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750094.pdfBUILDING DEPARTMENT Applicant Fill PERM Z E NUMBER IJ���� PERMIT APPLICATION Ineldo Heavy Lines ADDRESS NAME (OR NAME OF 15118INESS) 184 Sunset John W. Crumpp PET COV BLE ERAGE � ACTUAL LOT COV LOT COVEE€ AOE I MAILING ADDRESS PERMISSIBLE HEIGHT PROPOSED HEIGHT O 184 Sunset So. CITY TELEPHONE NUMBER ACTUAL LOT AREA TOTAL BLDG. AREA z Edmonds, Washington 775-2001 REQUIRED YARDS PROPOSED YARDS NAME FRONT SIDE REAR FRONT SIDE REAR kUj ADDRESS LEGAL LOT VARIANCE OR CONDITIONAL USE F 0 YES C3 NO PERMIT NUMBER PLANNING DEPT. APPROVAL DATE; tj CITY (TELEPHONE NUMBER STREET R/W 0 EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY NAME COMP. PLAN ST. R/W ............Fr. ............FT. �? owner REMARKS 0 C ADDRESS �Iw CHECKED BY F CITY TELEPHONE NUMBER r Z METER BILE I eERYICE 812E I CLEARANCE I CHECKED BY .. t STATE LICENSE NUMBER I CITY LICENSE NUMBER {{{C REMARKS I I.ecnl Deenrinunn of Pr ... 1ty I8how Below or Attach Four Copies) 1 O i PLRC. TEST I PERMIT NUMBER y. O r W REMARKS O � I T J FIRE EON. I TYPE OF CONSTRUCTION I S,T1R�EEET IM OV NO D 0RESIDENTIAL 6A8 El LINE ❑ YES NOE] NEW PLAN CHECKED BY THIS SITE IS LOCATED IN THE CITY i © NON-RESIDENTIAL SIGN OF EDMLD 3LOCAL1.04. SALES TAX ADD MING REMARKS BONE CODS. DED SHOU ❑O WALL DEMOLISH ALTER ❑ ORCFILLE ❑ (ENC x .......... Vt.) 1 REPAIR PRE-AfOVE SWIM INSP. POOL NUMBER OF STORIES NUMBER OF DWELLING I UNITS NATURE OF WORK TO BE DONE Valuation Fee R ... 1pt No. Mach. rmn Check No ..................... BUILDING [O W PROPOSED USE PLUMBING O PLOT PLAN (Indicate Building aetbacke, abutting streete) HEAT & GAS LINE 21 O FENCE SIGN RETAINING WALL SWIMMING POOL DEMOLITION 1 PRE -MOVE INSPECTION i EXCAVATION OR FILL 7� TOTAL AMOUNT DUE 1 hereby acknowledge that I have read this application; that theIn- formation given I. correct; and that I am the owner, or the duly author- Ized agent or the owner. I agree to comply with city and Stele laws regu- ATTENTION APPLICATION APPROVAL Iating conetrucllon; and In 11-1.1 the work authorlml thereby, no Doreon will be employed In violation of the Labor Code of the State of Woehinglon THIS PERMIT This application Is not a permit until relating to Workmen's Compen..U.n. Insurance. AUTHORIE -8 Signed by the Building Official or his Dep- NOTE: Permit Limit One Year (Except DEMOLITIONS which ONLY TH WORKNOTED uty; and fees are paid, and receipt Is ac- 4- - ehall be completed In ninety day.; MOVED -IN BUILDINGS shall be com- knowledged in space provided. ed In elx month..) � !SIGN TUI WNER Oft T) DATE SIGNED INSPECTION Olt'S iONATURE �I' ( �'C)._�l DEPARTMENT �iC,•G✓ .L -Cd CITY OF NOTE: Applicant Subject to Plan Check Fee EDMONDEiDATJr 775-2525 P Thle Penult n,vere work W W done on private property ONLY. Any ennetnlrtlon on Iho, pnhile domain (carbo, .1,1 Ike, drh'ewaye' FILE irIoirr, rl,.i „III r ndrr nennrnlr I'rrinl�nl-n, qs 3'ce� I e _------ -------- .. qs 3'ce� I owner C ADDRE6l tC CITY H O EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY COMP. PLAN ST. R/W ............FT. ............FT. REMARKS Plan Check No ..................... FIRE 2 BUILDING (may 4 PROPOSED USE SPECII ❑ RESIDENTIAL ❑ "y1 YES NEW V PLOT PLAN (Indicate Building setbacks, abutting .tracts) LINE PLAN , PERM 750094 ❑ BUILDING DEPARTMENT pppllcant Fill ZUSE ONE NUMBER DEMOLISH PERMIT APPLICATION Inside Heavy