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750113.pdf
Plan Check No ..................... I j BUILDING DEPARTMENT Applicant Fill USE PERMIT NUMBER ! - g -- PERMIT APPLICATION I Inside Heavy Lines O ADDRESS "2 /// �� ti( �•r/ //', NA E (OB NAM OF HU NESS) O , ' y )' rS]! � ^ •� PNT'C" BIBLE ^ LOT LOT COVERAOEO �(�(7'7 LOT COVE�AOE �• ..7 C.O 'MAILING ADDRESS 4�2 /• 1 Ej{{ILTt PROPOHED H / PERINUBBIBLE HEIGI T ` ACP A F,A ��^ TOTAL 1��9. AREA V Z GUU(JC %J TELElP�H/ONID NUMBER /(p REQUIRED YARDSPROPOSED YARDS U yFy+ N E FRONT HIDE REAR FRONT SIDE REAR f FENCE ADDRESS LEGAL, LOT VARIANCE OR CONDITIONAL USE fd YES 0 NO PERMIT NUMBER PI,ANNIN6 5e, V _ o ; CITY TELEPHONE NUMBER STREET R/W EXISTING STREET R/ .PFT. DEFICIENCY THIS PROPERTY COMP. PLAN ST. R/L FT. ••. xk"T• ?E E •O C �1 ADMARKe Driveway slopes not to exceed those indicated on Standard Dw . No. 103 BE88 Ar. t��r±rt,�eslT /�'- �•Ir CHECKED BY CITY / TELEPH//ONE NUMBER o U I (O - e� i METER 81LE I BERVIC/J 812E I CLEARANCE �–/� / y I� CHE D B/1j r 1 /G.�V M j w 1`+ e TE L[CENBE NU...R �j'I] CITY LTCENeE NUMBE O Q O REMA✓i S / �Q L� P� ( Legal Description of Property (Show Below or Attach Four 1oples) Sre— %' jgY j �e L• L��C'�–'/ TYPE CONNECTION VERT IED" BY I EXCAVATION OR FILL �^ W O m PERC. TEST E T NUMBER REMARKS V .W7 � FIRE NE TYPE OF NST CT10N BTREB IMO OVOED _ I I P}D w I l A'a Ai SPECIAL 1NSPECTOR/Y/R RJEQUIRED OCCUPANCY GROUP ❑YES �.N0 OAe RESIDENTIAL~ LINE NEN PLAN CHEC D Y THIS SITE IS LOCATED IN THE CITY El NON-RESIDENTIAL OF EDMONDS. LOCAL SALES TAX ized agent of the owner. I agree to comply with city and statelaws reg" ATTENTION SIGN ADD DEMOLISH❑ RETAINING WALL ALTER EXCAVATE FENCE OR FILL (.........Z.......... Ft.) REPAIR PRE -MOVE F SWIM INSP. POOL SHOULD BE CODED 31.04. ARK p / �Jn /� �� �t/ �C•iC/ (/IJV d ZI ', I 1 �` L�fi C� / �I NUMBER OF STORIESNUMBER OF DWELLING will be employed In violation of the Labor Code of the Stale of Washington Tins I-ER511T This application Is not a permit until �/�n ,– WJIiS �✓��) UNITS relating to Workmen's Compensation Insurance. AUTHORIZES NATURE OF` WORK TO BE DONE Valuation Fee Receipt uty; and fees are paid, and receipt is ac - No. i ,hall ompleled In ninety days; MOVED -1N BUILDINGS shall be corn. Plan Check No ..................... I BUILDING �Vy ay, PROPOSED USE q PLUMBING W HEAT & GAB LINE O PLOT PLAN (Indicate Building setbacks, abutting streets) I FENCE BION ! RETAINING WALL N SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL I r f TOTAL AMOUNT DUE I hereby acknowledge that I have read Lille application; that the In- / J j v I formation given Is correct; and that I are the owner, or the duly author- ized agent of the owner. I agree to comply with city and statelaws reg" ATTENTION APPLICATION APPROVAL laung construction; and In doing the work authorized thereby, no person will be employed In violation of the Labor Code of the Stale of Washington Tins I-ER511T 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 ONLY THE WORK NOTED uty; and