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750014.pdfr USE PERMIT ' - B U I L D I N G DEPARTMENT I Applicant Fill ZONE NUMBER 750014 PERMIT APPLICATION Inside Iieavy Lines JOB ADDRESSe J -1 �)Q J � S-�� _ td,, 'C- � 3 NAME (OR NAME OF BUSINESS) ^�Lt. _ PEILMIdtl1IILE a ACTUAL % t LOT COVERAGE LOT COVE AGE MA1WN0 ADURESB i PERMISSIBLE HEIGHT PROPOSED HEIGHT bj esi- l I t O TELEPHONE NUMBER ACTUAL LOT AREA TOTAL BLDG. AREA A CITY r t, VYl ,nr •S -� 1C>_ (p Q REQUIRED YARDS PROPOSED NAME FRONT HIDE REAR FRONT SIDE REAn ADDRESS H {( ° LEGAL LOT VARIANCE OR CONDITIONAL USE PERMIT NUMBER YES 0 NO PLANNING DEPT. APPROVAL DATE: 1 V {q OITy TELEPHONE NUMBER STREET R/tV EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY p NAME COMP. PLAN 8T. R/W ............FT. ............FT. {!� O \r-!' l(\tom✓` REMARKS ADDRESS X� W CHECKED BY I CITY TELEPHONE NUMBER , F O METER el -LE SERVICE SIZEI CLEARANCE CHECKED BY O STATE LICENSE NUMBER CITY LICENSE NUMBER I od I REMARKS Legal Description of Property (Show Below or Attach Four Copies) � c .1� c� LOC) 'C' -e.•1 es'Y ��`� t'�"'.;�, TYPE CONNECTION VERIFIED BY I �+ ISO 4 6F 1817 t7 , B� Uc k 7 y. PERC. TEST PERMIT NUMBER ' i W REMARKS to oI J FIRE ZONE TYPE OF CONSTRUCTION STREET IMPROVED I YES ❑ NO SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP ❑© RESIDENTIAL LINE NEW ❑PLANSCHEC1IElO6Y0 I TH15 SITE IS LOCATED IN THE CITY OF EDMONDS. LOCAL SALES TAX NON-RESIDENTIAL elcx ADD RETAINING REMARKS SHOULD BE CODED 31.04. DEMOLISH WALL ^ �^ ❑ ALTER EXCAVATE ❑ FENCs..........Ft.7 11 �6 ❑ ORFILL REPAIR ❑ INSP❑ . POOL { NUdIIIER OF BTO R1EdI NDMBER OF DWELLING UNITS NATURE OF WORK TO BE DONE V.W.H.n Fcc Recelpl No. �t Plan Cheek Nn. ..... r BUILDING �„ 1/ ' O � .d r PLUMBING U PLOT PLAN (Indlcnto Building setbacks, abutting alrcete) HEAT & GAS LINE b FENCE SIGN RETAINING WALL N SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL TOTAL AMOUNT DUE 0 O I hereby acknowledge that I have read this application; that the In- �, tormatlan given Is correct; and that I =the owner, or the duly author- Ized agent of the owner. I agree to comply with city 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 State 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 {YORK NOTED uty; and fees are paid, and receipt is so - .hall be completed In ninety days; MOVED -IN BUILDINGS shall be com- knowledged in space provided. pleted In elg months.) - SIGNATURE (OWNER Olt AGENT) DATE SIGNED INSPECTION DEPARTMENT DIREQ OR'S gllONATU14E %(wrt.e_ -' /.S -- 76 .._ . ll-�')✓7-,-J CITY OF EDMONDS DATE NO E: Applicant Subject to Plan Cbeek Fee - 775 -2525 This Pennit covers work to fro done on private property ONLY. Any <on.tructla , on the public domain (curbs, sidewalks, drlrewsy., FILE S marquees, elf.) will require separate permission. E]SALENON•RESIDENTIAL ❑ SIGN I.N. El ADD RETAAI DEMOLISH WT ❑ ❑ F]'. ALTER [:]EXCAVATE FENCE OR I•'ILL El(.....................PC.) ❑ REPAIR ❑ PRE -MOVE, awls INSP. ❑ POOL e. - OF EDMONDS. LOCAL S TAX SHOULD BE CODED 31.04. L.. -- r BUILDING DEPARTMENT iE [PumsER NUMBER OF STORIES NUMBER OF DWELLING AppllcantFill PERMIT APPLICATION Inside Heavy Lines ion ADDRESS '��,,, r, AD NAME (OR NAME OF BUSINESS) CT n PERMISSIBLE 7 ^L NATURE OF WORK TO BE DONE Valuation Fee Ree0pl No. — • � \ � • _ - LOT COVERAGE LOT COVERAGE O I ` � MA LINO ADDRESS PEIiD11tldIDLE HEIGHT PROPOSED HEIGHT _ 1 NUMBER ACTUAL LOT AREA TOTAL BLDG. AREA % 1 {� CITY TELEPHONE , "). 