+J—..._..., .. �— •. i�rP 4W - '--^ ;`sy-.-.- 1 h r , J ti ........ :.. S. } 1 1 • , { I < T. . :a RECORD OF INSPECTIONS' _I Date Passed • Foundation ---.— i. ` Plumbing (Partial) Ij (Rough) r i4 Frame' /E -/7- Furnace & Fuel Lines Final q171