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750087.pdf{ USE PERMIT -] J. lJ lO`Z 1 BUILD 1 N G DEPARTMENT Applicant Fill ZONE NUMBER U I ` PERMIT APPLICATION Inside llcavy Lines�O � ADORE88 as a NAME (OR NAME OF BUSINESS) / -/ OY i'N:ItAi ItltlIDLE ACTUAL `o 00 b (� Q �� _ LAT COVERAGE LOT COVE AGE ✓1 MAILING ADDRESS KKK/// ^�N/ //� k J� 7W' J , `ty'. -PERMISSIBLE 1'ItOYOdEU II EfO}f4 /3c�av ,tJ/' / V CITY TELEPHONE NUMBER ACTUAL. 3 IRE TOTAL BLDG. ARE 7<iC- UYI A �Gf of — / %S �LJ�R �l/S i7aG It .q IRF.D YnItUN PROPOSED YAItUtl NAME FRONT' tlIDE REAR FRONT HIDE REAM 1 11— �y /-)O /J c--. . .�► LL YES OTVAICIANCh Oft 0 NO PERMIT NUMBER CONDITIONAL USF. yVi ADDRESS PLANNING UE T PLANNING VAL Q r�.�T •� �+ E• CITY TELEPHONE NUMBER STREET tt/N EXISTING STREET R/W ............FT. COMP. PLAN ST. R/W ............Fr. DEFICIENCY THIS PROPERTY ...-.......FT. NAME / REMARKS •,� Cf ADDRESS CHECKED BY C CITY / TELEPHONENU-11— �J 7 - 00 � d METER SIZE SERVICE SIZE I CLEARANCE \ HECKED BY aI STATE LICENSE NUHEIi CIT LICENSE NUMBER REMARKS G Legal Description of Property (Show Below or Attach Four Copies) Sec %b' 7-0 TYPE TYPE CONNECTION VERIFIED BY PERC. TEST PERMIT NUMBER U J . I'd ✓ I W a /J. REMARKS V .7 �•. / (J� ��I les eQl. FIRM ZONE TYPEj'OOF" CONSTRUCTION �S,T.R,rE�ETT IMPROVED SPECIAL INSPECTOR R gUIRED GROUP © ❑ GAS RESIDENTIAL LINE ❑ YES ( 0 (OCCUPANCY 7— PLAN CHECKED7Y THIS SITE IS LOCATED IN THE CITY E] NEN NON-RESIDENTIAL /" OF EDMONDS. LOCAL SALES TAX SIGN I -%�l�o J- SHOULD BE CODED 31.04. ADD ❑DEMOLISH ❑ RETAA�INING 7 MARKS © FENCE , ` ���� `[� /ll,fj /tl G7 L�(r / /G!/✓ ��� (�� (j / /� ALTER ❑ EXCAVATE ❑ OR FILL (.......... g_ ........ Ft.) REPAIRPRF.•DfOVE SWIM L••Z IN9P. POOL 3 _^.1 / / (J NUMBER OF STORIES NUMBER OF U,Je_ UNITSL[NC U� Plan Check No ..................... BUILDING /-36C O J 7_CI 4 PROPOSED USE PLUMBING 3 G PLOT PLAN (Indicate Building setbacks, abutting gsetre—et.) HEAT & GAS LINE PENCE i .�/ 1i1 , SIGN J4 T RETAINING WALL i[Y/ N SWIDSMIN6 POOL T (}� DEMOLITION PRE -MOVE INSPECTION _ I EXCAVATION OR FILL TOTAL AMOUNT DUEa I hereby acknowledge that I have read this application; that the In. 3S_ formation given le correct; and that I o n the owner, or the duly nuthor- (zed agent of the owner. I agree to comply with city and state law. res.- ATTENTION APPLICATION APPROVAL lating construction; and In doing the work authorized thereby, no person will be employed In violation of the Labor Code of the Slate of Waahmston Title PERMIT This application is not a permit until relating to Workmen's Compensation Insurance. AUTHORIZES ONLY THE 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 - shell be completed In nmely days; MOVED -IN BUILDINGS shall be nam- kno ledged in Space provided. pleted In six month..) 91Qf7ATUliE (OWNER OR AGE q/T) DATE SIGNED INSPECTION DIRE O SIGNATURE I I DEPARTMENT /) CITY OF l I EDMOND9 ATE ` - NOTE: Applicant Subject to Plats Check Fee This Penna rue— work to I. done on private properly ONLY. 775-2525 Any construction on the public domain sepabs,rate perwalks, drlreways, FILE mnrauee., etc.) will require eepa+ale Derml.slon. ft 1 Plan Check No ..................... BUILDING /-36C O J 7_CI 4 PROPOSED USE PLUMBING 3 G PLOT PLAN (Indicate Building setbacks, abutting gsetre—et.) HEAT & GAS LINE PENCE i .