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740574.pdfNAOF W,DIt1t '1'O HE DONE Valuation Fee Receipt No. �iLC/L/i1 l Plan Check No ..................... /a V BUILDING r USEI 70574 PROPOSED USE BUILDING DEPARTMENT I AppIleantFln NUMBER S _g _ PLOT PLAN (Indicate Building setback., abutting streets) HEAT & GAS LINE Inside Iienvy Lines PERMIT APPLICATION / FENCE ADDRESS A `fj- NAME (Oft NAME OF BUSINESS) .rte �p PEItMItldIBLEACTUAL J' �J / IAT COVERAGE ? /�` c•� LOT COVESFAOE J^ m MAILING//ADDR/E/B i PERMISSIBLE HEIGHT PROPOSED HEIGHT a tRETAINING O TOTAL 111 O CITY ` -G!J TE/L�E/PHONE/NUMB�jl.ft ACTUAL SOT /= A�bAREA REQUIRED YARPROPOSED YARDS F.q011Tf SIDE REAR NAME FRONT SIDE REAR ��t• V /! / 7{� LOT VARIANCE OR CON TIONAL UeE SWIMMING POOL HALEGAL ADDRESS OYES 0 NO PERMIT NUMBER y ` DEMOLITION y 16 V� PLANNIN EP APPROVA C/ pO, CITY TELEPHOfIE NUMBER STREET R/W O EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY Ai NAMEFT. COMP.PWN ST. R/W ............FT. ............ J� REMARKS '4 ADDRESSW O O1� U BY CITY TELEPIIONE NUMBER (CHECKED N p I METER SIZE SERVICE SIZE CLEARANCE CHECKED BY O STATE LICEN86 NUMBER LICENSE NUMBER Intln6 sane( ruction; and In doing the work authorized thereby, no Dexon will be employed In violation of the Labor Code of the State of Washington THIS PERMIT This application 1s not a permit until relating to Workmen'. Compensation Insurance. (CI Signed by the Building Official or his Dep. NOTE: Permit Limit One Year (Except DEMOLITIONS whlch ONLY TIL WORK NOTED uty; and fees are paid, and receipt is so .hall be completed In ninety days: MOVED -IN BUILDINGS shall be wm- knowledged 1n space provided, plated In six months.) REMARKS HGNATUIID OWNER 1 -AGENT) DATE SIGNED INSPECTION RE IN.CTOR'S -QIGNAT E i J Legal Description of Property (dhow Below or Attach Four Copies) ✓ CITY OF TYPE CONNECTION VERIFIED BY EDhIONDB O NOTE: AO(iUcant Subject to Plan Check Fee — • — y 775-2525 PERC. TEST PERMIT NUMBER � t•I. FILE marquees, atr.) will raq.,,. e,P-rata permission. W REMARKS s a C (Cil FIRE ZONE OF CONSTRUCTION STREET IMPROVED (TYPE NO YES 0 SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP GAS RESIDENTIAL ❑ YES [] NO I LINE NEW PLAN CHECKED BY THIS SITE IS LOCATED IN THE CITY TAX �t NON-RESIDENTIAL SIGN SHOULD IlE CODEDD 31 pgSALES ❑ADD ❑ WTA.ININC DEMOLISH AL REMARKS El ALTER EXCAVATE ❑ ❑ ORFILL( x .......... Fl.) SWIM REPAIR ❑ INSPhfOVE El POOL NUMBER OF STORIES NUMBER OF DWELLING UNITS NAOF W,DIt1t '1'O HE DONE Valuation Fee Receipt No. �iLC/L/i1 Jai- [yr/�L1lr// Plan Check No ..................... /a V BUILDING r Q PROPOSED USE PLUMBING PLOT PLAN (Indicate Building setback., abutting streets) HEAT & GAS LINE FENCE SIGN tRETAINING WALL 7{� I SWIMMING POOL ` DEMOLITION 16 V� PRE -MOVE INSPECTION EXCAVATION OR FILL J� r TOTAL AMOUNT DUE I hereby ,knowledge that I have read this application; that lila 1n• lormatlon given iscorrect: and that I Rin the owner, or the duly author. (red agent of the owner. I Agree to comply with city and state law. rag.