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EXISTING STREET R/W07.V..(W. DEFICIENCY THIS PROPERTY
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COMP. PLAN BT. R/W ...4.4'r. .......`.'F7'.
NAME _ .T''
AEMARIIH Driveway slopes not to exceed those
indicated on Standard Dug. NaZ03
�y%'�ci 11l i✓Q 2 'IS /
67 ADDRESS
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CHECKED BY
CI�TY�
TELEPHONE NUMBER
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BUILDING DEPARTMENT
Applicant Fill
USE -•� PERMIT 7dU637
ZONE S / Gl NUMBER
W
PERMIT PPLI ATIO�f
Insldo Heavy Lines
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ADDRESS
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NAME AME F H iNEeS
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CITY LICENSE NUMBER
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FENCE
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PERMIS7 SIBLE
LOT COVERAGES )/-•,
ACTUALn
LOT COV F.�iAoE
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1�'�
MAI NaO ADORE SS
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PERMISSIBLE HF.IOIITi � �
PROPOSED HI�Oi#T• :I
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TELEPHO✓NE NUMBER
ACrjnEOfUIr
(L��s s�'ia3)
irrB4'Of- Vic-
icAYARDS
ON T E (0 N K A ) DATE S10NEll
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RED�YARDS
PsOA-sY
INSPECTOR R UIREEID/ OCCUPANCY GROUP
❑ YES d0 ��, /
-LITS
LINENEW
PLAN CHEC D x THIS SITE 5 LOCATED IN THE CITY
OF EDMONDS. LOCALj SALES TAX
FRONT BIDE REAR
FRONT SIDE REAR
l.4/ HOULD BE CODED
4
ADD ❑TAI
DEMOLISH ❑ WALLNING
1N.
IUs ADDJUC LEGAL LOT
ER YES 0 NO
PI,ANNItgO/W .
C CIT TE H NE NUMBER [(rte r/YY
!c / STitEET B/\V
EXISTING STREET R/W07.V..(W. DEFICIENCY THIS PROPERTY
^^ ^
COMP. PLAN BT. R/W ...4.4'r. .......`.'F7'.
NAME _ .T''
AEMARIIH Driveway slopes not to exceed those
indicated on Standard Dug. NaZ03
�y%'�ci 11l i✓Q 2 'IS /
67 ADDRESS
��•
/ d �l
C"/
CHECKED BY
CI�TY�
TELEPHONE NUMBER
1�/
PLUMBING
ME, tk'..[�� dl'LE
J/
SERVICE SIZE CLEARANCE
//
I
CH ED HYrR
Ixed agent of the owner. I agree to comply with city and .tate laws regu- ATTENTION
letting construction; and In doing the work authorized thereby, no ;,rm.
STATE LICENSEE NUMBER
CITY LICENSE NUMBER
((j ^
FENCE
This application is not a permit until
/
AUTHORIZES
elgned by the Building Official or his Dep -
SIGN
REMARKS
Q/J/tA
✓�JPc / 91st'
Letlon �r\�C!/pp[�et)
�Pr�r
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TYPCPONNECTION/�G„�
PERC. TEST
V
PERMU UMBER
PI ed In
N
SWIMMING POOL
ON T E (0 N K A ) DATE S10NEll
INSPECTION
W
a _ _
/D
REMARKS
FIRE ZONE TYPEOF ONBTRUCTlON I STYEST IMPROVEDO
W
/
INSPECTOR R UIREEID/ OCCUPANCY GROUP
❑ YES d0 ��, /
-LITS
LINENEW
PLAN CHEC D x THIS SITE 5 LOCATED IN THE CITY
OF EDMONDS. LOCALj SALES TAX
L..M.E.TIAL
ON -RESIDENTIAL SIGN
El
l.4/ HOULD BE CODED
4
ADD ❑TAI
DEMOLISH ❑ WALLNING
MARK
ElALTER ❑ EXCAVA E ❑ PENCi_.Fl.)
