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740579.pdfIII` CIT BUILDING DEPARTMENT AppHeant Fill SE ZO E ERMIT NUMBER 740579 PERMIT APPLICATION Inside Heavy Linos I JOB ADDRESS L`0 /� of 5 �Lj!`. (.•(� NA !E (OR NAME OF BUSINESS) • Legal Description Of Property (Show Below or Attach Four Copies) PERMISSIBLE u ACTUAL I i .Y/�`'. LOT COVERAGE LOT COVEAOE N MAI W NG A -----S PERAfISSIBLE 8E36IIT PRDPOSED HEIGHT I 'ci T-- TELEPHONE NUMBER —) TV V 7 /, Z ACTUAL LOT AREA TOTAL BLDG. AREA REQUIRED YARDS PROPOSED YARDS NAME FRONT RIDE REAR FRONT SIDE REAR i 1r LEGA 1. LOT VARIANCE OR CONDITIONAL USE t kUj ADDRESS O YES NO PERMIT NUMBER H PLANNING DEPT. APPROVAL DATE: f 4' CITY I TELEPHONE NUMBER E STREET R/{V p EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY NAMEk7 COMP. PLAN BT. R/W ............FT. ............FT. ,tW REafARKS ADDRESS L W CCHECKED BY C, CITY TELEPHONE NUMBER I 'I V� METER BILE SERVICE SIZE CLEARANCE CHECKED BY Y LICENSE NUMBER STATE LICENSE UMBBIt CIT REMARKS Legal Description Of Property (Show Below or Attach Four Copies) I i TYPE CONNECTION VERIb•IED BY 1 G I I [+ PERC. TEST PERMIT NUMBER y. •alI W W REMARKS � o t I O FIRE ZONE OF CONSTRUCTION STREET IMPROVED i (TYPE YES Ej NO SPECIAL INSPECTOR REQUIREDOCCUPANCY GROUP ❑ RESIDENTIAL GAS ❑ LINE ❑ N ❑ YES O ! NEW PLAN CHECKED BY THIS SITE IS LOCATED IN THE CITY NON•HESIDENTIAL � BICN OF "MON LOCAL SALES TAX nnD RETAINING REMARKS SHOULD BE CODED 31.04. DEMOLISH WAIT' Fence requirements q section 2. ALTER EXCAVATFFOO OR .... g.........Fl.) ❑ FILL REPAIR ❑ PNEPMOVE ❑ SWIM S. OOL attached. ! NUMBER OF STORIES NUMBER OF I DWELLING UNITS 1 NATURE OF WORK TO BE DONE Vnluallan Fee Receipt No, j I -Ian Check Nn ..................... . 7. O �� BUILDING PROPOSED USE ' PLUMBING O PLOT PLAN (Indicate Building setbacks, abutting streets) HEAT A GAS LINE FENCE i� SIGN RETAINING WALL N SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL TOTAL AMOUNT DUE 1 hereby acknowledge that I have rand thl. aDDlicatlon; that the In- formation given le correct: and that I am the owner, or the duly author- Ired agent of the owner. I agree to comply with city and elate laws Mgn- ATTENTION APPLICATION APPROVAL Iathu, coastructlon; and In doing the work authorized thereby, no Damon 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 I)EMOLITIONS which ONLY THE WORK NOTED uty; and fees are paid, and receipt is ac - .hall be completed In ninety days; MOVED -IN BUILDINGS Shall be core• edg ace provided. pleted In six month..) SIGNATURE (Ul—it OR AGENT) DATE SIGNED INSPECTION Ift 'B a NATUR %JA 1A_z.