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750020.pdfCr CONST UCTION -tlT1f/EET IMPROVE —/ , a pNo QUIRED OCCUPANCY GROUP THIS SITE IS LOCATED IN THE CITY Of EDMONDS. LOCAL SALES TAX SHOULD BE CODED 31.04. Vnluatlon Fee Race; Plan Check No ..................... USE PERMIT fouu4u ' BUILDING DEPARTMENT AppU.cant Fill zotvE n 5--,� F\ NUMRER IICI Inside Ileavy Lines PERMIT' APPLICATION JOB NON-RESIDENTIAL ADDRESS'/��3 r/�_ J NAME (OR NAME OF BUSINESS) p[ ` V� ❑ ��� � � t. LOT C V RLE LOT COVERAOL // LOT CON WAGE LOT 1 f CADIZ. U TEBB C 4• 2183; 91"'AiYg. 1 • FOGA` oc' PERMISSIBLE HEIGHT PftOPOBED HEIGHT ar' CITY TELEPHONE NU 111111 ACTUAL LOT AREA 'TOTAL SLOG. AREA ❑ � D n o N v S �� 4' `� V REQUIRED YARDS PROPOSED YARDS REAR NAME FRONT SIDE REAR FRONT SIDE DWELLING WALTE 2 scHGFt2 LOT VARIANCE CONDITIONAL USE D ADDRESS M1 p YES p NO PERMIT T N NUMBER [3 U PLANS ING DEPT. APPROVAL CITY TELEPHONE NUMBER PRE -MOVE INSPECTION STREET R/lti EXCAVATION OR FILL EXISTING STREET R/W ............FT. DEF CIENCY THIS PROPERTY NAME COUP. PLAN 8T. R/W ............FT. ............FT. OU 6 10 Al REMARKS CONST UCTION -tlT1f/EET IMPROVE —/ , a pNo QUIRED OCCUPANCY GROUP THIS SITE IS LOCATED IN THE CITY Of EDMONDS. LOCAL SALES TAX SHOULD BE CODED 31.04. Vnluatlon Fee Race; Plan Check No ..................... ( RESIDENTIAL I/ YRl ,% p YD9 ❑ NEW IICI PLAN BUILDING NON-RESIDENTIAL 6, PROPOSED USE SIGN ' ADD O DEMOLISH ❑ yEALL 'MA] ❑ ALTER ❑ EXCAVATE ORFILL PLOT PLAN (Indicate Building setbacks, abutting street.) FENCE1 (.......... It .......... Ft.) ar' t7U ElPRE REPAIR ❑ NSP. ❑ POOL _ IUMBER OF STORIES NUMBER OF I SIGN DWELLING RETAINING WALL UNITS 8WI61MIN6 POOL CONST UCTION -tlT1f/EET IMPROVE —/ , a pNo QUIRED OCCUPANCY GROUP THIS SITE IS LOCATED IN THE CITY Of EDMONDS. LOCAL SALES TAX SHOULD BE CODED 31.04. Vnluatlon Fee Race; NOTE: Applicant Subject to Plan Check Fee 775-2525 Tido Permit enren work lo be done on Drlynle properly ONLY. Any construction on the public domsln (turbo, sidewalks, driveways, FILE marquees, etc.) will require separate permisslon, Plan Check No ..................... ,0, BUILDING i 6, PROPOSED USE ' PLUMBING PLOT PLAN (Indicate Building setbacks, abutting street.) HEAT & GAR LINE ar' t7U O/�•' C r-'""� FENCE I SIGN I RETAINING WALL 8WI61MIN6 POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL OU TOTAL AMOUNT DUE I hereby acknowledge that 1 have read this application; that the In- ion formatgiven. Is correct: and that I — the owner, or the duly author- izedasof the owner. I agree to aomply with city and .tate law. regu- ATTENTION APPLICATION APPROVAL Wing construction; and In doing the work authorized thereby, no person e will be mployed In violation of the Labor Code of the Slate of Washington Tills 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 - shall he completed In nloely days: MOVED -IN BUILDINGS .hail be was• knowledged In space provided. plated In .Ix months.) SIGNATURE (OWNER OR AGENT) DATE SIGNED INSPECTION I R' SIGN TU '1 _ DEPARTMENT CITY OF EDMONDS DATEtf NOTE: Applicant Subject to Plan Check Fee 775-2525 Tido Permit enren work lo be done on Drlynle properly ONLY. Any construction on the public domsln (turbo, sidewalks, driveways, FILE marquees, etc.) will require separate permisslon, 'r in Dz�ry ihLL e. Cul , © RESIDENTIAL 7 4f . 0 ❑ YES �. NO u NUMHEtt BUILDING DEPARTMENT A UeantFLU pp ZONE `Gk" PLAN CHECKED I}�aldo }[cavy Linos `- - PERMIT APPLICATION ao nDDnEsaA/p�3 0, PROPOSED USE ❑ G- ❑ I NAME (OR NAME OF BUSINESS) I l Yr:RAtIHtlIBLE % A LOT COVERAGES LOT COV ESYAGE ❑ ADD mAl 6 nDDRE9aO PERMISSIBLE HEIGHT PROPOSED HEIGHT RETAINING VEMARif , ' SHOULD BE CODED 31.04. ACTUAL LOT AREA TOTAL DLDO. AREA CITY TELEPHONE NUMBER WAIT' !