- ATTENTION APPLICATION APPROVAL Intln6 sane( ruction; and In doing the work authorized thereby, no Dexon will be employed In violation of the Labor Code of the State of Washington THIS PERMIT This application 1s not a permit until relating to Workmen'. Compensation Insurance. AUTHORIZES Signed by the Building Official or his Dep. NOTE: Permit Limit One Year (Except DEMOLITIONS whlch ONLY TIL WORK NOTED uty; and fees are paid, and receipt is so .hall be completed In ninety days: MOVED -IN BUILDINGS shall be wm- knowledged 1n space provided, plated In six months.) HGNATUIID OWNER 1 -AGENT) DATE SIGNED INSPECTION RE IN.CTOR'S -QIGNAT E i J DEPARTMENT ✓ CITY OF EDhIONDB DATE NOTE: AO(iUcant Subject to Plan Check Fee — • — y 775-2525 Till. I'erndt acv work la be done a Private Property ONLY. Any construction on the public duntnin (curbs, sidewalks, drl-..Ye, FILE marquees, atr.) will raq.,,. e,P-rata permission. +.-... ... ------'- i r n azc I'h -�- LIGE Ntib 8 1405'74— BUILDING 4�Jr /- BUILDING DEPARTMENT Applicant Fill ZONE {� ' PERMIT APPLICATION I Inside Heavy Line- 77717 inea JOB }� ' ADDRESS �- I — /I• NAME loft NAME OF It PERM IdtlIBLE ACTUAL 'f LOT COVERAGE. LOT COVESiAOE MAl NO ADDRESS _ PROPOSED HEIGHT I PERJIItldiBLE HEIGHT / [ � ' ` n /11-1 TOTAL BLDG. AREA 7 CITY T LEPHONH UMBER ACTUAL LOT AR A' ., 3 I j(,. j �// •_� R QUIREO YAR.. PROPOSED YARDS REAR FRONT BIDE REAR W FRONT HIDE. - t LEGAL LOT VARIANCE OR CONDITIONAL USE f YES [3NO PERMIT NUMBER PLANNING DEPT: APPROVA[. TELEPHONE NUMBER / 1��7 STREET R/W ' EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY COMP. PLAN ST. R/W ............FT. [� .' REMARKS � YES M NO D EDMONDS. Valuation YES rl NO RESIDENTIAL ❑ GAS LIN NEW 'J• BUILDING --S) n n U V ❑ NON-RESIDENTIAL BION ADD U PLOT PLAN (Indicate Building ntback., abutting at rest.) HEAT & GAS LINE NINE ❑ DEMOLISH ❑ WALL El ALTER ORFILL E] PENCE x .......... Ft.) ❑ REPAIR ❑ PREINBPA1OVE El swild POOL ;UMBER OF STORIES NUMBER OF RETAINING WALL DWELLING UNITS TATURE OF WORK TO BE DONE L_! SWIMMING POOL YES M NO D EDMONDS. Valuation YES rl NO Plan Check No.. .................. 'J• BUILDING --S) n n U V PROPOSED USE PLUMBING U PLOT PLAN (Indicate Building ntback., abutting at rest.) HEAT & GAS LINE FENCE ' SIGN RETAINING WALL L_! SWIMMING POOL , DEDIOLITION PRE -MOVE INSPECTION _ _ EXCAVATION OR FILL \ TOTAL AMOUNT DUE I I hereby acknowledge that I have read this application; that the In- formation given Is correct; and that I aal the owner, or the duly author- ized agent of the owner. I agree to comply with city and elate lawn regu- ATTENTION APPLICATION APPROVAL Rating conte" tion; and In doing the work authorized thereby, no person will be employed In violation of the Labor Code of the Slate of Wmhington TIHB PERMIT This application is not a permit until relatlpg to workmen's Campeneallon Imuronee. 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 raid, and receipt Is ac- ehall be completed In ninety day.; MOVED -IN BUILDINGS Shall be Com- knowledged in space provided. plcted in eI. Mo. he. SIGNATURE (OIVNER OR AGENT) DATE SIGNED INSPECTION DlftEUR'B @1GNATUItE n (fj / - I DEPARTMENT ' CITY OF EDIILOND3 — DATE Cheek Fee NOTE: Applicant Subject to Plan 775-2525 Tole l'leolit rocr. work to Im done on private property ONLY. I Any cun.tructi m on the public domain (curb., eldowalke. drRewsys, INSPECTOR marquee., Me.) will require .epvate perntl.elon.