�/ 1i1 , SIGN J4 T RETAINING WALL i[Y/ N SWIDSMIN6 POOL T (}� DEMOLITION PRE -MOVE INSPECTION _ I EXCAVATION OR FILL TOTAL AMOUNT DUEa I hereby acknowledge that I have read this application; that the In. 3S_ formation given le correct; and that I o n the owner, or the duly nuthor- (zed agent of the owner. I agree to comply with city and state law. res.- ATTENTION APPLICATION APPROVAL lating construction; and In doing the work authorized thereby, no person will be employed In violation of the Labor Code of the Slate of Waahmston Title PERMIT This application is not a permit until relating to Workmen's Compensation Insurance. AUTHORIZES ONLY THE 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 - shell be completed In nmely days; MOVED -IN BUILDINGS shall be nam- kno ledged in Space provided. pleted In six month..) 91Qf7ATUliE (OWNER OR AGE q/T) DATE SIGNED INSPECTION DIRE O SIGNATURE I I DEPARTMENT /) CITY OF l I EDMOND9 ATE ` - NOTE: Applicant Subject to Plats Check Fee This Penna rue— work to I. done on private properly ONLY. 775-2525 Any construction on the public domain sepabs,rate perwalks, drlreways, FILE mnrauee., etc.) will require eepa+ale Derml.slon. QO 4 METER SIZE SERVICE SIZE CLEARANCE PHECKED IIP STATE LICENSE NUMBER CIT LICENSE, NUMHEIt /-_' {C. j REMARKS v Legal Description of Property (Show Below or Allach Four Coplee) i SPC %LJ 7" d.7 e6! fTYPE CONNECTION E I i i)� G IVERIFIED BY (V-— ;t "q � Xo'- � , cc J . Imo/ Fi PERC. TEST PERMIT NUMBER Uj /y I - es s N W REMARKS i ., N. 383. �� Fr, L.Ps•S �1 C I - /PS,> /J-./ FIRE ZONE TYPE OF CONSTRUCTION STREET IMPROVED ' SPECIAL INSPECTOR�R,PQUIREDOCCU�P7A-N'CY GROUP f+ >71 RESIDENTIAL E]TIALO YES Q'NO I �^ • '' NE PLAN CHECKED I;Y THIS SITE IS LOCATED IN THE CITY ❑ NEW ❑ NON• RESIDENTIAL SIGN OF EDMUNDS. LOCAL SALES TAX ❑ I,9 - l /iLta,L SHOULD BE CODED 3104 ❑ ADD RETAINING E] nEMARK9,i DEMOLISH ❑ WALL ALTER ❑ EXCAVATE ❑ FENCE `-f i' /(/ /✓,S% OR FILL (.......... x .......... Ft.) '. PRE-MOVE SWIM ,J REPAIR ❑ IN6P. ❑ POOL __ ,�'��[..-'L• / /07 G%��//'%: V�/Gj Ci /•'.f/✓ )' NUMBER//OA�F STORIESDWELNUMBER OF UNITS Qrt� NATURE OF WORK TO BE DONE Valentino Fee Receipt No. -i•/C� �Mi�,E._ Mon Check Nn ..................... �.. (O BUILDING 0, PROPOSED USE 1 p PLUMBING S PLOT PLAN (Indicate Building Setbacks, abetting trecte) HEAT a: GAS LINE FENCE SIGN yo RETAINING WALL JSWIMMING POOL DEMOLITIONPRE-MOVE INSPECTION EXCAVATION OR FILL TOTAL AMOUNT DUE 1 hereby acknowledge that I have read this application; that the In- "- formation given le correct: and that I ¢m the owner, er the duly author- fxed agent of the owner. I agree to comply with city and elate Iowa regu. ATTENTION APPLICATION APPROVAL Jetting conslructlea; and In doing the work authorized Hereby, no person will be employed In vlolathm of the Labor Code of the Stale of Washington TIDE PERMIT This application is not a permit until relating to workmen'. Compe... tlon Imurnnee. AUTHORIZES signed by the Building Official or his Dep - ONLY THE NOTE: Permit limit One Year (Except DEMOLITIONS which WORK NOTED utyi and fees are paid, and receipt is ac - shall he completed In ninety days; MOVED -IN BUILDINGS shall be com- knowledged in space provided. pleted In six menthe.) 1 "1 d1GNATUItE (OWNER Oli AGENT) DATE SIGNED INSPECTION DIRE O S BiONATURH DEPARTMENT oITY of EDhrOND3 nwTE ✓ / �.