fees are paid, and receipt is ac - ,hall ompleled In ninety days; MOVED -1N BUILDINGS shall be corn. Iedged In -space provided. pictc I six months.) SIO A RE (OWNER N DATE BIGNEU INSPECTION 1 OR'8 ON. / / I DEPARTMENT � • � CITY OF EDhiOND9 DATE NO E l plicmrf Srthjrcf to Plan Check Frr 775.2525 This Ilermll r %- )cork to W done on private properly ONLY. J Any construction an the public domaln (eurbs, sidewalks, driveways, marquees, Mr.) wlll regmre separate permission, , FIRE ZONE I TYPn uF Uurvni�uu•sU.. f.l ,�/t/ - gJCE9 ❑ NO SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP 0YES C93+6 I _J_1 pi -� I PERMIT !'�- o, BUILDING D E P A R T M E N T Applicant Fill Z°"F' 1 - �` NUMBER J BE CODED 31.04. APPLICATION BB►dLines-Yo-9 �C�•'"-�t'e 9 ' ADDRESS ADDl- ` © o21 -� /) ( NAME (OR NAME OF BUSINESS) la Yh:itM IBdIDLF. "lo ACTUAL // LOT COVEItAGE {(65{ F' RETAINING WALL i LOT COVERAGE � MAILI G ADDRESS �/ PERMISSIBLE HESGHT PROP BED IIEIrQFiT / A z eX ;.1 / �=' �� .t TOTAL BLDG. AREA x G •' CITY TELEPHONE NUMBER ACTUA ,ARE (� �� OG•�C M ).7-/� .7 4 TOTAL AMOUNT DUE / J-- J- / - 1 PROPOSED YARDS REyV IRED YARDS REAR S i v RESIDENTIAL � FRONT HIDE REARFRONT BIDE I 1 TIUS PERMIT This application is not a permit until relating to Workmen's Compensatlon Insurance. .NEW ((y� F-1 LO'f VARIANCE OR CONDITIONAL u uty; and fees are paid, and receipt is ac- pUj ADD 58 nLF.OAL 1r' YES ❑ NO PERMIT NUMBER pleted In els: months.) ❑ DEMOLISH ' / PLANNING DEPTf _APP OVAL __fir_ I ` O El TELEPHONE NUMBER ' I REPAIR O CITY -Applicant STREET IL/W EXISTING STREET R/t'v/%�j�pGt-r. DEFICIENCY THIS PROPERTY O < OOL NAME / COLIP. PLAN ST. R/VvyF„g,.L•'f• •-;J..FI'• Ij i DWELLING I REMARKS Driveway sl.00ns not to �•t:ened those m ADDRESS -6,",/ / indr sate�d_..n�n•..,.Stancard IJ:act. No. UC CHECKED BY W } G !/,•• )! .):':./ % % .:�VCC- L:F-rJCJ .'�u("r Iy -C 7'Y TELEPHONE NUMBER S� t�,� nTaill' Q1 U 10 ✓_ E N r7 - METER BLE ERVICE SI'AE CLEAR CE I lCHEC D DY 8'1,'ATE L CENSE NUMBS CITY LSCENeE NU ER �j� I �! I 4" REL R d FIRE ZONE I TYPn uF Uurvni�uu•sU.. f.l ,�/t/ - gJCE9 ❑ NO SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP 0YES C93+6 I _J_1 pi -� PLAN CHEC D,y6Y THIS SITE IS LOCATED IN THE CITY o, ED DS. LOCAL SALES TAX J�'j�ltllll"""" .✓'�- HOULD BE CODED 31.04. R IL "Jr 9 ' FENCE SIGN O m RETAINING WALL i m a � a DEMOLITION v PRE -MOVE INSPECTION I a EXCAVATION OR FILL TOTAL AMOUNT DUE �j I� �..5 I hereby•U acknowledge that I have read this apPlleallon; that the In- v RESIDENTIAL � AS INE lating conetructloa; and In doing the work enthoNsed thereby, no person Will be employed In violation of the Labor Code of the State of Washington TIUS PERMIT This application is not a permit until relating to Workmen's Compensatlon Insurance. .NEW ❑ NON-RESIDENTIAL F-1 BION uty; and fees are paid, and receipt is ac- ADD WAIS NINC pleted In els: months.) ❑ DEMOLISH ' / d1GNATUISE (OWNER Oli AGENT) DATE, SIGNED INSPECTION DEPARTMENT ALTER ❑ ORCFILLTE El FEN g.......... Ft.) { ,I DATE REPAIR O PWIM -Applicant ❑ INEPL10VE OOL NUMBEROF BTORIE9 NUMBER OF Any construction on the public domain (curbs, sidewalks, drl—W., DWELLING I ni-quers, etc.) will require separate pernilsslon. .