Lines JOB ALTER SIGN EXCAVATE ❑ ADDRESS tRETAINING WALL NAME (OR NAME OF BUSINEBS) OnFILL 184 Sunset REPAIR ❑ PERMISSIBLE ACTUAL 3WIMMIN6 POOL John W. Crumpp LOT COVERAGE' LOT COVERAGE DEMOLITION MAILING ADDRESS PERM IddiHLE HEIGHT PROPOSED HEIGHT '0 So. DWELLING CITYSunset CITY TE-rL-rEPHONE N MBER ACTUAL LOT AREA TOTAL BLDG. AREA Edmonds, Washington /15-2001 REQUIRED -YARDS PROPOSED YARDS NAME FRONT BIDE REAR FRONT 815E REAR I� I hereby acknowledge that I have read this application; that the In- LEGA I. LOT VARIANCE Olt CONDITIONAL USE y�j W ADDRESS 0 YES 13 NO PERMIT NUMBER Ized agent of the owner. I agree to Comply with city and state lawn mgu. ATTENTION APPLICATION APPROVAL PLANNING DEPT. APPROVAL DATE: Fj c CITY I TELEPHONE NUMBER STREET R/W This application is not a permit until owner C ADDRE6l tC CITY H O EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY COMP. PLAN ST. R/W ............FT. ............FT. REMARKS NO BY YES [:] NO LOCAL SALES TAX Fee mBull, Plan Check No ..................... FIRE 2 BUILDING (may 4 PROPOSED USE SPECII ❑ RESIDENTIAL ❑ "y1 YES NEW V PLOT PLAN (Indicate Building setbacks, abutting .tracts) LINE PLAN © NON-RESIDENTIAL ❑ SIGN ADD ❑ DEMOLISH El WALL KING WE `MA ALTER SIGN EXCAVATE ❑ FENCx tRETAINING WALL ❑ OnFILL .......... Vt.) REPAIR ❑ PRE-INSPaIOVE ElPOOLI 3WIMMIN6 POOL DEMOLITION (UMBER OF STORIES NUMBER OF PRE -MOVE INSPECTION DWELLING UNITS NO BY YES [:] NO LOCAL SALES TAX Fee mBull, Plan Check No ..................... !, BUILDING (may 4 PROPOSED USE "y1 PLUMBING V PLOT PLAN (Indicate Building setbacks, abutting .tracts) HEAT A OAS LINE G O FENCE SIGN tRETAINING WALL N 3WIMMIN6 POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL TOTAL AMOUNT DUE I� I hereby acknowledge that I have read this application; that the In- formation given in correct; and that I am the owner, or the duly aulhor- Ized agent of the owner. I agree to Comply with city and state lawn mgu. ATTENTION APPLICATION APPROVAL lating construction; and In doing the work authorized thereby, no person will be employed In violallen of the Labor Code of the Slate of Washington TIUS PERMIT This application is not a permit until relating to workmen's Compensation Insurance. AUTHORIZES signed by the Building Official or his Dep - NOTE: Permit Limit One Year (Except DEMOLITIONS which Uty; and fees are paid, and receipt is ac - .hall be completed In nlnely days; MOVED -IN BUILDINGS shall be con- WORKI,Y NOTTIIE ED knowledged in space provided. ed In six month..) 'SIGN TUI - WNEROFt T) DATE SIGNED INSPECTION OR's IONATURH DEPARTMENT J I ,[- CITY OF i Check Fee EDAIONDS DATIr NOTE: Applicant Subject to Plan 775-2525 O _ This Permit ork to 1. done on prl,ate property ONLY. r re w Any construellou on the pubile JemDln (curbs, sld—alk., drleewaya, FILE n,.,rnurrr, rlr.1 .,ill rrgmrr .run nt, ,,anis 6m. U own1 .,r leer ADDRESH cV C CITY F Z O TOTAL AMOUNT DUE El RESIDENTIALGAS LINE NEW NON-RESIDENTIAL lating construction; and In doing the work authorized thereby, no person BION ❑ ADD tING WALL AUTHORIZES RETAINING ONLY TitE WORK NOTED ITION ❑ DEMOLISH O El ALTER EXCAVATE El(.ENC.x r - ��,��(.-[: <' � .