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750088.pdfW PROPOSED USE�- _. _ . `` i Q aPLOT PLAN (Indicate Bltliding setbacks, abutting Strode) HEAT A GAS LINE - n � FENCE USE PERMIT 750 088 tRETAINING BUILDING DEPARTMENT Applicant FW ONE NUMB= PE IT APPLICATION Inside Heavy Lines IGS ADDRESS DEMOLITION r NAM lOR NAME OF U NESS) PRE -MOVE INSPECTION EXCAVATION OR FILL PERM1SS18LEACTUAL I TOTAL AMOUNT DUE I hereby acknowledge that I have reed this appllcnuon; that the In. LOT COVERAOF. LOT COVESEAOE Wrmatlln given Is correct; and that I = the owner, If the duly author- M MAILiN ADDRESSO ATTENTION PERM ItlSIBLE HEIGHT PROPOSED HEIGHT baling 'Instruction; and In doing the work authorized thereby, no person will be employed In violation of the Labor Clde of the State of Washington THIS PERMIT 3 7 relating to Workmen's Compensation In-urmw, AUTHORIZES signed by the Building Official or his Dep- ' NOTE: Permit Limit One Year (Except DEMOLITIONS which ONLYTILE WORK NOTED O � CIT shall be completed In ninety days; MOVED -IN BUILDINas shall be com- TELEPHONE NUMBER ACTUAL LOT AREA TOTAL BLDO. AREA 7. j i- Oli AGENT) TE S16NED DA INSPECTION DI CTOft'B NAT REQUIRED YARDS PROPOSED YARDS DEPARTMENT :IaNVNER NAME CITY OF FRONT SIDE BEAR FRONT SIDE BEAR ED➢fONDB DATE JI NOTE: Applicant Subject to Plan Check Fee 775-2525 This 1'rrmlt avers wnrk to be done on private property ONLY. Any eon-IntcUnn mi the public domlln (curb-, ddewalke, driveway-, FILE LEGAL LOT VARIANCE OR CONDITIONAL USE n,.aaree, ele.) will nature separate nvmladon. N ADDRESS , YES 0.,40 PERMIT NUMBER PLANNING DEPT. APPROVAL DATE: CITY TELEPHONE NVMBEB ' STREET R/W EX78TIN0 STREET R/W ............FP. DEFICIENCY THIS PROPERTY O NAMEG COMP. PLAN ST. R/W ............FT. ............FT. W REMARKS ADDRESS BY CITY TELEPHONE NUMBER (CHECKED M 7. O I _ METER SIZE SERVICE 81ZE CLEARANCE CHECKED BY Q STATE LICENSE NUMBERI CITY LICENSE NUMBER REMABKa a Legal Description of Property (Show Below or Attach Four Copies) I TYPE CONNECTION VERIFIED BY O PERC. TEST PERMIT NUMBER y. i D � I n W � p; REMARKS ca Cor _ t -.+rhZAD I' V FIRE VONE OF CONSTRUCTION STREET IMPROVED -( ITYPE ❑ YES ❑ NO SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP i NEW RESIDENTIAL ❑ OLINE YES 0 ❑PLAN CHECKED BYO THIS SITE IS LOCATED IN THE CITY EDMONDS. LOCAL SALES TAX 0 ADD NON-RESIDENTIAL SIGN RETAINING REMARKS So' SHOULD BE CODED 31.04. DEMOLISH WALL v ALTEREXCAVATE ❑ OR FILL FENCE 1..........Y..........Ft.) O REPAIR ❑ NSPPRE-hIOVE a W1 F-1POOL NUMBER OF STORIES NUMBER OF DWELLING ^ UNITS NATURE OF WORK TO BE DONE Valuation Fee Raccipt No. Plan Check No ..................... I O L11�YV�� BUILDING i W PROPOSED USE�- PLUMBING Q aPLOT PLAN (Indicate Bltliding setbacks, abutting Strode) HEAT A GAS LINE - n � FENCE BION tRETAINING WALL _ N SWIMMING POOL DEMOLITION r PRE -MOVE INSPECTION EXCAVATION OR FILL TOTAL AMOUNT DUE I hereby acknowledge that I have reed this appllcnuon; that the In. Wrmatlln given Is correct; and that I = the owner, If the duly author- Ired agent of the owner, I agree to comply with city and state laws regu- ATTENTION APPLICATION APPROVAL baling 'Instruction; and In doing the work authorized thereby, no person will be employed In violation of the Labor Clde of the State of Washington THIS PERMIT This application is not a permit until relating to Workmen's Compensation In-urmw, AUTHORIZES signed by the Building Official or his