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750039.pdf(UMBER OF STORIES NUMBER OF / DWELLING / UNITS TATURE OF WORT[ TO 13E DONE ej HYC-'/T/O 4 9F /Gee ./GOON . Plan Check No ..................... BUILDING PLUMBING 3 HEAT & GAS LINE FENCE (SIGN RETAINING WALL N SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL TOTAL AMOUNT DUE I hereby acknowledge unit I hove read this application; that the 1n. formatlon given Iscorrect; and that I ant the owner, or the duty author. Ized agent of the Owner. 1 agree to comply with city and elate Inmos reg'- ATTENTION ,ating conetructlon; and In doing the work aulharlred thereby, no person NU HPTR lJUO/.3'� x•111 be employed In violation of the Labor Code of the Slate of Wsshington THIS PERMIT relating to Workmen's Compensation Insurance. AUTHORIZES BUILDING DEPARTMENT Applicant Fill ZONE;_ shall be completed In ninety days; b10VED-IN BUILDINGS shall be Will - In .Ix m'nlhe.) PERMIT APPLICATIAN Inside Wavy Lines JOB A�—� I /) /Z 7 yf 7`s CITY OF NAME (OR NAME OF BUHINESS) �•-� �l (Q i P7' L9vt.a.WY NOTE: Applicant Subject to Plaf Check Fee ! L PERMISSIBLE r'o ACTUACOVESiAOE l Thls Permit rot's. work to be done on prit'nte properly ONLY. ,/�J �( y�`�j�, / %Oil%r•�,aL�yfL�2/ II LOT COVERAGE �?0 LOT Q L ''( -/,(/- Id MMAlLINO ADDRESS PERMISSIBLE ttE161IT PItOY08EU HEIGHT moo' -Z/ 7 TOTAL DLDO. O OITy—// TELEPHONE NUMDl'.R ACTUAL +OI AORt;O A -/ E�J/Yf %'yd -/693 REQUIRED YARDS PROPOSED YARDtl On�G'S NAME FRONT BIDE REAR FRONT HIDE REAR Ow/v s e OR CONDITIONAL UAE ADDRESSER LEG AL LOT VARIANCE 1, YES 0 NO PERMIT NUMBER �t yF PLANNING DEPT PP VAI. DATE: I �� U t4 CITY TELEPHONE NUMBER STREET R/W EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY O '`/4. NAME COMP. PLAN ST. R/W ............FT. ............FT. W O • REMARKS ADDRESS / CHECKED HY x W tG CITY TELEPHONE NUMBER METER SIZE SERVICE SIZE CLEARANCE CHECKED HY STATE LICENSE NUb78Elt CITY LICENBE NUMBER ,�r,�L�' � REMARKS V� Legal I .....pilon oI Property (Shaw ,11,orAlta Copies) tc-h-Four Sh707 kG� oGG ` 4r7 / O ~ TYPE CONNECTION VERIFIED HY �L ��Q'✓ �' © D_;i I r- ` PERC. TEST PERMIT NUMBER 99 I U r _ �^OT ',1— �-�--� O REMARKS FIRE ZO TYPE OFSGNSTRUCTION STREET IMPROVED �� ! I YES E2 NO SPECIAL INSPECT -REQUIRED OCCUPANCY GROUP RESIDENTIAL GAS ❑ LINE C3YESI NEW CHECKED BYO THIS SITE IS LOCATED IN THE CITY NON-RESIDENTIAL SIGN OF EDMONDS. LOCAL SALES TAX ADD RETAINING WALL REMARKS SHOULD BE CODED 31.04. DEMOLISH FENCE 441wd - f -K P&rL d &_ 1973 ALTER Ej EXCAVATE OR FILL � (.......... x .......... Ft.) El PRE - SWIM REPAIR ❑ O INSP. POOL (UMBER OF STORIES NUMBER OF / DWELLING / UNITS TATURE OF WORT[ TO 13E DONE ej HYC-'/T/O 4 9F /Gee ./GOON . Plan Check No ..................... BUILDING PLUMBING 3 HEAT & GAS LINE FENCE (SIGN RETAINING WALL N SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL Vnluatlon Fee S97.O° ,jzr o a ori d APPLICATION APPROVAL This application is not a permit until signed by the Building Official or his Dep- uty; and fees are paid, and receipt is ac- knowledged in space provided. FILE / TOTAL AMOUNT DUE I hereby acknowledge unit I hove read this application; that the 1n. formatlon given Iscorrect; and that I ant the owner, or the duty author. Ized agent of the Owner. 