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740612.pdf__ VMW 0C, CITY I TELEPHONE NUMBER DMak(pS- ❑ 778--sS1/o NAME ❑ /—, /-7l Ggl%/LE /� �✓l7 /�SSoGI BUILDING DEPART M E N T Applicant Fill USE Zoe/Y PERMIT NUMBER 740612 7�1 PERMIT APPLICATION I Inside Heavy Lines ADDRESS/ q 3 0 5- I i NAME (OR NAME OF BUSINESS) %� �8� a pE / �/ PERMIVrRA LOT COVERAGE •� ACT AL LOT COVEAGE ECs CITY ,/7 W MAI LING ADDRESS �� PERMISSIBLE HEIGHT I V O PROPOSED HEIO / L, METER SIZE SERVICE SIZE CLEARANCE /g30r Ol-VA-f SII VMW 0C, CITY I TELEPHONE NUMBER DMak(pS- ❑ 778--sS1/o NAME ❑ /—, /-7l Ggl%/LE /� �✓l7 /�SSoGI W ADDRESS JZ'� f3EE'so�/ l�LJ�GI C1TY EXAVATFE TELEPHONE NUMBER €OMo,tIIoS / w Y�, I NAME OnCFILLE C ADDRESS I ECs CITY —11 TELEPHONE NUMBER — O METER SIZE SERVICE SIZE CLEARANCE CHECKED BY STATE LICENSE NUMBER INSPbfOVE CITY LICE BE NUMB] 2Z3-al-/bs"i3 NUMBER OF STORIES NUMBEROF I Local De.criotion of Properly (Show Below or Attach Four Copies) Tracts, as per plat, records of Snohom- lsh Co., easement for egress south 20 ft W of the west 200 ft. Snohomish Co.. State (/E RESIDENTIAL ElLINE ACTUAL LOT AIIA TOTAL BLDG. AREA 0 NEW 700 L -XIS j'f` AIc.J REQUIRED YARDS PROPOS F,D YARDS NON-RESIDENTIAL ❑ SIGN ADD ❑ DEMOLISH ❑ BETA EJ ALTER j EXAVATFE ❑ COMP. PLAN ST. R/W ............FT. ............FT. ❑ OnCFILLE � (ENC. .......... Ft.) REPAIR —11 CHECKED BY ' ) I METER SIZE SERVICE SIZE CLEARANCE CHECKED BY ❑ INSPbfOVE ❑ POOL NUMBER OF STORIES NUMBEROF REMARKS 6 fs — tUo cE7,sNGrC' TYPE CONNECTION VERIFIED BY DWELLING PERC. TEST PERMIT NUMBER C r REMARKS m UNITS FIRE )Z) jOj//YE TYPE OF NBTA�U/�jTION STREET IMPROVED NATURE OF WORK TO BE DONE I hereby acknowledge that I have read this application: that the in- SPECIAL INSPECTOR REQUIRED �'Toi2. ROD�r�v f� '-A y 3D { __ i3 ACTUAL LOT AIIA TOTAL BLDG. AREA x i 700 L -XIS j'f` AIc.J REQUIRED YARDS PROPOS F,D YARDS FRONT BIDE REAR FRONT BIDE REAR I z� /LI as Nla ,u,a4 LEGAL LOT VARIANCE OR CONDITIONAL UBB PLUMBING a YES E3 NO PERMIT NUMBER PLANN G DEP APPRO L �' T j STREET R/{V EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY COMP. PLAN ST. R/W ............FT. ............FT. p: 1 W REMARKS � FENCE O Z W —11 CHECKED BY ' ) I METER SIZE SERVICE SIZE CLEARANCE CHECKED BY I I I SWIMMING POOL REMARKS 6 fs — tUo cE7,sNGrC' TYPE CONNECTION VERIFIED BY i PERC. TEST PERMIT NUMBER C r REMARKS m FIRE )Z) jOj//YE TYPE OF NBTA�U/�jTION STREET IMPROVED " - YES AGI NO 1^' I hereby acknowledge that I have read this application: that the in- SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP formation given Is correct; and that I am the owner, or the duly aulhor- '-A I Uld agent of the owner. I agree to comply with city and state laws regu- I] YES NO APPLICATION APPROVAL InUng construction; and m doing the work authorized thereby, no person H ED Y THIS SITE IS LOCATED IN THE CITY OF EDMONDS. LOCAL SALES TAX THIS PERMIT SHOULD BE CODED 31.04. relating to Workmen's Compensatloa Insurance. EMARK signed by the Building Official or his Dep - 6-471L/S"7-6,A-_ 77-11.1 P 4466 /97! ONLY E TitE WORNOTED nty; and fees are paid, and receipt is ac - shall be completed In ninety days; MOVED -IN BUILDINGS shall be com- Fee Receipt No. I 1J •.� i ✓`%'/✓%O%%l'G— �i��-/{{ �, Ilan Check N. ..................... BUILDING ,y��� 17 T7�I a (� l PROPOSED USE ,,0- 'SC- IvcaT-I�a. PLUMBING = PLOT PLAN (Indicate Building setbacks, abutting streets) HEAT d: GAS LINE m � FENCE SIGN _ 1 RETAINING WALL N SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL TOTAL AMOUNT DUE •�o (J Ca I hereby acknowledge that I have read this application: that the in- raiCe+ formation given Is correct; and that I am the owner, or the duly aulhor- Uld agent of the owner. I agree to comply with city and state laws regu- ATTENTION APPLICATION APPROVAL InUng construction; and m doing the work authorized thereby, no person will be employed In violation of the Labor Code of the Stale of Washington THIS PERMIT This application is not a permit until relating to Workmen's Compensatloa Insurance. AUTHORIZES signed by the Building Official or his Dep - NOTE: Permit Limit One Year (Except DEMOLITIONS which ONLY E TitE WORNOTED nty; and fees are paid, and receipt is ac - shall be completed In ninety days; MOVED -IN BUILDINGS shall be com- knowledged In space provided. pleted In six months.) SIGNATURE (OWNER OR AGENT) DATE SIGNED INSPECTION IR T B'S tl10N TURF ,� Ue)L'. 7'1 DEPARTMENT CITY OF / NOTE: Applicant Subject to Plan Check Fee EDhIONDS w'rE % 7 775-2525 Tills1'ennit cover. work to W done on private properly ONLY. Any cans.. Lan ml the public ],,main (curbs, sidewalk., driveways, FILE ,rla".v. ,•Ic.r „III rrilclr,wepurala prrn,l,.lnn. //- i 7- � �(- ,a ,,f� aecrloris Date Passed Foundation Plumbing (Partial)` (Roue"r)) _ Frame_ 7_ Furnace & Fuel Linas" b Final