� _. .., - UNITS FIRE ZONE I TYPn uF Uurvni�uu•sU.. f.l ,�/t/ - gJCE9 ❑ NO SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP 0YES C93+6 I _J_1 pi -� PLAN CHEC D,y6Y THIS SITE IS LOCATED IN THE CITY �i OF ED DS. LOCAL SALES TAX J�'j�ltllll"""" .✓'�- HOULD BE CODED 31.04. R IL "Jr Valuation Plan Cherk N. ..................... j BUILDING USE PLUMBING (Indlcato Building actbneke, Abutting streets) HEAT & GAS LINE FPROPOPIED aLAN 9 ' FENCE SIGN RETAINING WALL i � SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION I EXCAVATION OR FILL TOTAL AMOUNT DUE �j I� �..5 I hereby•U acknowledge that I have read this apPlleallon; that the In- v formation given Is correct; and that I am the owner, or the duly author- Iced agent of the owner. I agree to comply with city and state laws regu- ATTENTION APPLICATION APPROVAL lating conetructloa; and In doing the work enthoNsed thereby, no person Will be employed In violation of the Labor Code of the State of Washington TIUS PERMIT This application is not a permit until relating to Workmen's Compensatlon Insurance. AUTHORIZES signed by the Building Official or his Dep - NOTE- Permit Limit One Year (Except DEMOLITIONS Which ONLY TILE WORK NOTED uty; and fees are paid, and receipt is ac- shall be completed In ninety days; FIOVED-IN BUILDINGS shall be core- knowledged in space provided. pleted In els: months.) ' / d1GNATUISE (OWNER Oli AGENT) DATE, SIGNED INSPECTION DEPARTMENT DI OR 8,B1GNl�TURE' l' �l i rl ` i I'•'�i' /-�� . CITY OF EDMONDS { ,I DATE NOTE:. Subject to Plan Cbeck Cee -Applicant 775.2525 This Perrelt co ,art, to be dons on private property ONLY. Any construction on the public domain (curbs, sidewalks, drl—W., INSPECTOR 1 ni-quers, etc.) will require separate pernilsslon. • 1, hat ortion of Lot 30, East Edmonds Acres Division tlo. 7 rico dc,�i^! T P G . to the plat thereof recorded in Volume 12 of Plats, on par , describedcas. Co,m`hccnof'ih' of Snohomish County, tlashington, io�lo:�s,lo9 1{n^ thence 8.t 15 � corner of said Lot 30; 5°rr , Point of C^_qi^Winn :? northwaSt of said Lot 30, a distance of 107.21 feet to the Truc thence 50°44'1()"W, a distance of 20. 00 1ert: tl'cr.c' �3 1' of this description; distance of 131.08 feet to an irtse{cIc'souoh rl t.;rce 533`32'tt9"41, a inlc't.h�eli� thence 589°17'00"E, along line of said Lot 30; .! ,1 „ l le l cath t.nc. �dcst line nofsaid E, "el 's of 112.55 feet; thence WOo24 r9 paq. e of 130.14 feet to ar, inters^coon With tha norti, ii•e distanca; ' I Lot 30 a of'said Lot 30' thence Il09`15'44"W, along said n, -tl, line, a distc. :c• 40.78 feet to the True Point of Beginning. SUBJECT TO and TOGETHER WITH the rmre�ordhrcfcSnuhomiertain easC�`,,t recorded under Auditor'5 File 14 233 Gt t•lashington . I C. i f "ad (13 `.i RECORD OF INSPECTIONS _ (( Date Passed l , Foundationcf/�—� .bin Partial)