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740634.pdf1 i DEPARTMENT ° NE NUMBER 740634 j BUILDING AppLeaat FILL IIIS,dD Heavy z1,tBg PERMIT APPLICATION JOB z—w - ADDRESS go NAME (OR E OF BUSINESS) NAM / - PERMISSIBLE u ACTU L LOT COVERAGE LOT COVERAGE m 0 AD REBS MA3LINP '- � D PERMISSIBLE HEIOIST PROPOSED HEIGHT C CITY TELEPHONE NUMBER ACTUAL LOT AREA TOTAL BLDG, AREA } REQUIRED YARDS PROPOSED VARUS W j NAME FRONT BIDE REAR FRONT BIDE REAR F, U l+ ADDRESS LEGAL LOT VARIAN E Olt CONDITIONAL USE O YES 0 NO PERMIT NUMBER I ! t PLANNING DEPT. APPROVAL DATE: 1 CITY TELEPBONE NUMBER STREET R/W i EXISTING STREET RJW ............FT. DEFICIENCY THIS PROPERTY yyO NAM / Se l�l Li GS COMP. PLAN 8T. RJW ..,.........FT. ............FT. R REMARKS ADDHEBe 4 _ 1 go iG- iyo -"-ZI CHECKED BY W c F CITY TELEPHONE NUMBER J 06 40 4816- S a6 Q rg 0 I// //Pi % METER SIZE SERVICE SIZE CLEARANCE CHECKED BY STATE LICENSE NUAI13ER CITY LICENBE NUMBER I I I Cd _•3-O/- /6��/,, REMARKS C Legal Description of Property (Show Below or Attach Four Copies) TY CONNEC ONVERIFIED BY • O L•' • BT PERMIT NUMBER C •- a —l0 -I 7��1�. I j REMARKS W a .Wt FIRE ZONE TYPE OF CONSTRUCTION STREET IMPROVED I I13 YES NO SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP I i ❑ YES ❑PLAN I ❑ NEW RESIDENTIAL LINE CHECKEIO YO THIS SITE IS LOCATED IN THE CITY NON-RESIDENTIAL ❑ SIGN OF EDMONDS. LOCAL SALES TAX ADD RETAININGA REMARKS SHOULD BE CODED 31.04. El DEMOLISH N ALTER ❑ FENCs ❑ ORCPILLTE .......... Ft.) ❑ REPAIR ❑ PRE -SWI NP. ❑ POOL NUMBER OF STORIES NUM EK OF DWELLING 1 UNITS I NATURE OF WORK BE DONE 'J ,•-{I. C Valuation Fee Receipt No. I �` Uj- V .-'.' 'F 1 1 p - I'lon Check No ..................... C BUILDING PROPOSED aPLUMBING USE ZPLOT T5-0 PLAN (indicate Building setbacks, abutting streets) HEAT & GAS LINE S FENCE SIGN RETAINING WALL N SWIMMING POOL DEMOLITION 1 PRE -MOVE INSPECTION EXCAVATION OR FILL I TOTAL AMOUNT DUE I hereby acknowledge that I have rend this application; that the In- ) formation given Is correct; and that I are the owner, or the duly author- leed agent of the owner. I agree to comply with City and elate laws regu- ATTENTION APPLICATION APPROVAL Inting construction; and in doing the work authorized thereby, no person Will be employed In violation at the Labor Code of the State of Washington THIS PERMIT This application is not a permit until i relating to Workmen's Compensation Insurance. AUTHORIZES signed by the Building Official or h18 Dep - NOTE: Permit Limit One Year (Except DEMOLITIONS which ONLY THE uty; and fees are paid, and receipt is ac - Shall be completed In ninety days; MOVED -IN BUILDINGS shall be Sam- WORK NOTED knowledged in space provided. pleted in six months.) SIGN AT IlE ��iQQQWNE OR AGENT) DATE SIGNED INSPECTION'. DEPARTMENT DlIYF TOR'8 ,fl�ONAT /.Z� 'J J� ' '�ft`�, •ll�`l-[i'��'�U CITY OF EDRIOND$ DA3' DATE E NOTE: Applicant Subject to Plan Geek Fee - — This Permit corers work to be dune on private properly ONLY. 775-2525 Any Construction on the public domain (curb.,sidewalks, drRrow►ys, marquees, etc.) .rill regWre. separate perndsslon. FILE , REPAIR ❑ INSP. ❑ POOL NUMBER OF STORIES NUMBER OF ) UNITS NATURE OFFWWORK TO HE DONE UPlan Check No ..................... Vnluatiml Fee Receipt No. ,mac••ZON Z low BUILDING DEPARTMENT AppucantFM PERM E NUMBER PLUMBING Insido Heavy Linos I JOB