1 agree to comply with city and elate Inmos reg'- ATTENTION ,ating conetructlon; and In doing the work aulharlred thereby, no person x•111 be employed In violation of the Labor Code of the Slate of Wsshington THIS PERMIT relating to Workmen's Compensation Insurance. AUTHORIZES NOTE: Permit Limit One Year (Exeopt DEMOLITION8 which ONLY TILE WORK NOTED shall be completed In ninety days; b10VED-IN BUILDINGS shall be Will - In .Ix m'nlhe.) .plated IIGNA 1tE IONNE[t ORA ENT) DATE SIGNED INSPECTION /Z 7 DEPARTMENT 7`s CITY OF EDDiOND9 NOTE: Applicant Subject to Plaf Check Fee 775-2525 Thls Permit rot's. work to be done on prit'nte properly ONLY. Any conelructlmt an the public domain (curbs, eldewalk., drivewvs, ' mnreuees, etc.) wl teethe separate perml..lan. Vnluatlon Fee S97.O° ,jzr o a ori d APPLICATION APPROVAL This application is not a permit until signed by the Building Official or his Dep- uty; and fees are paid, and receipt is ac- knowledged in space provided. FILE / I USE PERMIT BUILDING DEPARTMENT Applicant Flll ZOO / NUMBER PERMIT APPLICATION Ineldo Heavy Linos JOB ADDRESS NAME (OR NAME OF BUSINE88) PERMI98IBLE my AAOT AL f "yl LOT COVERAGE h �LOT COVESYAOE la MAILING ADDRESS PERMISSIBLE HEICIiT PROP08ED IfElOHT� / S CITY TELEPHONE NUMBER ACPUAL LOT AREA TOTAL IILixl. AREA ARDS�' y 1000 I .'1 NAME FKONT SIDE REAR FRONT BIDE REAR ! (r - !'1�^✓•- LEGAL LOT VARIANCE 0)l. CONDITIONAL UBE pUj ADDRESS (Sk YES 0 NO PERMIT NUMBER PLANNING DEPT. API' OVAL DATE: i O „ � - t tC C1TY TELEPHONE NUMBEK STREET T EXISTINGG STREET R/W ............FT. DEFICIENCY THIS PROPERTY NAMEFT. w /- COMP. PLAN ST. R/W ............FT. ............ REMARKS O C ADDRESS x (CHECKED 8Y E UI•py TELEPHO E NUMBER V STATE LICENSE NUMBER I CITY LICENSE NUMBEri METER SIZE SERVICE SIZE CLEARANCE CHECKED BY �C Legal Description of Property (Shaw Below or Attach Four Copies) ftEMAIIKH// /_ ! l; (.. �r f "•j fT ! 6 Y TYPE CONNECTION I VE FIED 'BY 'I. n LS f-�,)x C•{ ' ✓"rPERC. TEST I PERMIT NUMBER a REMARKS O j _ A FIRE ZONFj TYPE °F.QONSTRUCTION STREET IMPROVED _moi /r`_ C] YES 0 NO SPECIAL INSPECTOR "REQUIRED IOCCUPANCY GROUP ! I RESIDENTIAL LINE ❑PLANS CHECKED BYO NEW THIS SITE IS LOCATED IN THE CITY � •., NON-RESIDENTIAL ❑ gION OF EDMON DS. LOCAL SALES TAX '❑'< n0 RETAINING REMARKS El RETAINING BE CODED 31.04. DEi+fOLIHH WALL ,1 '� ! Li �� ALTER ❑ ORCFILL EXAVATE (.....................Fl.) N 7 J El FENCE /r I'df(5 / �+ ! SWIM ❑ REPAIR ❑ PRE-INSPfiSOVE ❑ POOL r NUMBER OF BTOftlEB NUMBER OF DWELLING UNITS NATURE OF WORK TO HE DONE Valuation Fee Receipt N.. e' Plun Check No .................... BUILDING 2 r PROPOSED USE PLUMBING 3 O PLOT PLAN (Intlicnte Dultdln6 setbacks, ubultln6 e[rcete) '! HEAT &GAS LINE 1l� O FENCE SIGN RETAINING WALL I' N _ � SWIMMING POOL I DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL TOTAL AMOUNT DUE 1'`7 I hereby neknowledge that T have rend LCIS application; that the In. •� �• J (J formation given I. correct; and that I are the owner, or the duty author- Ired agent of the owner. I agree to comply with city and state laws regu- ATTENTION APPLICATION APPROVAL lating construction; and In doing the work autharlred thereby, no person will 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-. Compensation Inaurance. AUTHORIZES signed by the Building Official or his Dep - ONLY THE and fees are paid, and receipt is ac - NOTE: Permit Limit One Year (Except nEMOi.ITIONH which WORKi NOTED Uty, shall be completed In ninety day.; MOVED -IN RUILDINa8 ahall be nom- knowiedged in space provided. pleted In six months.) SIGNATURE (OWNER OR AGENT)DATE SIGNED INSPECTION IRECTOR'g SIGNATURE ) / DEPARTMENT / ✓: , ,+')�• •E;'��`�!•,cn. �, - '% �- CITY OF EDMONDS TE NOTE: Applicant Subject to Plan Check Fee 775-2525 This Permit carers work I. be done on private properly ONLY. Any construction an the punt. domain (curbs, sidewalks, driveways, INSPECTOR marquee., etc.) wlll require separate permission. , I� Q