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750030.pdfUSE PERMIT NUMBER 750030 , BUILDING DEPARTMENT AppnemtFlllzo-E �S r PERMIT APPLICAYIOk InBldo fteaYy Linos ADDRESS NAb OR N M F BUSINESS) j1 YeI1lMltltlm LE % q f IAT CDVERAOE LOT COVERAGE I J N AILIN ADDR BB PER P1tOPOBED liEIOHT O I MISSIBLE HEIOkIT '1/,l I ACTUAL LOT AREA TOTAL BLDG. AREA a D TELEPHONE NUMBb.ft YIiOPOeED DS i REQUIRED YARDSYAR FRONT HIDE REAR FRONT SIU}: REAR {I t NAME 57/ 1 I.EOAI. LOT VAIUANCE Olt CONDITIONAL USE NUMBER N ADDRESS ❑ YES D NO PERMIT 1] '=1 PLANNING UKPT. APPROVAL Of`T" Y V CITY TELEPHONE NUMBEK Il/W t7 STREET EXIBTIN6 STREET R/W ............FT, DEFICIENCY THIS PROPERTY EXIST1 '�4 - NAME r COMP. PLAN AT. R/W ............FT. ............FT. R13M 411 If kaM7 I I , 01 AD Btl W I BY (CHECKED I CITY TELEPHONE NUMBER METER SIZE SERVICE SIZE CLEARANCE CHECKED BY 8 STATE LICENSE NUbIBER CITY LICENSE NUMBER I I I m Legal D7'sCtlpllon of Props L�Show'� Bn��ac�Four opts.) REMARKS � r I rl/JJ` Lr./J/S�f/, TYPE CONNECTION VERIFIED BY �• J /iy '� I �� PERMIT NUMBER l:, /��'-"', I PERC. TEST a I nW W REMARK. ,A < 1 i I G W FIRE TYPE OF C01,1STREET IMPROVED /,�/J YES [] NO 7D SPECIAL INSPECTOR REQUIRED OCCUPANUTROUP RESIDENTIAL GAB LINE 0 YES NO BY 1 IN THE CITY ' NEN PLAN CHECKED THIS SITE IS LOCATED LOCAL SALES TAX ® NON-RESIDENTIAL ❑ BION OF EDMONDS. SHOULD BE CODED 31.04. ADD RETAINING REMARKS '/ ❑ DEMOLISH AL & "'�^— "fLSX, 05C /F 73 ALTER EXCAVATE FENCE ❑ OR FILL IxFt.) .......... .......... E] REPAIR ❑ PRE-MOVE SWIM❑ POOL �Ruf f- AI NUMBER OF STORIES NUMBER OF DWELLING 1 UNITS NATURE OF WORKBE DONE Valuation Fee Rceclpl No. 1 II Check No......... ........... BUILDING 4 alO PROPOSED UBE PLUMBING PLOT PLAN (Indicate Building setbacks, abutting street.) � HEAT & GAB LINE PENCE SIGN RETAINING WALL I SWIMMING POOL DEMOLITION PRE-MOVE INSPECTION EXCAVATION OR FILL TOTAL AMOUNT DUE �) I hereby acknowledge that I hove read this application; that the In- formation given Is correct; and that I ace the owner, or the duly author- ized agent of the owner. I agree to comply with city and state laws regu- ATTENTION APPLICATION APPROVAL Iatln$ construction; and in doing the work authorized thereby, no person will be employed In violation of the Labor Code of the State of Washington TINS PERMIT This application is not a permit until relatlag to Workmen's ComDenss.tlon Iasurmu. 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 ninety days; MOVED-IN BUILDINGS .hall be cem. Imowledged In space provided. pleted In A onlhs. i Jdl NATURE O{ R/OR AGENT) DATE SIGNED INSPECTION DEPARTMENT DIRECTOR'Q SlONA /'i,r - / CITY OF C_' _ EDIIIOND3 DATE _ _._..._.. NOTE: Applicant Subject to Plan Cbcck Fce 775-2525 This Permit cull. work lu 1. done an prh'nle properly ONLY. Any construction on the public domain(curbs, eldewallu, drlyewan, FILE marquees, etc.) will require .,[,.rale rerml.emn. i RESIDENTIAL ❑ G AS LINE ❑ YES 'Q NO M ENT USE PERMIT - CZ'(';(1'.!