_ _ rl' j,.:1- C b REQUIRED YARDS PROPOSED YARDS N ElALTER EXCAVATEEXCAVATE FRONT' SIDX REAR FRONT AIDE REAR NAME ) 0` 4 I �- / }I � ` ( [fy. t) OR FILL LEGAL L- VARtANCE Oli CONDITIONAL USE EXCAVATION OR FILL N ADDRESS I] YES ❑ NO PERMIT NUMBER ❑ REPAIR C CITY ITELEPHONE NUMBER PLANNING DEPT. APPROVAL forthe owner, or the duly author. mntlon elven is correct: and that I am I Ized agent of the owner. I agree to comply with city and slat. lawe rcgu• STREET R/W a and laung conatMetlon: and In doing the work authorized thereby, no Por." I EXISTINO STREET R/W ............FT. 1,/DF.F CIENCY THIS PROPERTY 6 This application is not a permit until i NAME' T, PLAN ST. R/W ............FT. ............FT, w NOTE: Permit Limit One Year (Except DESIOLITIONS which A) !v % REMARKS shall be completed In ninety days; MOVED -IN BUILDINGS shalt be com• Cd 6 ADDREHS UW.LLINGF SIGNATURE (OWNER OR AGENT) DATE SIGNED CHECKED BY DIRECTOR'S SIGNATURE! � f+ CITY TELEPHONE NUMBER ' v,.b,a USe I Fns Bernina r �I 7. o EDAIOND8 I NE'rEli al'LE I SERVICE SIZE I CLEARANCE I CHECKED BY I J Y No Ilan Check N. ..................... © RESIDENTIAL �' LINE '-A / ❑ YES �. NO NEW BUILDING PLAN CHECKED BY THIS SITE IS LOCATED IN THE CITY 0, PROPOSED USE ❑ NON-RESIDENTIAL ❑ I OF EDMONDS. LOCAL SALES TAX ❑ ADD HEAT A GAS LINE RETAINING VEMARif , ' SHOULD BE CODED 31.04. FENCE ❑ DEMOLISH WAIT' / C RETAINING WALL N ElALTER EXCAVATEEXCAVATE ❑ DEMOLITION ( [--j OR FILL (.......... x .......... Ft.) EXCAVATION OR FILL j TOTAL AMOUNT DUE ❑ REPAIR ❑ INP. El SWI I POOL forthe owner, or the duly author. mntlon elven is correct: and that I am I Ized agent of the owner. I agree to comply with city and slat. lawe rcgu• NUMBER OF STORIES WUMBER and laung conatMetlon: and In doing the work authorized thereby, no Por." I will be employed In of the Labor Code of the Slate of Washington THI8 PERMIT This application is not a permit until i relating to Workmen's Compensation Insurance. I signed by the Building Official or his Dep- { NOTE: Permit Limit One Year (Except DESIOLITIONS which ONLY TRE WORK NOTED Uty paid, and receipt is ac and fees are p shall be completed In ninety days; MOVED -IN BUILDINGS shalt be com• knowledged in space provided. UW.LLINGF SIGNATURE (OWNER OR AGENT) DATE SIGNED INSPECTION DIRECTOR'S SIGNATURE! NATURE OF WORK TO BE DONE DEPARTMENT ' v,.b,a USe I Fns Bernina r 7 Ilan Check N. ..................... BUILDING 0, PROPOSED USE PLUMBING I O PLOT PLAN (Indicate Building setbacks, abutting streets) HEAT A GAS LINE /)'t•"`� 1 /I /' iI FENCE SIGN RETAINING WALL N SWIMMING POOL DEMOLITION ( PRE -MOVE INSPECTION EXCAVATION OR FILL j TOTAL AMOUNT DUE Cl U I hereby acknewledgo that I have rend this application; that the In. –�– forthe owner, or the duly author. mntlon elven is correct: and that I am I Ized agent of the owner. I agree to comply with city and slat. lawe rcgu• ATTENTION APPLICATION APPROVAL and laung conatMetlon: and In doing the work authorized thereby, no Por." I will be employed In of the Labor Code of the Slate of Washington THI8 PERMIT This application is not a permit until i relating to Workmen's Compensation Insurance. AUTHORIZER signed by the Building Official or his Dep- { NOTE: Permit Limit One Year (Except DESIOLITIONS which ONLY TRE WORK NOTED Uty paid, and receipt is ac and fees are p shall be completed In ninety days; MOVED -IN BUILDINGS shalt be com• knowledged in space provided. pieted In six months.) SIGNATURE (OWNER OR AGENT) DATE SIGNED INSPECTION DIRECTOR'S SIGNATURE! DEPARTMENT ' CITY OF �I EDAIOND8 DATE NOTE: Ahplicaut Subject 1G Plan Check Fee 'I 775-2525 // 1 This Perm It co -r. work to he done on private properly ONLY. Any ceast ... Ilml on the public domuln (curbs,sidewalk., d,111-7., INSPECTOR ri—queer, etc.) will repulro ..I_ts perml.slan.