` //Gv1 / CJ�G� .icy S/ DEPARTMENT i,(� s✓u CITY OF EDMONDS DATE NOTE: Applicant Subject to Plan Check Fee 779-2929 This Permit covers work to be done on private properly ONLY. Any construrtlon on the public domain (curbs, sidewalks, driveways, FILE morVuers. etc.l will reeWre separate permission. t H a� S U Z U C; (D) f USE PERMIT BUILDING DEPARTMENT 7405579 Applicant Fln ZONE NUMBER PERMIT APPLICATION Inside Heavy Lines NAME (OR NAME OF BUSINESS) HA NG ADDRESS Jr CITY TELEPHONE NUMBER JOB ADDRESS 5?" I -- r-+� 1 RE8[DENTIA1 F� GAS NEWLJ ACTUAL LOT AREA TOTAL HLDO. AREA LINE PROPOSED YARDS FRONT BIDE REAR I CHECKED BY NON-RESIDENTIAL LEGAL LOT VARIANCE OR CONDITIONAL USE AYES rl NO PERAtIT NUMBER SIGN ❑ ADD ❑ DEMOLISH ❑ NING RETAILL ALTER ❑ ORCFILLE FENCE FE Ft.) REPAIR REPAIR SIGN PRE -SWI RETAINING WALL ❑ INSP. O POOL( IUAIBER OF STORIES NUMBER OF DEMOLITION DWELLING EXCAVATION OR FILL UMTS TOTAL AMOUNT DUE ` JOB ADDRESS 5?" I -- r-+� 1 Jrt'LC. 7c LOT COVERAGE LOT COVERAGE ACTUAL LOT COVEitAGE PERMISSIBLE HEIGHT PROPOSED HEIGHT ACTUAL LOT AREA TOTAL HLDO. AREA REQUIRED YARDS FRONT SIDE REAR PROPOSED YARDS FRONT BIDE REAR I CHECKED BY REMARKS LEGAL LOT VARIANCE OR CONDITIONAL USE AYES rl NO PERAtIT NUMBER PLANNING DEPT, APPROVAL DATE: STREET R/W EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY COMP. PLAN ST. R/W ............FT. ............FT. REMARKS 11 CHECKED BY METER SIZE I SERVICE SIZE I CLEARANCE I CHECKED BY REMARKS PROP08ED USE TYPE CONNECTION (VERIFIED BY PL••RC. TEST I PERMIT NUMBER REMARKS 0 YES NO SPECIAL INSPECTOR REQUIRED I OCCUPANCY GROUP C] YES ❑ NO OF EDMONDS, LOCAL SALESTAX SHOULD BE CODED 31.04. REMARKS IZ.I'..Q;O Plan Check No ..................... BUILDING ' PROP08ED USE PLUMBING O aPLOT PLAN (Indicate Hulld111g setbacks, abutting etrccte) HEAT A GAS LINE ' I _} �... J FENCE SIGN RETAINING WALL N SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL TOTAL AMOUNT DUE ` I hereby acknowledge that I have read this application; that the In- _ -_•'-� ! formation given I. correct; and that I am the owner, or the duly author- Ized agent or the owner. I agree to comply with city and state law, regu- ATTENTION APPLICATION APPROVAL tabu; construction; and In doing the work authorized thereby, no person will bo employed In violation or the Labor Code of the Slate of Washington THIS PERMIT This application Is not a permit until relating to Workmen's Compensation Imuranoe. AUTHORIZES signed by the Building Official or his Dep - NOTE: Permit Limit One Year (Except DEMOLITIONS which ONLY THE wonK NOTED uty; and fees are paid, and receipt Is ac - .hall be completed In ninety day.; MOVED -IN BUILDINGS Shall be nam- ImoWledged in space provided. pleted In six months.) SIGNATURE (OWNER OR AGENT) DATE SIGNED INSPECTION DiREURII�' CRB SIONATi I DEPARTMENT 1 / J 41. --i -- CITY OF ' �-' :{-"L'ic, , .,f•a•—'-'I� EDMONDS DATE NOTE: Applicant Subject to Plan Check FeeL/ Aj 775.2525 This Permit covers work to be done on private Property ONLY. Any constructionon the public domain (curbs, sidewalks, dri—ye, marquees, eta) will require separate permission. INSPECTOR