` ZOO NUDSDER 7 011 I `... BUILDING DEPART Applicant M. �LS � 0 NON-RESIDENTIAL ❑ SIGN PEIIIIAIT APPdICAT10N Inside Heavy Linos—j—off-- PERMIT Ip ADDRESS OF EDMONDS. LOCAL SALES BE CODED 31.04. ADD ❑❑ HEAT & GAS LINE RETAINING WALL REMARKS O� SHOULD `7 11 DEMOLISH FENCE NAME tOR NAME OF HUSINE88) -. ACTUAL W f7 �I �� G� ��•L'/�- �p-'� /F73 / J ALTER ❑ EXCAVATE OR FILL ; (.....................FL) i'i L—PERMISSIBLETOERAp LOT COVERAGE LOT COVERAGE ❑PRE-DIOVE REPAIR INSP. 1 SWIM POOL Al ADDRESS PEItD1ItlSIDLE HEIGHT PROPOUED HEIGHT 4UMBEH OF STORIES NUMBER OF �. SWIMMING POOL -AREA z i DEMOLITION NUMBER ACTUAL LOT TOTAL BLDG. AREA t PRE -MOVE INSPECTION ri a ` FRONT SIDE REAR FRONT BIDE REAR Receipt r i [� 7�{ T C :� NAME xg 1 LEGAL LOT VAN A E Olt CONDITIONAL USE p ADDRESS 0 YES 0 NO PERMIT NUMBER TOTAL AMOUNT DUE I hereby acknowledge that I have read this application; that the In- -D tD PLANNING DEPT. APPROVAL DATE: ,yl formation given Is correct; and that I — the owner, or the duly author- G s ILS! y STREET R/w , EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY COMP, PLAN ST. R/W ............Ff. ............FT. REMARKS CHECKED BY YES ❑ NO rr it F C /& RESIDENTIAL ❑ G AS LINE ❑ YES 'Q NO I _/ NEw 011 PLAN CHECKED BY THIS SITE IS LOCATED IN THE CITY TAX � 0 NON-RESIDENTIAL ❑ SIGN PLUMBING OF EDMONDS. LOCAL SALES BE CODED 31.04. ADD ❑❑ HEAT & GAS LINE RETAINING WALL REMARKS SHOULD `7 11 DEMOLISH FENCE r i l�!oXX_ f7 �I �� G� ��•L'/�- �p-'� /F73 / J ALTER ❑ EXCAVATE OR FILL (.....................FL) i'i RETAINING WALL ❑PRE-DIOVE REPAIR INSP. SWIM POOL /) f ,t / �1J/til^)? f�rr� Ll 1� _.CIA,/ 4UMBEH OF STORIES NUMBER OF SWIMMING POOL DWELLING ' DEMOLITION UNITS PRE -MOVE INSPECTION VATURE OF—WORK TO BE DONE Valuation Fee Receipt r ' I [� 7�{ T C :� 1 r•� C Plan Check N BUILDING 011 PROPOSED USE PLUMBING HEAT & GAS LINE PLOT PLAN (Indicate Building setbacks, abutting streets) 11 FENCE I I SIGN ' RETAINING WALL SWIMMING POOL ' DEMOLITION 1 PRE -MOVE INSPECTION EXCAVATION OR FILL: 1 I " TOTAL AMOUNT DUE I hereby acknowledge that I have read this application; that the In- -D tD formation given Is correct; and that I — the owner, or the duly author- Ized agent or the owner. I agree to comply with city and state laws regu- ATTENTION APPLICATION APPROVAL toting eonetructlon; 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. AUTHORI ZES signed by the Building Official or his Dep- - NOTE: Permit limit One Year (Except DEMOLITIONS Which ONLY TIIE WORK NOTED uty; and fees are paid, and receipt is Be &hall be completed In nlaely days; MOVED -IN BUILDINGS shall be com- knowledged in space provided. pleted In six montlts.)� UGNATUFiE (OWNER OR AGENT)DATE SIGNED / '; _ INSPECTION DEPARTMENT DIRECTOR'S SIGNATDRE / l / 1 ?2 �. ! �_i i),�• %J CITY OF EDhIOND$ DATE NOTE: Applicant Subject to Plan Check Fee f 7�ti 775-2525 This1'erinit covers work W bo done on Private property ONLY. Any con&lructlan on the public domain (curbs, sidewalks, drlvarars' INSPECTOR marquees, etc.) will require separate permission. 7 ... .. �.. ,. �� ,."r, —1 ,... .... _ .•- ... .- c-..w.�;'sL ., �. •- rte+ ,�'.a j^—•`""'--?'-." > w r e , I, I„ RECORD OF INSPECTIONS. Date Passed Foundation -- Plumbing (Partial) (Rough) I Frame Furnace & Fuel Lines Final I I'j