HEAT & GAS LINE FENCE PERMIT APPLICATION S SIGN RETAINING WALL NAME (OR NAME OF BUBiNEBB) �J TCOVERAOEs �/, i SWIMMING POOL LOT LOT COVEIIAGE 4• MAILING ADDRESS PEHEIOFtT PltOPOBED HEIGHT O ` I/ •/ / - BLDG. AREA rti, I hereby acknowledge that I have read this application; that the in- C I CITY TELEPHONE NUMBER ACTUAL LOT AREA TOTAL 3y relating to Workmen's Compensation Insurance. AUTIIOpU Es signed by the Building Official or his Dep. NOTE: Permit limit One Year (Except DEMOLITIONS which shall be completed in ninety days; MOVED -IN BUILDINGS shall be nom- REQUIRED YARDS PROPOSED YARDS pleted In nix months.) SIGNATURE (OWNER Olt AGENT) I DATE SIGNED NOTE: Applicant Subject to Plan Check Fee INSPECTION DEPARTMENT CITY OF EDNIONDB 775-2525 FRONT SIDE REAR FRONT ijIDE REAR INSPECTOR This I'ernut a work to us done an private property ONLY. Any construction on thepublic domain (curbs, sidewalk., driveways. marquees, etc.) will rrQ.In separate permission. NAME 1. LEGAL LOT VARIANCE OR CONDITIONAL USE yUj ADDRESS YES ❑ NO PERMIT NUMBER ! -TELEPHONE PLANNING DEPT. API•ROVAL DATE: NUMBER CITY STREET /W EXISTING STREET R/W ............FT. DEFICIENCY TIIIe PROPERTY b �0. ! NAMII'j _. / (:Gam. PLAN ST. R/W ............ F'r. ........... .FT. W � l/ Y /Ll ✓C l 1// (� �- REMARKS o ADDRESS [doh BY �v/' aVaCHECKED /` D7 TELEPHONE NUMBER CIT))IYI V' 1 C/Q J 7 / / ��f" I '� , , G [% 1'L - CHECKED BY f 1 STATE LICEN E NUASBER I CITY LICENSE NUMBER I Ryyi I� Legal Description of Property lehow Below or Attach Four Coples) - iu � I TYPE CONNECTION I VERIFI B SERC. TEST \I� L/ PERMIT NUMBER I p•, i 1 �.7 REMARKS D J I { I I i FIRE ZONE TYPE OF CONSTRUCTION STREET IMPROVED I YES (:] NO I i SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP SIDENTIAL ❑ LINE ❑PLANS❑BYO I CITY ❑ NEW L CHECKED THIS SITE 15 LOCATED IN THE SALES TAX N -RESIDENTIAL ❑ SIGN OF EDMONDS. LOCAL SHOULD BE CODED 31.04. ❑ ADD1:1❑ RETAINING REMARKS DEMOLISH WAIT' ❑ ALTER EXCAVATE ElLPEN Cx ❑ ORFILL.......... Ft.) ❑ PRE -MOVE SWIM REPAIR ❑ INSP. ❑ POOL NUMBER OF STORIES NUMBER OF DWELLING I UNITS NATURE OFFWWORK TO HE DONE UPlan Check No ..................... Vnluatiml Fee Receipt No. Z BUILDING 4 PROPOSED USE PLUMBING ,( U PLOT PLAN (Indicate Building saltnesss, p.butling streets) I 1, 1. \) , l `\` HEAT & GAS LINE 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- APPLICATION APPROVAL This application is not a permit until 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 and .late Tawe regu- ATTENTION lating construction; and in doing the work authorized thereby, no person will be employed In violation of the Labor Code of the State of Washington THIN PERMIT relating to Workmen's Compensation Insurance. AUTIIOpU Es signed by the Building Official or his Dep. NOTE: Permit limit One Year (Except DEMOLITIONS which shall be completed in ninety days; MOVED -IN BUILDINGS shall be nom- ONLY TI(E WORK NOTED uty; and fees are paid, and receipt is ac - knowledged in space provided. pleted In nix months.) SIGNATURE (OWNER Olt AGENT) I DATE SIGNED NOTE: Applicant Subject to Plan Check Fee INSPECTION DEPARTMENT CITY OF EDNIONDB 775-2525 D CTOR'B V/AT ..! �: 11 1' ` �' t ✓ DATE INSPECTOR This I'ernut a work to us done an private property ONLY. Any construction on thepublic domain (curbs, sidewalk., driveways. marquees, etc.) will rrQ.In separate permission.