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750136.pdfIr .; RESIDENTIAL OAS ❑ IT— YES ; ❑ LINE PLAN CI{ECKE Br, _ _ THIS SITE IS LOCATED IN THE CITY NEW I NON-RESIDENTIAL ataN OF EDMONDS. LOCAL SALES TAX SHOULD BE CODED 31.04. ADD ❑ DEMOLISH LiRETAINING REMARKS t i WALL lJ0'T !`�`-^• ALTER ❑ EXCAVATE FENCE D til OR FILL � (.......... s .......... Ft.)` , 7t , 7 REPAIR ❑ IRE-IdOVE O POOL 57RUC7 v�� Sur�e� "T I v `, NUDIBER OF STORIES NUMBER OF s f ^�-F p�cT� o cave, I I DWELLING UNITS NATURE OF yWORK TO BE DONE Valuation Fec Receipt No. RV 1 t//� ytfA (� IrM d�c,,� �( �����% �( Plan Check No. 1 lO S'rb `Cf�4. r �YM..� '^� l�� BUILDING ) S� "_0_) OL 0. PROPOSED UBE 00« '4y DnC 5 PLUMBING 3FJ PLOT PLAN (Indicate Building setbacks. abutting Streets) HEAT & GAS LINE ' _Th FENCE T_ S�) - SIGN ILJ�—tri RETAINING WALL I (�JiMDL N S41F1.� I SWIMMING POOL i DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL 70 j4C TOTAL AMOUNT DUE �•� I hereby acknowledge that I have read this application; that the In- formation given Is correct: and that I am the owner, or the duty author- Ized agent of the owner. I agree to comply with ally and elate law. raga- ATTENTION APPLICATION APPROVAL toting construction; and in doing the work authorized thereby, no person will be employed In violation of the Labor Cade of the Slate of Washington THIS PERMIT This application is not a permit until relating to Workmen's Compensation Insurance. AUTHORIZES Signed by the Building Official or his Dep- ONI.Y THE and fees are paid, and recei t is ac - NOTE: Permit Limit One Year (Except DEMOLITIONS which WORK NOTED uty, P ac- ,NOTE: be coo Bled In ninety days; MOVED -IN BUILDINGS shall be cam- knowledged in space provided. leted In 81X onth..) I i L// B1pNATU)tE AOWNT OR AGENT) - ZHIZED INSPECTION DIRECTO '9 H1aNA RE DEPARTMENT 7aCITY OF DAT fI,_•-_---...._..__, EDAIONDS N TE: Applicant Subject to Plan Cbrck Far 775-2525 {t' Till. Perntlt eaten,work to be dune on private property ONLY. Any eanstruellon an the publle domain (turbe' sldestAlks, drOW"., FILE marquee., ale.) will revulre separate perIV mission. 11 USE ^/ n PERMIT / NUMBER75U �.3U BUILDING DEPARTMENT Appueant Fnl ... Z° K\ivy PERMIT APPLICATION Insldo heavy Lines J ADDRESS 3 � _ —7 0 — • ADDRESS . 1 ' NAME (OR NAME ON BUSINESS) Iy Py:itMlltlaIIILE me ACTUAL / /r��'I IJ IAT COVERAGE D )A LOT COVERAGE B �' /V MA1L7 O AD�DREe-- t• -Ll /// �{ PERM 1SeIBLE HEI IT PROPOSED 1{LOHT G �7,a 6 >c, �,V0 t�r�.�� G�' ACTUAL LOT AREA TOTAL IIL1M. AREA ! C Y TELEPBONE NUMBER �• REQUIRED YARDS PROPOSED YARDH e' 'j-0 NAME ` FRONT SIDE REAR FRONT SIDE REAR -i ! T I\� O CONDITI NAL U.F. 1 ADDRESS LEGAL LOT VARIANCE OR RYES ❑ NO PERMIT NUMBER yF y PLANNINy PROV ATI" W ! - U K� TELEYI{ONE NUMBER CITYSTREET R/ \Y C J,.� EXIBTIN6 STREET R/W ............FT. DEFICIENCY THIS PROPERTY 'r a � NAME COMP. PLAN ST. R/W ............FP. ............FT. FI REMARKS O 4C' ADDRESS '•4 v,N BY CITY E TELEPRONE NUMBR ICRECKED A , METER SIZE SERVICE SIZE CLEARANCE CHECKED BY . STATE LICENSE NUMBEat CITY LICENSE NUMBER I I REMARKS Legal Description at Property (Show Below Or Attach Four Caples) QT TYPE CONNECTION VERIFIED BY ' C t�bT `CZll NUMIBEA 1+ PERC. TEST PERMIT y. W W REMARKS � \ FIRE E TYPE OONeTRUCTION STREET IMPROVED I ,r�nllll I YES Ej NO SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP,' NO �— RESIDENTIAL OAS ❑ IT— YES ; ❑ LINE PLAN CI{ECKE Br, _ _ THIS SITE IS LOCATED IN THE CITY NEW I NON-RESIDENTIAL ataN OF EDMONDS. LOCAL SALES TAX SHOULD BE CODED 31.04. ADD ❑ DEMOLISH LiRETAINING REMARKS t i WALL lJ0'T !`�`-^• ALTER ❑ EXCAVATE FENCE D til OR FILL � (.......... s .......... Ft.)` , 7t , 7 REPAIR ❑ IRE-IdOVE O POOL 57RUC7 v�� Sur�e� "T I v `, NUDIBER OF STORIES NUMBER OF s f ^�-F p�cT� o cave, I I DWELLING UNITS NATURE OF yWORK TO BE DONE Valuation Fec Receipt No. RV 1 t//� ytfA (� IrM d�c,,� �( �����% �( Plan Check No. 1 lO S'rb `Cf�4. r �YM..� '^� l�� BUILDING ) S� "_0_) OL 0. PROPOSED UBE 00« '4y DnC 5 PLUMBING 3FJ PLOT PLAN (Indicate Building setbacks. abutting Streets) HEAT & GAS LINE ' _Th FENCE T_ S�) - SIGN ILJ�—tri RETAINING WALL I (�JiMDL N S41F1.� I SWIMMING POOL i DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL 70 j4C TOTAL AMOUNT DUE �•� I hereby acknowledge that I have read this application; that the In- formation given Is correct: and that I am the owner, or the duty author- Ized agent of the owner. I agree to comply with ally and elate law. raga- ATTENTION APPLICATION APPROVAL toting construction; and in doing the work authorized thereby, no person will be employed In violation of the Labor Cade of the Slate of Washington THIS PERMIT This application is not a permit until relating to Workmen's Compensation Insurance. AUTHORIZES Signed by the Building Official or his Dep- ONI.Y THE and fees are paid, and recei t is ac - NOTE: Permit Limit One Year (Except DEMOLITIONS which WORK NOTED uty, P ac- ,NOTE: be coo Bled In ninety days; MOVED -IN BUILDINGS shall be cam- knowledged in space provided. leted In 81X onth..) I i L// B1pNATU)tE AOWNT OR AGENT) - ZHIZED INSPECTION DIRECTO '9 H1aNA RE DEPARTMENT 7aCITY OF DAT fI,_•-_---...._..__, EDAIONDS N TE: Applicant Subject to Plan Cbrck Far 775-2525 {t' Till. Perntlt eaten,work to be dune on private property ONLY. Any eanstruellon an the publle domain (turbe' sldestAlks, drOW"., FILE marquee., ale.) will revulre separate perIV mission.