740589.pdff
BUILDING DEPARTMENT Applicant Fill
IT
z�E C N� BIER 740589
PERMIT APPLICATION Inside Heavy Lines
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ADDREeB •� b�
NAME (OR NAME OF HUB1NE00)
AOPERMISSIBLE
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ACT
LOT COVERAGE LOT VEtTAOE
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PERMISSIBLE C
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HEIOIIT PROPOSED HEt T
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TY
TELEPHONE NUMBER
ACI'SLOW A9
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1A
YARDS PROPOSIRDD YARDS
AME
FRONT HIDE REAR FRONT SIDE REAR
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N
ADDRESS
DECAL LOT VAI [ANCE OR CONDI ONAL USE
Ig YES [3 NO PERMIT NUMBER
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PLANNIN D P AP VAL pTE:
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CITY TELEPHONE NUMBER•
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NAME
DEFICIENCYT PROPERTY
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COMP. PLAN 8T. R/W .......... FT. ............ FT.
REMARKS
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ADDHESO
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CHECKED BY
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CITY
TELEPHONE NUMBER
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MhTFR S1LF. SERVICSIZE CLEARANCE
ECRED BY
STATEN
nLICENSE NUMBER
2E
O1 1451
CITY LICENSE NUMBER
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Lego( Dcecrlptlon of Property (Show Below
Attach Four Copies)
REMARKS
or
TYPE CONNECTION
VERIFIED BY
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PLRC, TEST
PERMIT NUMBER
i
a
REMARKS
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FIRE ZONE TYPE OF CONST/RUCTION STREET IMPROVED
IV I e'Y'a [3 NO
?;PECIAL INSPECTOR REQUIRED OCCUPANCY CROUP
RESIDENTIAL
GA8
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❑ YES M-1161 I •�
NEW
LINE
PLAN CHECK THIS SITE IS LOCATED IN THE CITY
'
NON-RESIDENTIAL
❑ SIGN
I OF ED ODS. LOCAL SALES TAX
K SHOULD BE CODED 31.04.
nnD RETAINING
DEMOLISH WALL
_
ltil�`MARKS
X I ALTER EXCAVATE FENCE
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OR FILL (..................
❑ ❑
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OVE 8
El REPAIR PRE -MMM
INSP. POOL
p
L[IDN/CI C/U Ly/
NUMBER OF 9TORI EB NUMBER OF
/ DWELLING
UNITS
NATURE OF WORK TO BE DONE
Valuation
Fee Recclpl No.
,
Plan Check N
lO
6,
PROPOSED
SUILDING
OOO
UeE
U
PLUMBING
SEP
f
PLOT PLAN (Indlcnta Building actbncke, thuttln6 streets)
HEAT A GAS LINE
S Lrn Pin
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9
7
FENCE
I
SIGN
RETAINING WALL
.
N
SWIMMING POOL
-
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE
thereby neknowledge that I have read t61e appllcallon; that the In-
farmnllon given 1s correct; and that I am the owner, or the duly author-
I.ed agent of the owner. I agree to comply with city and state ].We rest-
luting construction; and In doing the work authorized thereby, no
ATTENTION
APPLICATION APPROVAL
person
will be employed In violation of the Labor Code of the State of Waahlagton
relating to Workmen's Compensation Insurance.
THIS PERMIT
is
This application is not a permit until
permitun
NOTE: Permit Limit One Year (Except
AUTHORIZES
ONLY TIES
signed the Building Official his
p•
DEMOLITIONS which
WONT NOTED
uty; and fees are paid, and receipt Is ae-
shall be completed In ninety day.; MOVED -IN BUILDINGS ahall be com-
ledge apace
pletcd In nix months.)
provided,
SIGNATURE (OWNER OR ADEN )/ DATE S16NED
INSPECTION
C O B !G TUR
DEPARTMENT
I
1
r
CITY OF
t
EDMONDS
DATE
NOTE: Applicant Subject to Plan Check Fee
-
This Permit corers work to be done as prlvote property ONLY.
775.2525r
Any construction on the public domain (curbs, sidewalks, drirewaye,
'
i�,,nlu rrr, "t") "III ""I of", nepn+uta I_ 1"ilm.
FILE,
18 That portion of Lots 15 and 16, Block 2, Fruitland
Acres to Lake Ballinger, as per plat recorded inu
19 Volume 10 of Plats on page 47, described as follows: 't (.1�
20 Beginning at the intersection of the South line of
said Lot 15 and the Easterly line U.S. 99, thence
21 Easterly along the South line of said Lots 15 and
1.6 a distance of 200 feet; thence Northerly at
22 right angles, 100 feet; thence Westerly parallel
to said South line, to said Easterly line of U.S.
23 99; thence Southwesterly along said Easterly line
to the point of beginning;
24 EXCEPT that portion thereof conveyed to the State
of Washington by deed recorded under Auditor's
25 File No. 1639846.
BUSINESS PURPOSE
26 2. The premises are to be used for the purpose of operating an
27 Italian restaurant and related business which can include an "A",:'!'C" and "H"
28 liquor license, and for no other purpose or purposes without•first ob
29 taining written consent of Lessor.
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RECORD OF INSPECTIONS 1
Date Passed
Foundation
Plumbing (Partial)
(Rough)
Frame
Furnace &Fuel Lines
Final U
I