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750056.pdfFIRE ZONE TYPE OF CONSTRUCTION STREET IMPROVED( ° I E9 [J NO I BUILDING DEPARTMENT Applicant Fill USE °"E le -Sc PERMIT "UMBER 75(�flril� (- - �1 PERMIT APPLICATION Inside Ileavy Im°$ ADD '/ 9 / _ /[� Q > NAME (Olt NAME OF BUSINESS) PERMIStlIBLE % IAT COVERAGES J��+)� •••///------ACTUAL 9 LOT COVERAOF. ❑ LINE CHECKED Y THIS $ IS LOCATED IN THE CITY SALES TAX ,f, / ' I '•, i 1 / C 1AAjIILIIrIQADDRESS T PERMISSIBLE HEIGGH' PROPOSED HI: / - ® ADD NUM/BER ACI`UAL LOT AREA TTAL BLDO.OA(Rj/EAL �! ` O L�•CJ CIT/yr' �1L T / `'T%ELEPHONE �VIO/�71,7`R �J QUIREO YAItDtl PROPO$EU YA RUN REAR i 5 `it( NAME ❑ ORCI•'ILL .......... aQFRONy' HIDE REAR J2 FRONT IDE 4 (� REPAIR PRE-OVE SIMM INSP. POOL LEGAL LOT VARIANCE OR CONDIIT'IONAL UBE yUj ADDRESS NUMBER OF STORIES YEe NO PERMIT NUMBER PLANNI O T. 1' OVA UAT Y DWELLING TELEPHONE NUMBER J UNITE / CITY STREET R/W EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY O Z NATURE OF WORK TO BE DONE NAME ............ COMP, PLAN ST. R/WFT. ............FT• w />< D ` i hU3_�L , / '' i C [ "'•/( flan Check N REMARKS BUILDING C ADDRESS z L/ L/ n / rf.0 [� I PLUMBING CHECKED BY CITY TELEPHONE NUMBER HEAT & GAS LINE i FENCE A ds I 7 � � LI J S/O METER SIZE SERVICE $IEE CLEARANCE NECKED BY V .STATE LICENSE NUMBER CITY LICENSE NUMBER I I I - .1• - 1 3 - 0 1 - Y 7,tof I REMARKS V PRE•MOVE INSPECTION Q� Legal Description o1 Properly (know Below o[ Attach Four Copies) V ti TYPE CONNECTION BY I hereby acknowledge that I have read this application: that the In- IVI (VERIFIED .% ✓G / DD�/ //(C A/ �Q G / /// !i /" P •'RL C. TEST PER N"A U.. Ized lating construction; and In doing the work authorized thereby, no person will be employed In violation of the Labor Code of the Slate of Washington THIS I'ERDIIT !� relating to Workmen's Compensation Insurance• AUTHORIZES Signed by the Building Official or his Dep - /N U �C/ /`•'10 N C�J LI 1 W — ONLY Tit Ut and fees are poli, and receipt i9 aC- y, In WORKNOTED REMARKS .halt be completed In N¢ely days: 51OVED-IN BUILDINGS shall be com• FIRE ZONE TYPE OF CONSTRUCTION STREET IMPROVED( I E9 [J NO I SPECIAL INSPECTOR OCCUPANCY OAOUP - /REpUIRED YES ❑PLAN El NEW RESIDENTIAL ❑ LINE CHECKED Y THIS $ IS LOCATED IN THE CITY SALES TAX I '•, NON-RESIDENTIAL ❑ DICN T OFEDMONDS. LOCAL HOULD BE CODED 31.04. i ® ADD ❑ RETAINING WALL U MARK F] DEMOLISH ALTER E ED PENCEILL ❑ ORCI•'ILL .......... REPAIR PRE-OVE SIMM INSP. POOL SU7 71 r 7 �'� _0/,/ f/�/iJfPr-rG1�7cr.tJ.—j' NUMBER OF STORIES NUMBER OF ---yyy---•-- DWELLING J UNITE / NATURE OF WORK TO BE DONE VAlantlon Fee Receipt No. />< D ` i hU3_�L , / '' i C [ "'•/( flan Check N BUILDING PROPOS USE PLUMBING /G �F(Indlc¢sto06N PLOT PLA Bulldln6 a tb¢cks, abutting el Mete) HEAT & GAS LINE i FENCE SIGN RETAINING WALL I SWIMMING POOL - .1• DEMOLITION V PRE•MOVE INSPECTION Q� EXCAVATION OR FILL V ti TOTAL AMOUNT DUE I hereby acknowledge that I have read this application: that the In- formation given 1n correct: and that I are, the owner, or the duly author - agent Of the owner. I agree to comply with city and state law. rega- ATTENTION APPLICATION APPROVAL Ized lating construction; and In doing the work authorized thereby, no person will be employed In violation of the Labor Code of the Slate of Washington THIS I'ERDIIT This application is not a permit until relating to Workmen's Compensation Insurance• AUTHORIZES Signed by the Building Official or his Dep - ONLY Tit Ut and fees are poli, and receipt i9 aC- y, NOTE: Permit limit One Year (Except IIEaIOLiT10NS which NOTE: WORKNOTED in space .halt be completed In N¢ely days: 51OVED-IN BUILDINGS shall be com• Imowledged provided. plated In six months.) 