FILL
12/�p,C�4✓y��/S/2G/Gl7d�.)rJ
REPAIROn .......
swim
❑
INSPPRE-hIOVE ❑ POOL
e��(] �I G �!T ;I� r/��.1��✓���L�/ /✓�✓•
NUMBER OF STORIES NVMHER OF
��-' DWELLING _
/4) UNITS Q
NATURE OF WORK TO HE DONE / > /
Y Oiyr F C`� S /"L
Valuation
FeeRocclpt
D
Plan Check No_ ..................
BUILDING
/ A Q U
C"/
[.O.
h PROPOSED USE
..3, 7. l�
�"'
1�/
PLUMBING
formation given Is correct; and that I am the owner, or the duly author-
PLOT PLAN (Indicate B.Ildle. setbacks, abutting streets)
APPLICATION APPROVAL
Ixed agent of the owner. I agree to comply with city and .tate laws regu- ATTENTION
letting construction; and In doing the work authorized thereby, no ;,rm.
HEAT & GAS LINE.
p 0�
FENCE
This application is not a permit until
relating to Workmen's Compensation Insurance.
AUTHORIZES
elgned by the Building Official or his Dep -
SIGN
ONLY THE
WORK NOTED
uty; and fees are paid, and receipt is ac -
tRETAINING
WALL
knowledged in space provided.
PI ed In
N
SWIMMING POOL
ON T E (0 N K A ) DATE S10NEll
INSPECTION
C OR's 8lONA RE
DEMOLITION
DEPARTMENT
CITY OF
TE
EDDIONDS
PRE -MOVE INSPECTION
775-2525
EXCAVATION OR FILL
Thls Peredt a rack w be dons n Prhote property ONLY.
TOTAL AMOUNT DUE
I hereby aeknowled Re that I flays rend this application; that the In-
/
formation given Is correct; and that I am the owner, or the duly author-
APPLICATION APPROVAL
Ixed agent of the owner. I agree to comply with city and .tate laws regu- ATTENTION
letting construction; and In doing the work authorized thereby, no ;,rm.
will be employed In Violation of the Labor Code of the Siete of Washington
TIUS PERMIT
This application is not a permit until
relating to Workmen's Compensation Insurance.
AUTHORIZES
elgned by the Building Official or his Dep -
NOT . ermit limit 0 Year (Ezccpt DEMOLITIONS whish
ONLY THE
WORK NOTED
uty; and fees are paid, and receipt is ac -
an a Co Ipleled 1 Inety ys oto D•1 OILDINGd shall be cone.
knowledged in space provided.
PI ed In
ON T E (0 N K A ) DATE S10NEll
INSPECTION
C OR's 8lONA RE
-,_ f%
7”
DEPARTMENT
CITY OF
TE
EDDIONDS
NOTE: Applicant SnGjrcJ to Plan Cbrck Fee
775-2525
Thls Peredt a rack w be dons n Prhote property ONLY.
Any construeU., on the Pub 11 dumaln (curbs, sidewalks, drR'eways,
marquees, elt.) will require .",amts permission.
PILE
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•..'PERMIT
i f
BUILDING DEPARTMENT Applicant Fla
USE-, A •��
ZONE NUMBER
Inside Heavy Lines
PERMIT APPLICATION
NAME (OR NAME. F BUS INEBe);
ADDRESS
• - ; <'/ �' i
PERM ISS BLF. a ACTUAL
LOT COVERAGE LOT COVOWAOE
0g
P.1
r3
••. ,t,
MAILING ADD £SB
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PERMISSIBLE HEIGHT - PROPOSED IIEIORT • +
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yi'�
CIT! /
/�/P" (
.�.`r
TELEPHONIC UMBER
A�yAL LSA ARJ::A,t \TOTAL SLUG. AREA
(1,515'>ll?') i� t cGH�tr)k'
I
i
</%REQUIRED
YARDS PROPOtl AtlUd
1
NAME , _..-
FRONT SIDE REAR FRONT BIDE REAR
^f �l�/<+) L( i..SO --1 %__
.s. r7 / J /7 :-�.'l r� _ �/) + X711' •t ,.:)
LEGAL LOT VARIANCE Olt CON)>ITIONAL US Y
.j
A DRESS / j
NCr
�
(I YES [3 NO PERMIT NUMBER
%�
n Ar r") •
PLANNING DEP APPROVAL ATE:
K
CITY
TELE H N£ NUMSER
+:•'-/.'/ I �(
.� /P �ir0 �/
STREET R/lV r
EXISTING OTREET RJW4.'L /F.&T. DIIFICIENCY THIS PROPERTY
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NAME'
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R/W�ra.E'7'.