Dep- ' NOTE: Permit Limit One Year (Except DEMOLITIONS which ONLYTILE WORK NOTED utyi and fees are paid, and receipt Is Be shall be completed In ninety days; MOVED -IN BUILDINas shall be com- knowledged In space provided. plated In six montha.) Oli AGENT) TE S16NED DA INSPECTION DI CTOft'B NAT DEPARTMENT :IaNVNER / 7 ` CITY OF ED➢fONDB DATE JI NOTE: Applicant Subject to Plan Check Fee 775-2525 This 1'rrmlt avers wnrk to be done on private property ONLY. Any eon-IntcUnn mi the public domlln (curb-, ddewalke, driveway-, FILE n,.aaree, ele.) will nature separate nvmladon. `r • USE PERMIT �y BUILDING DEPARTMENTINUMBF11 ZONE NUMBER i PERMIT APPLICATION inside HeavyADDRESS 1 / I / `- � / I NAMEr (OR NAME OF BU. -ESS) '� (' 1 - PEItallddlOLE n ACTUAL I I LOT COVE'RAOLOTCOVESiAGE MA1L1N ADDRESS PElihllddIHLE HEIGHT PROPOSED liElOHTCITYt- .7/�� TEACTUAL LOT AREA TOTAL BLDG. AREA("�/ %q YARDS PROPOSED YARDSNAME �,),��,.o..1.(��,REQUIRED FRONT tlIDEREAR tp� LEOAI. LOT 1'AIUANCE Oit CONDITIONAL USE❑YEe,NOPEIthIIT y7 ADDRESS NUMBERPLANNING DEPT. APPROVAL DATE: CITYTE STREET R/W EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY O NAMEy COASF. PLAN ST. R/W ............FT. .. .. .F"T. F7 RETIARKS Fj t4 L ADDRESS \ z W� CHECKED BY -CITY TELEPHONE NUMDER F l CLEARANCE MET'1 CHECKED BY l STATE LICENSE NUMBER CITY LICENSE NU -1%! l J I C til;S �V/C /SIZE il RE 1 K 1 Legal Description of Property (Show Below or Attach Four Copies) 1 ( / J// TYPE CONNECTION IV H T LED I O I PERC. TEST PERMIT NU tB C I W n ;d REMARKS It m I ,a '�( i h 1S7 ( �✓ ', i FIRE ZONE TYPE OF CONSTRUCTION STREET IMPROVEDI� .mi O YES0 NO i li SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP RESIDENTIAL CA9 ❑ ❑ YES NO I ❑ NEW LINE PLAN CHECKED DY THIS SITE IS LOCATED IN THE CITY NON-RESIDENTIAL OF EDMONDS. LOCAL SALES TAX SIGN SHOULD BE CODED 31.04. ADD RETAINING DEMOLISH WAIT' REMARKS E] ALTER EXCAVATE FENCE /, ). ❑ OR FILL (-.........X..........Ft.) El REPAIR PRE -MOVE SWIM INSP. POOL ;• I 1( i NUMBER OF STORIES NUMBER OF / DWELLING I UNITS V ✓ %!! 4�i• NATURE OF WORK TO BE DONE Valuation Fee Receipt Na. I Plan Check No ..................... Z. _tr ` ! 11..1 (may 5� BUILDING L PROPOSED UBE 111 7710 V`�•, PLUMBING i I PLOT PLAN (Indicate Building setbacks, abutting streets) HEAT & GAS LINE � FENCE SIGN I t RETAINING WALL N SWIMMING POOL DEMOLITION .ry I PRE -MOVE INSPECTION EXCAVATION OR FILL I I I I TOTAL AMOUNT DUE "5 l t 1 hereby acknowledge that I have read this application: that the In- formation given Is correct; and that I sum the owner, or the duly author - (zed agent of the owner. I agree to comply with city and elate laws regu. ATTENTION APPLICATION APPROVAL lating coastructlon; and In doing the work authorized thereby, no person 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. AUTHOIUZF,B eigned by the Building Official or his Dep - NOTE: Permit Limit One Year (Except DEMOLITIONN which ONLY THE uty; and fees are paid, and receipt is ac - shall be completed In ninety days; MOVED -IN BUILDINGS shall be eom- WORK NOTED lmowledged in space provided. pletcd In six months.) SIGNATURE (OWNER Olt AGENT) DATE 81GNED INSPECTION DIR R'8 11 NA /f DEPARTMENT CITY OF EDIIIONDB DATL ' '. - NOTE: Applicant Subject to Plan Check Fee 775 -2525 This Penult coven work to ba dant, an private property ONLY. This, I Any on the public 1,nm, (curbs, sldewNks, driveways, INSPECTOR I marquees, ete.) will regWre eePerot, permission.