1 i REQUIRED YARDS PROPOSED YARDS d3UE REAR aPLOT PLAN (Indicate But tlln\g tpp\Ci(ta� A\b tling elreclSJ FRONT HIDE REAR FRONT NAME LEGAL LOT VARIANCOli CONDITIONAL USE PERMIT MBER 1 yN S ADDRESSNFUI 0 YES 0 NO PLANNING DEPT. APPROVAL DATE: I i ' CITY TELEPHONE NUMBER STREET EXISTINGGST STREET R/N ............FT, DEFICIENCY THIS PROPERTY O NAMEy COMP. PLAN 8T. R/W ............Fr. ............Fr. ' � ' RETAINING WALL REMARKS al LG ADDRESS z W CHECKED BY SWIMMING POOL CITY TELEPHONE NUMBER F O METER 8111E SERVICE SIZE CLEARANCE I CHECKED BY O id STATE LICENSE NUMBER CITY LICENSE NUMBER I I I tormallon given le Correct; and that 1 am the owner, or the duly author- Ized agent o[ tha owner. I ¢gree to comply with city and state laws resu- ATTENTION APPLICATION APPROVAL R Legal Description of Property (Show Below or Attach Fau[ COCu .) Will be employed In VColatlon al the Labor Code of the Stale of Waahington THIS PERMIT t .I ,..all.,; toWorkmen's Compeneallon Inaurance. IV _ - '�-. r'• 't},. -'.; i- T 0 N C O V RI IED BY �-t--•---- Signed by the Building Official or his Dep - r 1 .. D NOTE: Permit Limit One Year (Except DEMOLITIONN which e I ERA T h E {G,U 11 1 -�.••.r fTC `n{- rll r c PERC. TEST ) y. �'i1 _.. U r knowledged in space provided. (' W REMARKS 0 0- I SIGNATURE (OWNER Olt AGENT)DATE SIGNED INSPECTION I FIRE ZONE TYPE OF CONSTRUCTION STREET IMPROVED / I I I 1 E]SALENON•RESIDENTIAL ❑ SIGN I.N. El ADD RETAAI DEMOLISH WT ❑ ❑ F]'. ALTER [:]EXCAVATE FENCE OR I•'ILL El(.....................PC.) ❑ REPAIR ❑ PRE -MOVE, awls INSP. ❑ POOL REMARKS.-" .- ' � - OF EDMONDS. LOCAL S TAX SHOULD BE CODED 31.04. L.. -- r '. .. NUMBER OF STORIES NUMBER OF DWELLING UNITS NATURE OF WORK TO BE DONE Valuation Fee Ree0pl No. — • � \ � • Plan Check N ...... V. u fy .. �, v _ .. -}' PROPOSED UBE �� BUILDING _ a PLUMT31NO O aPLOT PLAN (Indicate But tlln\g tpp\Ci(ta� A\b tling elreclSJ HEAT ,ic GAS LINE FENCE SIGN RETAINING WALL N SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION I EXCAVATION OR FILL TOTAL AMOUNT DUE Ihereby acknowledge that I have read this application; that the In- tormallon given le Correct; and that 1 am the owner, or the duly author- Ized agent o[ tha owner. I ¢gree to comply with city and state laws resu- ATTENTION APPLICATION APPROVAL Iating construction; and In doing the work authorized thereD11, no person Will be employed In VColatlon al the Labor Code of the Stale of Waahington THIS PERMIT This application is not a permit until ,..all.,; toWorkmen's Compeneallon Inaurance. AUTHORIZES Signed by the Building Official or his Dep - NOTE: Permit Limit One Year (Except DEMOLITIONN which ONLY TIL WORK NOTED uty; and fees are paid, and receipt is ac - Shall be completed In bluely days; MOVED -IN BUILDINGS Shall be com• knowledged in space provided. - pleted In six month-.) I SIGNATURE (OWNER Olt AGENT)DATE SIGNED INSPECTION D1REC pR'B SIGNATURE.: DEPARTMENT / CITY OF EDMONDS NOTE: Applicant SRGicct to Plan Check Fee 775-2525 Thls Permit c Work to be done n private properly ONLY. Any construction on the public domain (curbs, eIdmelk., drhewars, INSPECTOR nm,quees, etc.) will require e,P—t. permieelon. t RECORD OF INSPECTIONS Date Passed Foundation — Plumbing (Partial) (Rough) Frame Furnace & Fuel Lines Final i.: i I � 1 �i i RECORD OF INSPECTIONS Date Passed Foundation — Plumbing (Partial) (Rough) Frame Furnace & Fuel Lines Final