31UftE (OWN ft OR AGENT) DATE SIGNED INSPECTION 1R R' ef0 ATURE •, DEPARTMENT "'7 CITY OF ' Fre EDMONDS AT 17 NOTE: Applicant Subject to Plan Check 775-2525 i This Pirtnn ct ntrack In be don on prlrnt. properly ONLY. Any construct tun un the public domain (curb., sidewalks, driveways, FILE marquee., eta.) will require separate permission. FIRE ZDNE TYPE OF CONSTRUCTION S'I'ltajsY' IMYRGYr:u `..3 1-74 n ' USE PERMIT BUILDING DEPARTMENT Applicant Fill ZONE /i i NUMBER 7Xino=t -- PERMIT APPLICATION I Inside Ifeavy Lines aofi-I ADDRESS NAME (OR NAME OF BUSINESS) PERMI881DLE n" ACTUAL / ! / LOT COVERAGE _ , .� LOT COVAAGE AJ I 1 i , '� 0 �• A LING DURESS ' PEI01ISSIBLE HEIGHT PIiOPOtlED HEIGHT CITY ' TELEPHONE NUMBhR ACTUAL LO 'AREA TOTAL BLDG. AHED PROPOSED YARDH FR - HIDE REAR ,.7 ONT .-BIDE REAR NAME(FRONT _ d rF� 0 O GAS El LINE CONDITIONAL ': ''J' ' ADDRESS LF.OAL LOT VARIANCE OR USE 4 yES NO PERMIT NUMBER '/ PLANNI O D'PT. A YROVAL DATE. h /'/--•1 •� CITY I TELEPHONE NUMBER STREET R/W EXISTING STREET R/W ..........-PT. DEFICIENCY THIS PROPEICTY O If of COMP. PLAN ST. R/W ............FT. ............FT. W 'l W 11,' ` 1i NAME l / r ADORE 8 / / I./ Cl (/ r'Yi JJI �l / �.... CHECKED BY ._... CITY TELEPHONE NUMBER F V I l J Ar+ C.<� C/S - t%� 4I U I S RETAINING -.i BE SHOULD BE CODED SH , ER 7 M TEft BTLDI J CE E CLEARANCE NECKED BY / 1/ .' t./ / : / �\ V -- J �/ / n /� _ c 7-RE—MARKS C `/ ! m STATE LICENSE NUMBER CITY LICENSE NUMBER Legal Description o[ Properly (Show Below or Attach Four Copies) TYPE CONNECTION ERf I D Yrs i/. ( !r + _ �=I /J!) • / r' �i r� /' ;4 ALTER ❑ OR FILL I .......... ........... rl.) ❑ .. C N W PERC. TEST REMARKS I PERMIT UD •'� FIRE ZDNE TYPE OF CONSTRUCTION S'I'ltajsY' IMYRGYr:u AJ I SPECIAL INSPECTOR R QUIRED OCCUPANCY GOUP / R� ©. RESIDENTIAL GAS El LINE ❑ 0j40 TE / NEW AN PLAN CHECKED' Y THIS SITE IS LOCATED INT E CITY E] NON-RESIDENTIAL ❑ SIGN -.- , 'r`. '%a.�� ! +----% / S. LOCAL SALES TAX EDMONULD 31.04. ' ADD RETAINING ('L BE SHOULD BE CODED SH DEMOLISH WALL ❑O EXCAVATE FENCE i/. ALTER ❑ OR FILL I .......... ........... rl.) ❑ .. REPAIR ❑ PRE-DIOVE SWIM INSP. El �. may(//.'S,J /-i' /'7T "�.�://Ii%- ///ii - Jr NUMBER OF STORIES NUMBER OF DWELLING / , UNITS NATURE'�6 WORK TO HE DONE Valuntlon Fee Receipt No. y Plan Check No ..................... O BUILDING t --)s'00, /.zi-r ROPOSED UBE PLUMBING p i� - _: lr .- W a PLOT PLAN (Indlenta Hull Ing Setbacks, abutting Streets) HEAT & GAB LINE 1. I 9 FENCE / - J ?'• � rN SIGN i RETAINING WALL / eWIDfMIN6 POOL DEDSOLITION '/� \��.\\ PRE -MOVE INSPECTION ('(U/// f/ �•�• Jar` 4 I EXCAVATION OR FILL '•� i/ TOTAL ADIOUNT DUE uL C•G %/ fJ ..- I hereby acknowledge that I have rend this application; that the In. 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 slate laws regu- ATTENTION APPLICATION APPROVAL lating construction; and In doing the work authorized thereby, no person will bo employed In violation of the Labor Code of the Slate of Washington THIS PER511T This application Is not a permit until I' relating to Workmen's Compensation Insurance. AUTHORIZES signed by the Building Official or his Dep. NOTE: Permit Limit One Year (Egeept DEDfOLIT10NN waieh� ONLY THE W01tyC NOTED' 'recel t Is aC- uty� and fees are paid, and,p shot] be completed In ninety days; MOVED -1N BUILDINGS Shall be com- knowledged In space provided:. , pleted In I. months.) SIGNATURE (OWNER OR AGENT)I DATE SIGNED INSPECTION DIRECTOR'S SIGNATURE - DEPARTMENT L .... :.',..• r _a CITY OFi EDbIONDS _ ) ATS— �• �,,� J�, ,.�.NOTE. � NOTA licant Subject to Plan Check Fee hh 1 775.2525 Tills Permit covers work to be done on private properly ONLY. Any construction on the Public domain (curb., sidewalks, driveways, INSPECTOR moequee., etc.) will require eepamta nsrmisslon. Plumbing (Partial) (Rough) Frame Furnace & Fuel Lines Final I t