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750051.pdf/1 LAN/0/J�iG /.J/ySE.Nl�if/T Plan Check N..r Z i C BUILDING PROPOSED USE PLUMBING aPLOT PLAN (Indicans Building setback., abutting streets) HEAT k GAB LINE BUILDING DEPARTMENT PERNLIT °' ?) C_ NUMBER 750051 FENCE Applicant Fill SIGN PERMIT APPLICATION Inslde Heavy Lines dGB N ADDRESS 0� 1 SWIMMING POOL NAME (OR NAME OF BUSINESS) DEMOLITION ..ma�yy/. f'IR/N/F/Z ;94_41A PRE -MOVE INSPECTION PERMISSIBLE % ACTUAL v' ESia! Lor COVERAGE �� j LOT COVAGE "vel �� p C MAILING ADDREBs PEIL111BBIHLE HEIGHT -PROPOSED HEIGHT 1 t 7 O CITY TELEPHONE NUMBER ACT LU Z� 1* TOTAL BLDG. ARi lE (ARDS �� z I hereby acknowledge that I hove rend this npDilcnllon; that the in. �y /'�d A QJ I r � (/NE4117/j O -REQUIRED JY PR PO CEJD YARDS a NAME Ized ,agent of the owner. I agree to comply with city and elate law. regu- FRONSIDE REAR FRONT SIDE REAR T APPLICATION APPROVAL left , constmetton; and In doing the work authorized thereby, no person F, 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'. Compensation Insurance. AUTHORIZER WADD Bl EOAL LOT V RIANCE OR C N T NAL USE uty; and fees are paid, and receipt is ac - .hall be completed In Naely days; MOVED -111 BUILDINGS shall be cone. knowledged In space provided. pleted In six months.) YESNO P RMIT NUMBS SIGN A ri AGENT) INSPECTION yf. U 14 d(j-/�/i� OST L7111GNED S DATE: P O DEP APPR ALAr e e CITY OF iR� CITY f TELEPHONE NUMBER cc / DATA STREET R/WQ NOTE; Applicant Subject to Plan Check Fee /� J SE.nrriLE ��) L/�s /j✓ EXISTING STREET RPA ........ . DEFICIENCY THIS PROPERTY M .Any ce—l'u'llnnur the public domaln (carbo. nldeu'nikn, drh'ewnye, NAME v+ / COMP. PLAN ST. R/W ............FT. ............FT. a 1'1 I II.F. • .Q ry' REMARKS 44 A RESP-� 8 x �Or O! ,,/ Eq / ♦ X CHECKED BY W C �( CITY TELEPHONE I V �NUMBER / 76 7 177 7 METER B� SERVICE SIZE CLEARANCE CHECKED BY rFONio�/US STATE .CENSE NUMBER CITY LICENSE NWMBER I I ( QAJ O/REIMA G^Y4 Legal Description of Property (Show Below or Attach Your Copies) TYPE CONNECTION VERIFIED BY O OF 1 Fx cAM� 711-.I� I ZEQMaA/a . /-7r 1C_r PERC. TEST PERMIT NUMBER t: I w �d eF far 7 sf Tf% r- Qa' of y m f REMARKS �f/ST CONiII�'�/D� 3o Off' L yr ' m � FIRE ZONE TYPE OF CONSTRUCTION STREET IAIPfiOVED I YEs ❑ NO SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP I � YES NO I ❑ RESIDENTIAL ❑ -A.❑ LINE )6 ' ❑ NEN PLAN HECD BY THIS SITE IS LOCATED IN THE CITY © NON•REeIDENTIAL SIGN OF EDMONDS. LOCAL SALES TAX SHOULD BE 31.04. ADD ❑ DEhfOLIHFI CODED E]WAT WING LL REMARK 1 �? 19 ALTER ❑ PENCE mi, -zemmij WT D . i E]ORCFILLTE El ........... Ft.) SWIMPOOL Q�'` I I�O� � REPAIR ❑ INSP. El a..� ND i NUMBER OF STORIES NUMBER OF DWELLING UNITS i /1 LAN/0/J�iG /.J/ySE.Nl�if/T Plan Check N..r i C BUILDING PROPOSED USE PLUMBING aPLOT PLAN (Indicans Building setback., abutting streets) HEAT k GAB LINE FENCE SIGN tRETAINING WALL N 1 SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL TOTAL AMOUNT DUE O I hereby acknowledge that I hove rend this npDilcnllon; that the in. a {7V formation given Is correct: and that I am the owner, or the duly author. Ized ,agent of the owner. I agree to comply with city and elate law. regu- ATTENTION APPLICATION APPROVAL left , constmetton; 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'. Compensation Insurance. AUTHORIZER signed by the Building Official or his DC f' NOTE: Permit Limit One Year (Excopt DEMOLITIONS which ONLY THE WORK NOTED uty; and fees are paid, and receipt is ac - .hall be completed In Naely days; MOVED -111 BUILDINGS shall be cone. knowledged In space provided. pleted In six months.) SIGN A ri AGENT) INSPECTION DIREC B TDEPARTMENT L7111GNED S CITY OF EDhfONDB DATA NOTE; Applicant Subject to Plan Check Fee /� J 775-2525 This Permit rtrs work to be done on private Properly ONLY. .Any ce—l'u'llnnur the public domaln (carbo. nldeu'nikn, drh'ewnye, rl �'..! ,.ill r, itrn r.•. nN,artrrralrelen. I II.F.