�. :,�> ,f CITY or ❑ ORIlILL 1. NOTE: Applicant Subject to Plan Check Fee .......... Ft.) REPAIR ❑ IN EPTtOVE El SWI POOL iUA1BER OF STORIES NUMBER OF ,.,re.u•e�., rl r.l alit r,•,i elrr• nrte.rntr nrrnils.lan. DWELLING I UNIT. USE PERMIT BUILDING DEPARTMENT Applicant Fill ZOO NUMBER f PERMIT APPLICATION Inside Heavy Linos I JOB ADDRESS NAME (OR NAME OF BUSINESS) 184 1,unsej- PEHTfISBIBLF, e' ACTUAL .1; iI117 '�l. 1. I', I:ItrJ LOT COVERAGE LOT COVERAGE N y71. MAILING ADDRESS PERMISSIBLE HEIGHT PROPOSED HEIGHT ` I O CITY TELEPHONE NUMBER ACTUAL LOT AREA TOTAL BLDG, AREA F 1 Edrit)IIdS 775--2001 REQUIRED YARDS PROPOSED YARDS p. r . -.. .._ FRONT SIDE REAR FRONT SIDE REAR U own1 .,r leer ADDRESH cV C CITY F Z O it [7 4 PROPOSED USE a � PLOT PLAN (Indicate Building setbacks, she EYE""" NO PERMIT NUMBER PLANNING DEPT. APPROVAL DATE: STREET R/W EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY COMP. PLAN ST. R/W ............FT. ............FT. REMARKS C 0 YES i] NO ROUP 0 YES ❑ NO PLAN CHECKED BY THIS SITE IS LOCATED IN THE CITY OF EDMONDS. LOCAL SALES TAX SHOULD BE CODED 31.04. REMARKS Valuation eck No ..................... —rM0Vr'JNflPECTION TOTAL AMOUNT DUE El RESIDENTIALGAS LINE NEW NON-RESIDENTIAL lating construction; and In doing the work authorized thereby, no person BION ❑ ADD tING WALL AUTHORIZES RETAINING ONLY TitE WORK NOTED ITION ❑ DEMOLISH O El ALTER EXCAVATE El(.ENC.x r - ��,��(.-[: <' � .�. :,�> ,f CITY or ❑ ORIlILL 1. NOTE: Applicant Subject to Plan Check Fee .......... Ft.) REPAIR ❑ IN EPTtOVE El SWI POOL iUA1BER OF STORIES NUMBER OF ,.,re.u•e�., rl r.l alit r,•,i elrr• nrte.rntr nrrnils.lan. DWELLING I UNIT. it [7 4 PROPOSED USE a � PLOT PLAN (Indicate Building setbacks, she EYE""" NO PERMIT NUMBER PLANNING DEPT. APPROVAL DATE: STREET R/W EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY COMP. PLAN ST. R/W ............FT. ............FT. REMARKS C 0 YES i] NO ROUP 0 YES ❑ NO PLAN CHECKED BY THIS SITE IS LOCATED IN THE CITY OF EDMONDS. LOCAL SALES TAX SHOULD BE CODED 31.04. REMARKS Valuation eck No ..................... —rM0Vr'JNflPECTION TOTAL AMOUNT DUE NG NG GAB LINE ATTENTION 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 TIDE PERMIT tING WALL AUTHORIZES N IING POOL ONLY TitE WORK NOTED ITION VE'.INSPECTION.. ATION OR FILL INSPECTION Fee -7, 5—o APPLICATION APPROVAL This application Is not a permit until signed by the Building Official or his Dep- uty; and fees are paid, and receipt is ac- knowledged in space provided. DIRECTOR'S SIGNATURE () IDAT --4c)-17 INSPECTOR TOTAL AMOUNT DUE I hereby acknowledge that I have read thls application; that the In- formatlon 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 state lawn regu- ATTENTION 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 TIDE PERMIT relating to Workmen's Camp .... tlm Insurance, AUTHORIZES NOTE: Permit limit One Year (Except DEMOLITIONS which ONLY TitE WORK NOTED shall he completed In ninety days; MOVED -IN BUILDINGS shall be com- plated in sIX months,) SIGNATURE (OWNER ...ENT) DATE SIGNED INSPECTION --DEPARTMENT ',.F..�l-C•. ✓ r - ��,��(.-[: <' � .�. :,�> ,f CITY or EDhiONDB 1. NOTE: Applicant Subject to Plan Check Fee 775-2525 This Permit ceyerz work to be done on private property ONLY. Any een.lruellen na the public den ain (curb., sidewalk., drive—y.. ,.,re.u•e�., rl r.l alit r,•,i elrr• nrte.rntr nrrnils.lan. Fee -7, 5—o APPLICATION APPROVAL This application Is not a permit until signed by the Building Official or his Dep- uty; and fees are paid, and receipt is ac- knowledged in space provided. DIRECTOR'S SIGNATURE () IDAT --4c)-17 INSPECTOR