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740631.pdfr i I I PERMIT ZOO: 7q 06,'?I BUILDING DEPARTMENT Applicant FU 1p S_ - PERMIT APPLICATION I Inside heavy Lined dOH ADDRESS 301r"- NAME (OR NAME OF BUSINESS) I.OT COVBRAGFe ] L' '_u LOT COVEAAOE © � T7 t la (VHEIGHT a MAILING ADDRESS FIT PROPOSED liFSOHT YEItM ItltlIBLE HEIUH TUTAL C1 Yl %LDOS_AR TELEPHONE NUMBER ACTUAj LOOT �r✓�71� ..I.�A JRI�A S Z- 9 { REQUIRED YARUd VRRO USED YAKUd NkAtE rRONT SIDE REAR FRONT BIDE REAR �� �¢ 'a,7 LOT VARIANCE/—OR C N (TION LUBE LEGAL /y�,� ADDREtld Q YES ❑ NO PERMIT NUMBER (—o yF S 1'I.A NNI EP AYP OVAL V„1t-• U TE:tI� 7 C. CITY TELEPHONE NUMBER / ' - STREET R/W EXISTING STREET DEFICIENCY THIS PROPERTY O ;1 NAME COMP. PLAN dT. R/ ... Y.'`.SFT. ..L.A.....FT, � REMARKH Driveway slopes not to exceed those ADDRESS indicated on Standard Dwg. No. 103 W ----T—CHECKED SY e ei CITY TELEPHONE NUMBER 1.Ll Q D I V METY SIZE SERVICE SIZE CLEARANCE ED BY STATE LICENSE NUMBER CITY LICENN E NUMBER I MED _r 'Z_ I �! / REMAIKB ; Legal eecrlpll=n [ ProDerty (dho Below or Attach Four Copies) TYPE COrCNNNtECTION V1ERIFI' Y ('I a l�� t �' �•O PER0. TESTP R NUMBER a U •I�d. lnl m REMARKS FIRE ZONE TY2E.rO�F CONST/I�HCTION STREET IMPROVED I E .o' i/ ES NO y ❑ SPECIAL INSPECTOR QUIRED OCCUPANCY GROUP RESIDENTIAL GAS ❑ YES ICcv0 NEw LINE PL CHECKE DY THIS SITE (LOCATED IN THE CITY NON-RESIDENTIALs3aN OF EDMONDS. LOCAL SALES TAX HOULD BE CODED 31.04. ADD RETAINING EM ElDEMOLISH WALT •. FENCE G/r/li dG�rt/✓ C DALTER ❑ EXCAVATE ❑ CarILL (......... z_........ Ft.) PRE-MOVE SWIM 'A /JCC I REPAIR r INSP. POOL ✓� (/ S / �N"�/G��% �4N� ❑ .i r/ NUMBER OF STORIES NUMBER OF _Z_1 DWELLING UNITS NO. ! NATURE OF WORK TO BE DONE Valuation Fee Rccelpt 1•Inn Check No..................... � I BUILDING 7" l0 �— PROPOSED USE O PLUMBING a7, Sp — aPLOT PLAN (Indicate Building setbacks, abutting streets) HEAT A GAS LINE clo 5 FENCE 9IGN 5jl RETAINING WALL N SWIMMING POOL DEMOLITION PRE-MOVE INSPECTION ! EXCAVATION OR FILL TOTAL AMOUNT DUE 7' 1 hereby acknowledge that I have read this npDllc.tlon; that the In. rormatlen given le correct: and that I stn the ower, or the duly author. (zed agent eI the owner. I .gree to comply With city and 'tate law' raga- ATTENTION APPLICATION APPROVAL lath. construction; and In doing the work authorized thereby, ro Berson will be employed In violation of the Labor Code of the Slate or Waxhinglon THIS PERMIT This application is not a permit until ' relating to Workmen's Compensation Insurance. AUTHORIZES Signed by the Building Official or his Dep. ONLY THE NOTE: Permit Limit One Year (Except DEMOLITIONS which We. NOTED uty; and fees are paid, and receipt is ac- shall be completed In ninety days; DIOVED-1N BUILDINGS shall be cam. knowledged In space provided. Ix months.) ' 1GNATU E OtVNEIi OR AOE DATE B ONED INSPECTION C ft•B I TURF DEPARTMENT ` / �'� CITY OF ED51OND3 DATE ' NOTE: Applicaut Subject to Plan Cbeck Fre — 775-2525 l Vrope Y Ti:l' Pent., r vers work le be done an private property ONLY. Any caneta.,qun On the public domain (curbs, drirew''J', FILE permissio nturquere, 'Jr.) trill regWre neparnle permission. _ O nn ..................... BUILDING Oct CicJ i PROPOSED UBE • ti i PLOT PLAN (Indicate Bulidlnq FLbam bqt ing streets) HEAT & GAS LINE (i 1 I 0 FENCE I I SIGN l tRETAINING BUILDING DEPARTMENT Applicant Fill ZUSEPERMIT ']4®63 i ZOO I 41' '`) -- j NUMBER ONE � SWIMMING POOL Heavy Lines `� DEMOLITION PRE -MOVE INSPECTION 1 PERMIT APPLICATION Inside AD ADDRESS I j I TOTAL AMOUNT DUE _ I I hereby acknowledge that I have read this application; that