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740601.pdfA BUILDING DEPARTMENT ZONE PERMIT740601 Applicant Fill PERMIT APPLICATION I Inside Heavy Lines jola ADDRESS NAME (OR NAME OF HU8lNEBB) Oen •/��^ Q G I / •� I/�..� PEItMIeSIACTUAL LOT COVERAGEHLE LOT COV LGE at L% M IL% ADDRESS — Hwv 99N PERMISSIBLE PERMISSIBLE HEIGHT PROPOSED HEIGHT x oa39'31 (5 -1 -Ty TELEPHONE NUMBER ACTUAL LOT AREA TOTAL BLDO.AREA x NAME REQUIRED YARDS PROPOSED YARDS FRONT BIDE REAR FRONT BIDE REAR F ADDRESS LEGAL 0 YES L�0 NO PERMIT NUMBER VARIA OR NDITIONAL USE iU <R C1TYTELEPHONE NUMBER PLANNING DEPT. APPROVAL DATE: STREET R/lV EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY G 0 NAME C,C n) Q j COMP. PLAN ST. R/W ............FT. ............FT. RIIMARKB W ADDRESS ��17" , w ! {/ 6A(-4— � • CHECXED BY � F CIT TEL EPHONE NUMB I V `7 7 &'/ � STATE LICENSE NUaIBEIi CITY LICENSE NUMBER MISTER BI2E SERVICE BIZE I CLEARANCE CH CKED BY I pni �X /1 X•%/I`G Legal Description or Property (Show Below or Attach Four Copies) C) TYPE CONNECTION VERIFIED I s" YEIiC. TESTI PERMIT UMBER m W REMARKS � I .1 F1RE ZOLtE TYPE OF CONSTRUCTION STREET IMPROVED Its L{� YES NO SPECIAL INSPECTOR REQUIRED I OCCUPANCY GROUP RESIDENTIAL ❑ LINE ❑ NEW _F YEB ❑ NO PLAN CHECXED IIY THIS SITE IS LOCATED IN THE CITY NON-RESIDENTIAL eta. ADD OF EDMONDS. LOCAL SALES TAX SHOULD BE CODED Rind RETAINING DEMOLISH WALL REMARKS El ALTER ❑ EXCFILLAVATE E PENCE , _ r�,t-� �t �t�7-� tLQG5 Cvr1�J.A) 1. 1 AJ/ C/ C- =r' / t) � . x..........Ft.) PRE -SWIM REPAIR ❑ NSP. ❑ POOL ,I( ,W&V1 Aye •"D M5 F,-XH177-LSYJ l NUMBER F STORIESl NUMBER OF / DWELLING UNITS f���� # �� 6�(/1. QL//(-� ti'f NATURE OF 0 K TO BE DONE V¢luallon Fee Receipt Na. i 0ex C4a Plan Check N BUILDING (S•'� UBE - aPROPOSED O PLUMBING J v (� � PLOT PLAN (Inalcnte Bullaing -7 I setback., abutting street.) HEAT & GAS LANE FENCE I SIGN I i RETAINING WALL , N i 1 SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL TOTAL AMOUNT DUE I hereby scknawledge that I have read this app ilcntlor.; that the In- rorm¢tlan given Ie correct; and that I am the owner, or th. duly author- Irea agent or the owner. I agree to Comply with City and stale lows reg.- conetructlon; and 1. doing the work authorized thereby, no person ATTENTION APPLICATION APPROVAL 'viiiing In lall.. -1 the Labor Code the State or Wmhfngton THIS PERMIT rel¢tinge toplWorkmen'eeyed ComDensatlon Imurance?t AUTIKOFUZES This application is not a permit until NOTE: Permit Limit One Year (Except ONLY TILE signed by the Building Official or his Dep- which Shall bI completed In ninety days; MOVED -IN BBILDIN03 shall be com• BUILDINGS WORK NOTED uty: and fees are paid, and receipt Is ac- plclyd In six months.) Imowled gad In apace provided. SIGNATURE (OWNER OR AGENT) DATE SIGNED INSPECTION 1 / y�`Hr V /1 4 T DEPARTMENT RE O 'S ION URE CITY OF NOTE: Applicant Subject to Plan Check Fee EDMONDS 775-2525 DTE d Thi. Permit CaNers work to be done on private property ONLY. Any construction on the public do..ln (curbs, sidewalks, driveway., mm'queerse ., Or.) .ill require parate permleslnn• FILE 71 . ... ..... - i ....' '. r. 