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740633.pdfNAT F WO TOBF/./yON Valuation Fee Receipt No, 2 Plan Check No. ,-„(, /a' BUILDING [O 4 PROPOSED USE PLUMBING PLOT PLAN Ilndlcalo Building 9otD,ek., ¢Dotting streets) HEAT & GAB LINE USE PERMIT 74063: N BUILDING DEPARTMENT Applicant Fill ZONE NUMBER � FENCE APPLICATION Inside Heavy Linos ' PERMIT ADDRESS P7 ( C P7 < 1 NAaIE ( NAME OF HUSINEHBI �• � �I %^1�/Ly/C L j �J LOT COVERAGE LOT COVERAGE 'T LOT COVE&AGE !�-"•,�� •! 1 MAILINGADUpRE80 PERMISSIBLE HEIGHT PROPOSED HEIGHT °y ' t f01 / p 6 �'i� i z PRE -MOVE INSPECTION CITY TE PHONE NUMBER ACTUAL LOT AREA TOTAL BLDG. AREA .I REQUIRED YARDS PROPOSED YARDtl i 1 hereby acknowledge that 1 haus read lbls appltentlon; that the In- ro FRONT HIDE AFAR FRONT SIDE REAR 1_1 agent of the owner. I agree to comply with city and elate laws regu• NAME APPLICATION APPROVAL latntr co,etrucllon; and In doing the work authorlred thereby, no Dere,, F U ADDRESS This application is not a permit until LOT VARIANCE OR CUNUION LUBE T YES NO PERMINUMBER relattpg to Workmen's Creepensatlon Insurnace. AUTHORIZES signed by the Building Official or his Dep - WLEGAL / ONLY THE WORK NOTED PLANNING DE T. ROPL _ 7� E' shall be completed In nicely day.; MOVED -IN BUILDINGS shall be Som• knowledged in space provided. OTELEPHONE G CITY NUMBER SIGNATU1tE (OWNER O AGENT) DATE SIGNED ! IRE SIGNAE STREET b !. EDMONDS E]CI8TING STREET R/W ............FT. DEFICIENCY THIS PROPERTY � NOTE: Applicant Snhjee to Plan Check Fee % --- NAME......FT. 775-2525 COMP, PLAN BT. R/W ............FT. •••-. This Permit a• cork to 1. done an private property ONLY. - �_��/\• REMARKS marquee., etc.) will require separate permission. I ' i M AD US CHECKED BY CITY l V / TELEPHONE NUMBER I V" y. - Fr�r 3 METER SIZE sERViCE SIZE CLEARANCE CHECKED 8Y ' STAT• ICENBE NUMBER CITYLICENSE NUMBEit C I I I I REMARKS � Legal Description at Property (show Below or ALlnch Fouf Coplee) TYPE CONNECTION VERIFIED BY I z O � PERC. TESTI PERMIT NUMBER L. t �.. W REMARKS ch I G � 1 .i 1 FIRE ZONE TYPE OF CONSTRUCTION STREET IMPROVED 0 YES 0 NO i SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP CA8 RESIDENTIAL ❑ LINE C]YES [3 NO I ❑ NEW PLAN CHECKED BY THIS SITE IS LOCATED IN THE CITY I NONRESIDENTIAL �y lye g3pN Of EDMONDS, LOCAL SALES TAX - ADD ❑T K*l REAINING REMARKS SHOULD BE CODED 31.04. DEMOLISH WALL ALTER EXCAVATE OR FILL FENCE (......... x.......... Ft.) E] REPAIR PRE - SWIT O ❑ INSPMOVE POOL t NUMBER OF STORIESI NUMBER OF DWELLING VN1TB NAT F WO TOBF/./yON Valuation Fee Receipt No, 2 Plan Check No. ,-„(, /a' BUILDING [O 4 PROPOSED USE PLUMBING PLOT PLAN Ilndlcalo Building 9otD,ek., ¢Dotting streets) HEAT & GAB LINE i N � FENCE _ ' SIGN s-•�l�N < RETAINING WALL ! N SWIMMING POOL DEMOLITION i PRE -MOVE INSPECTION EXCAVATION OR FILL TOTAL AMOUNT DUE 1 hereby acknowledge that 1 haus read lbls appltentlon; that the In- ro .,.all.. given Is correct; and that I am the ow or the duty author - 1_1 agent of the owner. I agree to comply with city and elate laws regu• ATTENTION APPLICATION APPROVAL latntr co,etrucllon; and In doing the work