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750069.pdf-- � r 1, FBUILDING DEPARTMENT °� PERMIT IC Applicant Fill ZONE NUMBER PERMIT APPLICATION Inside Heavy Linea 442-7710 t F G U I JUB Cd An Ess �3 30 - 7th Avenue West PER ItlB HLE "' LOT COVERAGES ACTUAL LOT COVERAGE PERMISSIBLE HEIGHT PROPOSED HEIGHT ACTUAL LOT AREA TOTAL BLDG. AREA REQUIRED YARDS PROPOSED YARDS FRONT BIDF. REAR FRONT SIDE REAR CHECKED BY CITY LEGAL LOT VARIANCE OR CONDITIONAL USE O YES [3 NO PERMIT NUMBER V ;� PLANNING DEPT. APPROVAL DATE: STREET R/W EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY O 1 COUP. PLAN BT. R/W ............FT. ............FT. REMARKS Cd ADDRESS b I I I x° j x w PLANNING DEPT. APPROVAL DATE: STREET R/W EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY O 1 COUP. PLAN BT. R/W ............FT. ............FT. REMARKS Cd ADDRESS x° j w CHECKED BY CITY TELEPHONE NUMBER N I rJ '. STATE LICENSE NUMBER CITY LICENSE NUMBER METER BILL I SERVICE SIZE I CLEARANCE I CHECKED BY -- I Legal Description of Property (Show Below or Attach Four Copies) REMARKS V `/ i .. TYPE CONNECTION VERIFIED BY PERC. TEST PERMIT NUMBER tL• i j .I to REMARKS a U ' A j FIRE ZONE TYPE OF CONSTRUCTION STREET IMPROVED ❑YES [3 NO SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP I [3 NO I ® RESIDENTIAL GAB E El NEW LINLAN , PElYE9 CHECKED BYI THIS SITE IS LOCATED IN THE CITY NON-RESIDENTIAL SIGN OF EDMONDS. LOCAL SALES TAX SHOULD BE CODED 3104 I ADD RETAINING ❑DEMOLISH WALL REMARKS DALTER EXCAVATE ❑ FENCE j ❑ OR FILL (.......... It ..... .....Fl.) •...�' MOVE ❑INSWIM REPAIR []SP.POOL NUMBER OF STORIESNUMIIER OF DWELLING I UNITS NATURE OF WORK TO BE DONE COMPLIANCE INSPECTION Valuation Fce Recelpt No. clan Check No. ................... 1 z BUILDING FOFS� a� PROPOSED UBE "�ggzq W PLUMBING PLOT PLAN (Indicate Building setbacks, abutting Streets) HEAT @ GAS LINE r1 1 J FENCE SIGN RETAINING WALL d, N SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL COMP. INSPECTIO14 25.00 TOTAL AMOUNT DUE I hereby acknowledge that I have read this apPilcnllen; that the 1n• 25.00' formation given Is correct; and that I am the owner, or the duly author- ' Ized ¢gent of the owner. 1 agree to comply with city and elate laws reg". .ating eonetruetlon; and In doing the work authorleed thereby, to person ATTENTION APPLICATION APPROVAL will be employed In Violation of the Labor Code of the Stale of Waebloglon THIS PERMIT This application is not a permit until relating to Workmen's Compensation Insurance.Insurance.O ONLY ITIIE signed by the Building Official Or his Dep - NOTE: Permit limit One Year (Except DEMOLITIONS which WORK NOTED uty; and fees are paid, and receipt is ac - $hall be completed In ninety days; MOVED -IN BOILDINOS shall be eom- llnowledged In space pitted In six menthe,) provided, SIGNATURE (OWNER OR AGENT) DATE 111ONED INSPECTION DEPARTMENT DI R OR'B 0 NATU/�/�� `m Evergreen Mortgage 3-3-75 CITY OF EDhiONDB DAT. NOTE: Applicant Subject to Plan Check Fee This Permit toren work to be dens on Private property ONLY. 775-2525 0l Any construction on the public domain (curbs, sidewalks, driveways, marquee., etc.) x'111 require separate permleelon. FILE Legal Description of Property (Show Below Or Attacn Your uopiea/ TYPE CONNECTION _ I VERIFIED BY A O V i 1 PERPERMIT NUMBER W B� PERMIT RE V BUILDING DEPARTMENT Applicant FW ZolfoNUAfBER 1 k) � FIRE ZONE TYPE OF CONSTRUCTION AP OVED �-� 0 YES NO PERMIT APPLICATION Inside Heavy Lines SOB SPECIAL INSPECTOR REQUIREDOCCUPANCY ❑ YES E3NO GROUP. -I '.. GAS NEW ® RESIDENTIAL LINE NON-RESIDENTIAL slax PLAN CHECKED BY THIS SITE IS LOCATED IN THE CITY OF EDMONDS. LOCAL SALES TAX SHOULD BE CODED 31.D4. ADDRESS ❑ ADD RETAININO DEMOLISH � WAIT' ALTER ❑ ORCFILLTE E]FEN 'X .......... FL.) � NAME (OR NAME OF BUSINESS) - `3530 — 75th Avenue West NUMBER OF STORIES NUMBER OF DWELLING I PERMISSIBLE ^ ACTUAL J i TI)OItIdS I'l8ters LOT COVERAGE? LOT COVERAGE Fee Receipt No. COMPLIANCE INSPECTION Plan Check No ............ _....... MAILING ADDRESS PERK 3B816LE HEIOIIT Y1tOPO8ED HEIGHT O BUILDING PROPOSED USE PLUMBING 7. V PLOT PLAN (Indicate Building setbacks, abutting streets) O HEAT & GAS LINE PENCE c 3530 -75th Ave. WestACTUAL LOT AREA TOTAL BLDG, AREA SIGN CITY TELEPHONE NUMBER RETAINING WALL 1 Fd— REQUIRED YARDS PROPOSED YARDS E SWIMMING POOL NAME 446-77I0 FRONT SIDE REAR FRONT SIDE REAR i 1 1 PRE -MOVE INSPECTION LEGAL LOT VARIANCE Olt CONDITIONAL USE EXCAVATION OR FILL COF;P HNSPECT I O aw ADDRESS 5. ti0 IE 8 Q NO PERMIT NUMBER 2j.00 TOTAL AMOUNT DUE I hereby acknowledge, that I have rend this application; that the In.I i F PLANNING DEPT. APPROVAL DATE: lied %gent of the owner. I agree to comply with city and state law. regu- taring construction; and In doing the work authorized thereby, no person ATTENTION ) ! Will be employed In violation of the Labor Code of the Stale of Washington U C !a CITY TELEPHONE NUMBER relating to Workmen's Compensation Insurance. NOTE: Permit Limit One Year (Except DEMOLITIONS which shell be completed In ninety days; MOVED -IN BUILDINGS shall be cam- AUTHORIZES ONLY TILE WORK NOTED signed by the Building Official or his Dep uty; and fees are paid, and receipt is ac knowledged in apace provided. - - pleted in six months.) SIGNATURE (OWNER OR AGENT) DATE SIGNED STREET R/1V EXISTING STREET R/W ............pT. DEFICIENCY THIS PROPERTY O DIRI•' pOR'S SIGNATZE s/% n Fverjrnur Ma'lgage: I CITY OF NAME EDMONDS 775-2525 COMP. PLAN BT. R/W ............FT. ............ FT. � INSPECTOR This Permlt coven work to be dune on private propery ONLY. Any eonelruction on the public domain (curb., sidewalks, drlvmars, marquees. etc.) will require separate permission. REMARKS A tCADDRE811 , BY 6 CITY TELEPHONE NUMBER (CHECKED F O METER SIZE I SERVICE SIZE I CLEARANCE I CHECKED BY I w Legal Description of Property (Show Below Or Attacn Your uopiea/ TYPE CONNECTION _ I VERIFIED BY A O V i 1 PERPERMIT NUMBER W k7 RE V 1 k) � FIRE ZONE TYPE OF CONSTRUCTION AP OVED I 0 YES NO SPECIAL INSPECTOR REQUIREDOCCUPANCY ❑ YES E3NO GROUP. -I '.. GAS NEW ® RESIDENTIAL LINE NON-RESIDENTIAL slax PLAN CHECKED BY THIS SITE IS LOCATED IN THE CITY OF EDMONDS. LOCAL SALES TAX SHOULD BE CODED 31.D4. REMARKS ❑ ADD RETAININO DEMOLISH � WAIT' ALTER ❑ ORCFILLTE E]FEN 'X .......... FL.) PRE -MOVE SWIM REPAIR ❑ INSP. POOL NUMBER OF STORIES NUMBER OF DWELLING I UNITS NATURE OF WORK TO BE DONE Valuation Fee Receipt No. COMPLIANCE INSPECTION Plan Check No ............ _....... BUILDING PROPOSED USE PLUMBING V PLOT PLAN (Indicate Building setbacks, abutting streets) O HEAT & GAS LINE PENCE SIGN RETAINING WALL SWIMMING POOL DEMOLITION i 1 1 PRE -MOVE INSPECTION EXCAVATION OR FILL COF;P HNSPECT I O J 5. ti0 2j.00 TOTAL AMOUNT DUE I hereby acknowledge, that I have rend this application; that the In.I i formation given 1e correct; Md that I am the owner, or the duly author - lied %gent of the owner. I agree to comply with city and state law. regu- taring construction; and In doing the work authorized thereby, no person ATTENTION APPLICATION APPROVAL ! Will be employed In violation of the Labor Code of the Stale of Washington THIS PERMIT This application is not a permit until , relating to Workmen's Compensation Insurance. NOTE: Permit Limit One Year (Except DEMOLITIONS which shell be completed In ninety days; MOVED -IN BUILDINGS shall be cam- AUTHORIZES ONLY TILE WORK NOTED signed by the Building Official or his Dep uty; and fees are paid, and receipt is ac knowledged in apace provided. - - pleted in six months.) SIGNATURE (OWNER OR AGENT) DATE SIGNED INSPECTION DEPARTMENT ' DIRI•' pOR'S SIGNATZE s/% n Fverjrnur Ma'lgage: I CITY OF NOTE: Applicant Subject to Plan Check Fee EDMONDS 775-2525 INSPECTOR This Permlt coven work to be dune on private propery ONLY. Any eonelruction on the public domain (curb., sidewalks, drlvmars, marquees. etc.) will require separate permission. .I