� NOTE: Applicant Subject to Plas Check Fee 775-2525 This I'mhit covers work to be done an private properly ONLY. Any construction on the public domain (curb., .ki—alk.. driveways, INSPECTOR i mmpu-s' tie.) will rmulre separate permission. I fr 3 9 7� fitMli BUILDING,DEPART MENT Applicant Fill ZONE NUMBETR j + Inside heavy Lines PERMIT APPLICATION Ioa- ADDRESS + NAME (OR NAME OF BUSINESS) / / f�! i,r /.),r �• C/ �(�� (1 c' XL ` Pt:IIM ItltlIDLE m IAT COVERAGE? ACTUAL IAT COVESYAOE '1 F.� NMAILING ADDREBB I �, 3 , (,l�r Fie -fr /AtJt•> � PERMIHBIBLE HEIGHT i `//y� PItOPOHED REIT � z O /UrO N ACTUAL LOT AREA TOTAL BLDG, AREA i' CITY TELEPHONE NUMBER I R QYARDSI'ROPOSbD RED YARDS rt-/,rrG _ YA RDN FRONT SIDE: REAR FRONT HIDE REAL( .. NAME N ADDREtlB LEGA OT PARIAT R OCONDITIONAL USE (J. YESNO PERMIT NUMBER ; yy, PLANNING9- ~ ": I i `) q CITY TELEPHONE NUMBERNUMBER�-' `• '� 1 ,`J � (' I B \V R/ EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY O NAME ` COMP. PLAN BT. R/W ............FT. ............FT. E� Ia -- )�(/ t�� K•- '�/� 11' /AT-7'�f/ " REMARKS 'd C }; ADDR/E138 �E p j1a-1;>r_,1 -- {"j-^"`-� I CHECKED BY O I W I � QO 4 METER SIZE SERVICE SIZE CLEARANCE PHECKED IIP STATE LICENSE NUMBER CIT LICENSE, NUMHEIt /-_' {C. j REMARKS v Legal Description of Property (Show Below or Allach Four Coplee) i SPC %LJ 7" d.7 e6! fTYPE CONNECTION E I i i)� G IVERIFIED BY (V-— ;t "q � Xo'- � , cc J . Imo/ Fi PERC. TEST PERMIT NUMBER Uj /y I - es s N W REMARKS i ., N. 383. �� Fr, L.Ps•S �1 C I - /PS,> /J-./ FIRE ZONE TYPE OF CONSTRUCTION STREET IMPROVED ' SPECIAL INSPECTOR�R,PQUIREDOCCU�P7A-N'CY GROUP f+ >71 RESIDENTIAL E]TIALO YES Q'NO I �^ • '' NE PLAN CHECKED I;Y THIS SITE IS LOCATED IN THE CITY ❑ NEW ❑ NON• RESIDENTIAL SIGN OF EDMUNDS. LOCAL SALES TAX ❑ I,9 - l /iLta,L SHOULD BE CODED 3104 ❑ ADD RETAINING E] nEMARK9,i DEMOLISH ❑ WALL ALTER ❑ EXCAVATE ❑ FENCE `-f i' /(/ /✓,S% OR FILL (.......... x .......... Ft.) '. PRE-MOVE SWIM ,J REPAIR ❑ IN6P. ❑ POOL __ ,�'��[..-'L• / /07 G%��//'%: V�/Gj Ci /•'.f/✓ )' NUMBER//OA�F STORIESDWELNUMBER OF UNITS Qrt� NATURE OF WORK TO BE DONE Valentino Fee Receipt No. -i•/C� �Mi�,E._ Mon Check Nn ..................... �.. (O BUILDING 0, PROPOSED USE 1 p PLUMBING S PLOT PLAN (Indicate Building Setbacks, abetting trecte) HEAT a: GAS LINE FENCE SIGN yo RETAINING WALL JSWIMMING POOL DEMOLITIONPRE-MOVE INSPECTION EXCAVATION OR FILL TOTAL AMOUNT DUE 1 hereby acknowledge that I have read this application; that the In- "- formation given le correct: and that I ¢m the owner, er the duly author- fxed agent of the owner. I agree to comply with city and elate Iowa regu. ATTENTION APPLICATION APPROVAL Jetting conslructlea; and In doing the work authorized Hereby, no person will be employed In vlolathm of the Labor Code of the Stale of Washington TIDE PERMIT This application is not a permit until relating to workmen'. Compe... tlon Imurnnee. AUTHORIZES signed by the Building Official or his Dep - ONLY THE NOTE: Permit limit One Year (Except DEMOLITIONS which WORK NOTED utyi and fees are paid, and receipt is ac - shall he completed In ninety days; MOVED -IN BUILDINGS shall be com- knowledged in space provided. pleted In six menthe.) 1 "1 d1GNATUItE (OWNER Oli AGENT) DATE SIGNED INSPECTION DIRE O S BiONATURH DEPARTMENT oITY of EDhrOND3 nwTE ✓ / �.� NOTE: Applicant Subject to Plas Check Fee 775-2525 This I'mhit covers work to be done an private properly ONLY. Any construction on the public domain (curb., .ki—alk.. driveways, INSPECTOR i mmpu-s' tie.) will rmulre separate permission.