authorlred thereby, no Dere,, will be employed In vlolallaa o/ Ne Labor Cade of the State of WeaDlpglon TIUB PERMIT This application is not a permit until relattpg to Workmen's Creepensatlon Insurnace. AUTHORIZES signed by the Building Official or his Dep - NOTE: Permit Limit One Year (Except DEMOLITION8 which ONLY THE WORK NOTED uty; and fees are paid, and receipt is ac - shall be completed In nicely day.; MOVED -IN BUILDINGS shall be Som• knowledged in space provided. i plcted in six months.) SIGNATU1tE (OWNER O AGENT) DATE SIGNED INSPECTION DEPARTMENT IRE SIGNAE CITY OF EDMONDS NOTE: Applicant Snhjee to Plan Check Fee % --- 775-2525 This Permit a• cork to 1. done an private property ONLY. Any construction on the public domain (curUs, .Idewatks, drivewy., FILE marquee., etc.) will require separate permission. I ' i r USE BUILDING 'DEPARTMENT JAEGN' ~ PERMIT APPLICATION Inside Heavy joil ADDRESS NAME lOR NAME OF BUSINESS), `� R MAILING ADDRESSPEISTIIdd1IILE HF.3LEAL'S'UA(' LCT 'tRE^REQUIRE NAME FRONLEGAL LOT FADDRESS / YES [) NO pO 94 O ADDRESS / F CITY TELEPHONE NUMBER - - 172;7 . ,PERMIT % - NUMBER -7,1( 1 ;:�'; �. STREET R/W ' EXISTING STREET R/W ............FT. DEFICIENCY TIAs PROPERTY COMP. PLAN ST. R/W ............FT. ............FT. REMARKS i I � eana ev.v r. ora vo .•v..o...v.,...... ........ ..... ......... I YES L] NO SPECIAL INSPECTOR REQUIRED IOCCUPANCY GROUP NEN RESIDENTIAL ❑ LINE GAS ❑PLANS CHECKED BY THIS SITE 15 LOCATED IN THE CITY OF EDMONDS. LOCAL SALES TAX NON-RESIDENTIAL lyl BION SHOULD BE CODED 91.04. ADD ❑ DEMOLISH µ❑^J µrpt" SNC REMARKS I , F] ALTER EXCAVATE FENCE OR FILL (.......... x .......... Ft.) F_1IN PHONE ❑ SOIL El REPAIR NUMBER OF STORIESI NUMBER OF DWELLING UNITS NATURE OF WORK TO/B5�DONE Valuation Fee Receipt No. 1 -7'c•.G.c �rr � . Ilan Check No.3.2:..: % : �xJ�.rI BUILDING L PROPOSED USE ai PLUMBING PLOT PLAN (Indicate Hulitlln\61etbn\eke. nbutlln6 streets) HEAT k GAS LINE O OJ/J�J` FENCE 1 SIGN JL 1) RETAINING WALL `1 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 am the owner, or the duly auther- Ized agent of the owner. I agree -to comply with city and elate Tawe regu- ATTENTION APPLICATION APPROVAL lacing constmettob; and In doing the work authorized thereby, no person will be employed In violation of theLabor Code of the stale at Woshinglon THUS PERMIT This application is not a permit until relating to Workmen's Compensation Imuranee. AUTHORIZES signed by the Building Official or his Dep - NOTE: Permit limit One Year (Except DEMOLITIONS whish ONLY THE WOK NOTED uty; and fees are paid, and receipt is Be shall be completed to ninety days; MOVED -IN BUILDINGS shall be nom- hmowledged in space provided. plated In elx months.) SIGNATURE (OWNER OR AGENT) DATE SIGNED INSPECTION DIRECTOR'S SIGNATURE / _ r DEPARTMENT CITY or EDMONDS NOTE: Applicant Subject to Plan Check Fee 775-2525 Thl. Pemdt coven work to be done on private property ONLY. Any construction on the public domain (curbs, sidewalk., drive-".. INSPECTOR nuvrquee., till) Wit require .,parole permt.slon. r 1 r,:i i i - . � i ' r.. ... '1 _. . .... ... .. �� .. ��. I � r 1