7�/pLeOJ.:. RECORD OF INSPECTIONS Date Passed Foundation Plumbing (Partial) ( Rough) Frame Furnace & Fuel Lines Final :.r i �— DEPARTMENT ZONE NUMBER BUILDING Applicant Fill � PERMIT APPLICATIONI Inside Heavy tmeg JOBDRESS , NAME (OR NAME OF DUS1NE08) % PERMLOTC q ` LOT COVERAGE VERA LOT CO LOT COVERAGE � M MAILING A13DIIESBC PE(tAiltldlBLE HEIGHT PROPOSED HEIGHT � (' -` - C) CIT Y TELEPHONE NUMBER ACTUAL LOT AREA TOTAL BLDG. AREA [ 17_7(�5 `3 REQUIRED YARDS PROPOBRD YARDS -.'S: FRONT °IDE REAR FRONT BIDE REAR , NAME' FLEGALL ADDRESS i LOT VAR ANCE OR CONDITIONAL USE PERMIT NUMBER _ - '--_� Q YES 0 NO PLANNING DEPT. APPROVAL DATE: - CITY TELEPHONE NUMBER '/ ' STREET R/W EXISTING STREET R/W ............F7'. DEFICIENCY THIS PROPERTY C NAME COMP. PLAN 8T. R/W ............FT. ............FT. W � r�i_(a5 T REASARICB G ADDRESS f x I� • CHECKED HY '. CC CITY TELEPHONE NUMBER I �'�, 'G/♦/7l1 _% ✓ 41 Z 81LE SERVICE SIZE CLEARANCE CHECKED BY ?7CA'7•i ./t:J / METER STATE LICENSE NUA7 E//RCITY LICENSE NUMBER I I I I /u � e� - � ' -. 1p 2 C .•7� REMARKS Legal Description of Property (Show Below or Attach Fear Copies) { TYPE CONNECTION BY i i O (VERIFIED ly PERC. TEST PERMIT NUMBER C Ip REMARICS W i .i FIRE ZONE TYPE OF CONSTRUCTIONSTREET IMPROVED _ . I '' r'YES 0 NO VOCCUPANCY SPECIAL INSPECTOR REQUIRED GROUP �-RESIDENTIAL ❑ GAS ❑YES CFyNO I NEW LINE PLAN.CHECKED BY THIS SITE IS LOCATED IN THE CITY NON-RESIDENTIAL NON -R SIGN !'L__...-._____.___. 01' EDMONDS. LOCAL SALES TAX ADD REMARKS DED SHOULD IiE CO31.04. ❑RETAINING DEAtOLISH WALL ^ ALTER EXCAVATE ❑ FENCE _ :.: !J_• /i . .";'-_ �; r �'+'✓t'-� % _�,a-: �/6�� .- ❑ OR FILL (.......... x .......... Fl.) INBP. swlhl PRE -MOVE POOL 'REPAIR E]El POOL NUMBER OF STORIES NUMBER OF DWELLING UNITS NATURE OF WORK TO BE/ DONE Valuation Fee Reeelpt No. a r L c .:awLl / G.�i---. t •f •t_:• c Ls_c_Jf-i b--...+� Pion Check No ..................... � ''1'�' (� '../l%-. i .Lr-_ .-2i) BUILDING -ZU C7 [O 4 PROPOSED USE PLUMBING - a PLOT PLAN (Indlcnto Building setback., abutting atresia) HEAT &GAS LINE 7 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 Is correct; and that I o a the owner, or the duly author- Ixed agent of the owner. I agree to comply with city and elate Iowa regu- ATTENTION APPLICATION APPROVAL luting conetructloa; and In doing the work authorized thereby, no person Will be, 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 Insurance. AUTHORIZES signed by the Building Official Or his Dep - NOTE: Permit Limit One Year (EXCept DEMOLITIONS whlcb ONLY THE WORK NOTED uty; and fees are paid, and receipt is so. shall be completed In ninety days: MOVED -IN BUILDINGS shall be com. knowledged in space provided. pleted In six months.) _.-. SIGNATURE (OIYNER OR AGENT) DATE SIGNED INSPECTION DIRECTOR'° SIGNATURE'S P i -� DEPARTMENT 'r,' �.•. _ ���j / '\ ( C „" CITY OF',I EDMONDS DTE / NOTE: Applicant to Plan Chcck Fee hhcant Subject 775-2525 This Permit covers ,.,it to be done on private property ONLY. Any construction on the public domain (curbs, sidewalk., driveway., INSPECTOR marquees, etc.) will repulre separate permiedon.