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COMP. PLAN ST. ........rcAM
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�YEii
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REMARKS
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CITY / /
t�
TELEPHONE NUMDER
CHECKED BY
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t
p
`'/- �' /•" /r/ y0�
METER BILE ENRSIZE
U
STAT£ LICENSE NUMBER
I CITY LICENSE NUMBER
/CE CLEARANCE
CHECK BY.
Legal Des♦;rlp IOn Properly/(Shaw w
or Att/noh Fou
REMA1tHd 1
1
r.)
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TYPE CONNECTION VERIFIED BY
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c, 1
1I J
TES � PERM T UM ER _
+
REMARKS
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/G�
'IRE ZONE TYPE OF CONSTRUCTION BT £��
%J •r �•
SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP
RESIDENTIAL ❑ GAS
O NEW LINE
❑ YES m-IVO' 7__
I
'
PLAN CRECHE D BY THIS SITE % LOCATED 1N THE CITY
NON-RESIDENTIAL;:
s1aN
f i OF EDMONDS. LOCAL SALES TAX
C!/,'i"•-f f ••'%".rl " SHOULD BE CODED 31 D4
ADD ❑ RETAINING
WALL
R�EO[ARKB+SS
(J
,
❑DEMOLISH
ALTER ❑ EXCAVATE ❑ FENCE
OR FILL (........._Ft.)
• / / -+ /+; i, / 1 " '%
i
.......
PRO- 1.lOVE SWIM
--• f
REPAIR [:] INSP. ❑ POOL
-I _
)(//� .1 ['Jl:.� /� l///��/%_.-... /�f f/�.....• -.',/ (`
i
NUMBER OF STORIES"UMBER OF
•'
IN
DWELLG
UNITS
NATURE OF W/ORK TO HE DONE ^_
Valuation
Fee Recelpt No.
Pion Check No....................
PROPOSED USE
BUILDING
tr
PLUMBING
•1� L-�
✓
9
PLOT PLAN (Indicate B,(ildsgs;•aJt aeka, flbuttln6 Blreete7
\\ �OIJc�
HEAT &GAS LINE
^ G
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 am the owner, or the duly author-
Ized agent of the owner. I agree to comply with city and elate laws regu•
ATTENTION
APPLICATION APPROVAL
'
Iating construction; and In doing the work authorized thereby, no ponon
Will be employed In violation of the Labor Code of the State of Washington
TIUS 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 TILE
{YORK NOTED
Uty; and fees are paid, and receipt is ac-
shall be Completed In mnety day.; MOVED-IN BUILDINGS shall be com-
knowledged in apace provided.
plcted In six months.)
SIGNATURE (OWNER OR AGENT)-........� DATE SIGNED
INSPECTION
DIRECTORS SIGNATURE
I
DEPARTMENT
1
-
CITY OF
.-
.; .
_._._.-.
ldOTB: Applicant Subject to Plan Check Fee
EDhiOND3
DATE
i': �) J-
I 1
._.....
This 1•ennit curers work to be done on private property ONLY.
n5-2525
Any eonstruetloa on the public domain (curbs, sidewalks, driveways.
marquees, etc.) will require separate permission.
INSPECTOR
D
OF INSPECTIONS
RECOR
pate Passed
Foundation Q
Plymbinl; (Partial) /r "
(Roughl—
Frame Fuellinesf--
urnace P.���=� la✓
Final