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750002.pdfySNUMBER E s�PE 50002 _ BUILDING DEPARTMENT Applicant ]Fill S— I� PERMIT APPLICATION '° "°°� I in°°JOB I NAM ( R NAME OF s8) } MAI O ADD[R'E— S NAME i�d AD REtltl � H C CITY NAME r ;? E A DREtla C CITY Z U STATE LICENSE NUM — .2 3 -G/- / 0 a 77� -� PLANNING DEPT.. A P VA TCEj STREET R/W J�� Y EXISTING STREET R/CP':......1�1'. DEFICIENCY THIS PROPERTY COMP. PLAN ST. R/�? �7FT. .A." . FT. RFIMAIM Driveway slopes R#a not to exceed t // FIRE ZONE I TYPE OFC N87 U 11IN BTRE la1PIiV VED 7(l Es 0 11O SPF. IAL INSPECTORZU-11 ED OCCUPANCY GROUP YES B7� RESIDENTIAL AS ADDRESS h PER�ACTUALACTU— n NEW LOT COVE AG LOT COVE COVE�AO£ PEItDNeeIHLE HF.IOUTJJ, PROPOSED GHTT 10 } ACTUAL LOTT AREA TOTAL DIO/+AR/EA /'5 4a fe VV EgUIRED YARDS PROPOSED YARDS FRONT HIDE REAR FRONT SIDE REAR PLOT PLAN (Indicate Building setbacks, abutting street.) LEy3r� AL LOT VARIANC5E OR CONDITIONAL USE cw n Nn PERMIT NUMBER PLANNING DEPT.. A P VA TCEj STREET R/W J�� Y EXISTING STREET R/CP':......1�1'. DEFICIENCY THIS PROPERTY COMP. PLAN ST. R/�? �7FT. .A." . FT. RFIMAIM Driveway slopes R#a not to exceed t // FIRE ZONE I TYPE OFC N87 U 11IN BTRE la1PIiV VED 7(l Es 0 11O SPF. IAL INSPECTORZU-11 ED OCCUPANCY GROUP YES B7� RESIDENTIAL AS ❑PLAN n NEW INE HEC D Y THIS SITE IS LOCATED IN THE CITY ElNON-RESIDENTIAL PLUMHIN6 �l f OFDS. LOCAL SALES TAX SIGN PLOT PLAN (Indicate Building setbacks, abutting street.) HOULD LD BBEE CODED 31.04. SH ADD ❑ Gd,',,. RETAINING WALL wnK FENCE DEMOLISH C�>it/..i��' i2el) d.40 Z 3 ALTER EXCAVATEFENC ❑ Y /fi Iy E]ORFILL •.. Ft.) REPAIR ❑ INSPDIOVE El POOL C�(/ l G `i/ 77' dA f//tel ��.i�G`��%1.>/i✓r vUMBER OF STORIES NUMBER OF i PRE -MOVE INSPECTION DWELLING EXCAVATION OR FILL UN 8 NATURE OIP WORK TO HE D TOTAL AMOUNT DUE I hereby acknowledge that I have teed this eppilCotfgn; that the In- Valuation Fee Receipt IN formation Elven la correct; and that I am the owner, or the duly author. ria. Check N. ..................... BUILDING PROPOSED USE PLUMHIN6 �l f q PLOT PLAN (Indicate Building setbacks, abutting street.) HEAT A GAS LINE Gd,',,. 417 FENCE SIGN tRETAINING WALL SWIMMING POOL DEMOLITION i PRE -MOVE INSPECTION EXCAVATION OR FILL 7 TOTAL AMOUNT DUE I hereby acknowledge that I have teed this eppilCotfgn; that the In- formation Elven la correct; and that I am the owner, or the duly author. Ized agent of the owner. I agree to comply with city and state laws "gu- ATTENTION APPLICATION APPROVAL lating Conslruelloa; and In doing the work authorized thereby, no person wlil be employed In violation of the Labor Code of the Slate 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 shot) be completed In ninety days; MOVED -IN BUILDINGS shell be cor. knowledged in space provided. pluted Is months.) tl10 AT tE tOWN Otl AGENT) DATE SIGNED INSPECTION 1 'e TUR DEPARTMENT CITY OF EDMONDB NOTE: Applied )t Subject to Plan Check Fee 77S-2525 This Ponnit Cavell work W be don n quanta property ONLY. i Any construction on the Public dumaln (um"'. sidewalk., driveways. FILE marquees, etc.) will require aup-mle permisslan. I pl AN o 11.214.74 779-6511 3 � ` j SGd?I P�/off L oT N a OF 14 ILLS I j r �7-z , / W�4ci EC.Z %. -z7/Yr 7z�3 I J1J - z USE NUMBETR �- BUILDING DEPARTMENT AppHcunt Fill °`'E �S- a Inside Heavy Linen PERMIT APPLICATION I 708 NA OR NAME OF BUBINEB1) / / PERMI881BLE' w } ACTUALESi LOT COVERAOE� C, f1 LOT COVAOE (. MAILING ADDRE86 PERMISSIBLE HEIGHT/ PROPOSED HEIGHT y • '�'"•�(/� - n TELEPHONE NUMBER ACTUAL LOT AREA TOTAL BLDG. AREA % !)1. TI'', 7 'REQUIRED YARDS PROPOSED YARD. NAME /t('/'/J�-/ FRONT BIDE REAR FRONT SIDE REAR f (t /r)_' %i ✓ J'1/ �-'/�/ LEGAL LO'f VARI NCE OR CONDITIONAL UBE I t k7 ADDREBB ' El YES ❑ NO PERJ',HT NUMBER 1 DCITY PLANNING DEPT�TE4 DEPT/AP VA i(F:),lI'h•I 12 �77E T LEPHONE NUMBER STREET R/w EXISTING STREET R/ByDEFICIENCY THIS PROPERTY , j I NAME .... .... CObIP. PLAN ST. RfiP.1130— ..� p"f. REMARKS Driveway SIOPOS A$GI not: t0 exceed .hos ADDREBB indi(atn t on Rt Indard'^+n No 1 1?K Z 1lllrizz��)Ni� ED CH�C� C of F CITY TELE HO E NUMBER !. V 4�X (t.�-rte`--•J`••--_, METER SIZESERVICE SIZE CLEARANCE CHECKUD BY STATE LICENSE NUMBEERy / CIT�YJ/aICENSE NUMBER / V Legal De9arl p an a[ Pr P rty (Shoat/ Below or Ali C. ouG Cop`e9) � /.� I J / / �-J / ? 1 ^� /�. /; /, 1._�//!yJ /no,� l,'✓%L( '} f;i TYPE CONNECTIONV RIF D BY W/'/ 'v.) 7 /Y4 PERMI�TJNUMBEA j PERC. TEST I a 'I REMARKS Se Se 1 e �Jf//,��' FIRE ZONE TYPE OF CONSTRUCTION STREET IMPROVED I YJ1�`,Sti .l . I �. �V d''rEs p No i SPECIAL INSPECTOR REQUIRED OCC-U}PANCY GROUP , RESIDENTIAL GAS ❑ LINE ❑ YES aN I DY IN THE CITY U NEW PLAN CHECK�D ,. THIS SITE IS LOCATED SALES TAX � NON-RESIDENTIAL s1cN�! OF EDMON. LOCAL /ij•�/ /fes SHOULD BETODED 31.04. , ADD ❑ RETAINING WAIT' ❑ REMARKS DEMOLISH FENCE i,.� /��/�.. ,.// ' / �'t�C // N J✓/ /�,�i� J i 1 I ❑ ALTER EXCAVATE OR FILL (.......... x .......... FL) ❑ ❑ t ❑REPAIR PRE -MOVE. D swiht INSP. POOL _ CCl/ /',. (Z� NUMBER OF STORIES NUMBER OF'� + DWELLING I / UNITS NATURE OF WORK TO BE Do l} Valuation Valuation Fee Recc,pt No, C1-(.I .) \ r .i. 1,_- , f� Plan Check No ..................... O BUILDING PROPOSED UBE PLUMBING i U BEAT & GAS LINEsi a PLOT PLAN (Indicate Hu11dIDg Setbacck$, abutting..reels) .O, ''r i/ . /•/,.��.Jr. .l� 1 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 tho in- / formation given la correct; and that I am the owner, or the duly author- ' ,zed agent of the owner. I agree to comply with any and state law. regu- ATTENTION APPLICATION APPROVAL. lating construction; and In doing the work authorized thereby, no person will be employed In violation of the Labor Code of the Slate of Washington T1118 PERMIT This application is not a permit until '.hung to Workmen's Compensatlon 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 Shall be completed In musty days; MOVED -IN BUILDINGS shall be cam- Itnowledged in space provided. pleted In clx months.) SIGNATURE (OWNER OR AGENT) DATE B10NEU INSPECTION DIRECTOR'S SIGNATURE ' DEPARTMENT CITY OF EDMONDS DATE NOTE: Applicant Subject to PlaB Check Fee 775-2525�- This Permit covers work to be done on private property ONLY. Any construction on the public domain (curbs, sidewalks, driveways, INSPECTOR marquees, e,a.) will require separate permission. 7500OZ RECOR� SPECTIONS Date Passed Foundation =— Plumbing (Partial) (Rough) --- Frame __— Furnace & Fuel Lines -- Final