the In- t. formation given Is correct; and that I am the owner, or the duly author- ATTENTION NAME (OR NAME OF BUBINEBS)A t J PERMISSIBLE ! ACTUAL LOT COVERAGE, t. LOT COVESYAOE wlll be employed In Violation of the Labor Code of the Stale of Washington THIS PERMIT This application is not a permit until MA1L[NO ADDRE 9 ` - PERMISSIBLE HEIGHT PROPOSED HEIGHT PE O y NOTE: Permit Limit One Year (Except DEMOLITIONS which ONLY THE WORK NOTED t ,hall be completed In ninety days; MOVED -111 BUILDINGS shall be com- '• / '-`' `[/ r L(/ , pleted In six months.) j SIGNATURE ;(OWNER Oil AGENT) DATE SIGNED C CITY f TELEPHONE NUMBER ACTUAL LOT TOTAL BLDG. AREA, L T A 7 CITY OF -I /;,• / j�r..l ED51ONDS DATE --.- flEQU1RED YARDS PROPOSED YARD. 775-2525 NAME FRONT .IDE REAR FRONT BIDE REAR Any construction on the public domain (curbs, sidewalks, dr,"'"', INSPECTOR marquee., eteo will require .'pante P.—B.lon. LEGAL LOT VARIANCI•: OR CGNDITIONAL VBE !'fit YES 0 NO PERMIT NUMBER a ADDRESS V N�. LPLAN"L,ilf f •�J / 7FDATE: i ,�, CITY TELEPHONEM C •iN I STET R/W // EXISTING STREET R/Wq6ppT. DEFICIENCYTHIS'PROPERTY O NAME)�frv';pT. .. ,I. _ • �. T. COMP. PLAN ST. R/V�C);.I REMARK. 1)r"1vewaV Stopes not to ('ycCC:(i those _ c ADDRESS'� inoic:ated on 5tdndard I'Ma. tt� ( Z N 67 `F _ i.lf)prp, C-4ZY)1)t �'\kll JW7 �f 1). CHECKED BY I iii CITY TELEPHONE NUMBER VMETER SIZE SERVICE SIZE CLEARANCE CECKED BY H 1 i STATE LICENSE NUMBER CITY LICENSE NUMBER 14 J71 REMARKS Legal Reacrlptlon of Property "",a, Balow or Attach Faur Coplee) /, t; 6'I/lam"� TYPE CONNECTION VE RIF •Dr Y 7. o cr -� l—_ tnl t- ^TEST I , I ) 1: r-^ !�•rj ^^(.� ,c -r r3 `L-�� >+ PE RC. PER NUMBER 7a�� ' 2 + � a W REMARK. a � d FIRE ZONE TYPE OF CONSTRUCTION STREET IMPROVED I 7f I SPECIAL INSPECTOR REQUIREDOCCUPANCY GROUP i © RESIDENTIAL GAB F-1CAS [3YES L3 -NO I Q NEW PLAN CHECKED BY THIS SITE IS LOCATED IN THE CITY j NON_RESIDENTIAL SIGN OF EDMONDS. LOCAL SALES TAX ", /,•�" CODED 31.04. 1 ` ❑ ADDElRETAINING ij%,J'/ i D BE �nEMAR j DEMOLISH WALL ❑E FENCE EXCAVATE i �! �[.' '✓.(l : G� . ' r/ : /. �.'_�� .'y % i ALTER ❑ On FILL (.......... x .......... Ft.) BMAI REPAIR El PRE -MOVE INSP. POOL C� _ ^J it _r3 t •=_ /.1r •�t`!"�� !t/i / J NUMBER OF STORIES NUMBER OF I _ DWELLING I a7 C NITS NATURE OF WORK TO HE DONE /._I-(.�/ 1 Check NO Valuation Fee Receipt No- _ O nn ..................... BUILDING Oct CicJ PROPOSED UBE PLUMBING i PLOT PLAN (Indicate Bulidlnq FLbam bqt ing streets) HEAT & GAS LINE (i 1 I 0 FENCE I I SIGN l tRETAINING WALL � SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION 1 EXCAVATION OR FILL j I TOTAL AMOUNT DUE _ I I hereby acknowledge that I have read this application; that the In- formation given Is correct; and that I am the owner, or the duly author- ized agent of the owner. I agree to comply with city bad elate laws regu. ATTENTION APPLICATION APPROVAL lating construction; and In doing the work authorized thereby, no person wlll 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 Compensation Insurance. 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 paid, and receipt is ac - ,hall be completed In ninety days; MOVED -111 BUILDINGS shall be com- knowledged in space provided. pleted In six months.) j SIGNATURE ;(OWNER Oil AGENT) DATE SIGNED INSPECTION D RECTOR'S Bl°NATUREI '• I DEPARTMENT �!-'l,/ - CITY OF -I /;,• / j�r..l ED51ONDS DATE --.- NOTE: Applicant Subject to Plan Check Fee 775-2525 Thin Permit r cork to ba done on private property ONLY. Any construction on the public domain (curbs, sidewalks, dr,"'"', INSPECTOR marquee., eteo will require .'pante P.—B.lon.