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750138.pdfNAME - FIIbNT BIDE REAR FRONT BIDE REAR ® RESIDENTIAL E] NON-RESIDENTIAL �) /L�t •�I � h�fl ty ❑ YES Q Nd D ADD1tEBB LEGAL LOT VARIANCE Olt CONIYITIONAL USE Q YES C] NO PERMIT NUMBER i yW i Z° NU BER ISU�`ia I BUILDING DEPARTMENT nppueantFlu 11� �1 p DA O1Ty PERMIT APPLICATION Inaldo 11eaYy Llnoe JD31 ADDRESS / D 2`'� NAME I.B. NAME OF H EBB 1 W l 41 �N W �/��2 PER) UOTTISBIHLE ra LO'C COVERAGE �-�'. \' ACTUAL I.OT COVESYAGE �� 1 C ADDRESS ✓/' c% AI 6 ADDRESS r i'li li\IIBtlLHLE DEIOIIT PILOPOtlED JAMIG t! ACCUA� LOT JtEA I TOTAL 1177 EA 7. CITY TELEPHONE UMBER NAME - FIIbNT BIDE REAR FRONT BIDE REAR ® RESIDENTIAL E] NON-RESIDENTIAL �) /L�t •�I � h�fl ty ❑ YES Q Nd D ADD1tEBB LEGAL LOT VARIANCE Olt CONIYITIONAL USE Q YES C] NO PERMIT NUMBER i yW i PLANNING DE A ROYAL I/ E: I REPAIR -' —/ , p DA O1Ty TEL NVMDEIi STREET /W ) �� 0A 1,11XIC✓ 6179,,1 ( EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY COMP. PLAN ST. R/W ............FT. ............FT. 1 W NAME �N W �/��2 r Z I REMARKS C ADDRESS FES BY W c W C1Ty TELEPHONE NUMBER PLUMBING (CHECKED U METER B1ZE I SERVICE SIZE I CLEARANCE ICHECKED BY V p I N!.'...�- PERC. TEST PERMIT NUMH R a. U W W REMARKS m a FIRE ZONETYPE OF CONSTRUCTION STREET IMPROVED I� "/i/ �B I] NO ❑ALTER NEW ADD ® RESIDENTIAL E] NON-RESIDENTIAL ❑ O OA8 LINE SIGN RETAINING FENCE ❑ YES Q Nd I ' PLAN CHEOJCE BY MAR B /�/s THIS SITE IS LOCATED IN THE CITY OF EDMO.E)C LOCAL SALES TAX HOULD BE CODED 31.04. >/..� � 1j66 DEMOLISH EXCAVATE ❑ REPAIR RecelPl No. OR FILL PRE -MOVE INSP. rA A..IJUFI`yG••1 I........,.x_........Ft.) SWIM POOL S''/1,,rr�� (//'. C.% ) �� 0A 1,11XIC✓ 6179,,1 ( NUMBER OF STORIES NUMBER OF DWELLING UNITS NATURE V TO BE NATUREO K O,jJ NE Valuation Fee RecelPl No. rA A..IJUFI`yG••1 flan Check N BUILDING z �I TUU t.0. G, PROPOSED USE PLUMBING U aPLOT PLAN (Indicate Bulidlng setbacks, abutting streets) HEAT & GAS LINE -J p FENCE SIGN c I tRETAINING WALL N SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL << Q U TOTAL AMOUNT DUE I hereby acknowledge tont I have read this application; that the In. formation given le correct; and that I am the owner, or the duly author- Ized agent of the owner. I agree to comply with city and elate law. regu. ATTENTION APPLICATION APPROVAL Islipconstruction; and In doing the work authorized thereby, no person will be employed in Violation of the Labor Code of the State of Wsehington THIS PERMIT This application is not a permit until ralallog to Workmen's Compensation 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- shallbe completed In ninety days; MOVED -IN BUILDINGS shall be com. knowledged in space provided. pleted In elx months.) SIGNATURE (OWNER Olt AGENT) DATE SIGNED INSPECTION 1 C '8 B N#TURE DEPARTMENT CITY OF EDMONDS DATE NOTE: Applicant Subject to Plan Check Fee — 775-2525 This Persalt c ork to be done on privets property ONLY, j Any construction on tl he public domain (curbs, eldewalks, drlvewsys, marquees, rte.) will require sepmuate permission. FILE Z00 ONE PERMIT 75c 1-313 U.ONE 1 'may' BUILDING DEPARTMENT I ApppPAyltFill �S-/L NUMBER PERMIT APPLICATION inside IleaYy tines 7DB gS- 0� f�0t,� ADDRESS NAME (OR NAME UB OF HINESS) •i ", / PERN188 HLE ACTUAL I IAT COVERAGE J LOT COVESYAGE f MAILING ADDRESS I / ) I'Et1I tB81IILE k1ElOfi� U P1tOP08ED HLIy�/ C TY ACIUAL LOT AREA L L TELEPHONH NUMBER 1/, TOTAL BD EA �� S v YARDS k OPOSED YAIlUd NAME FRONT BIDE REAR FRONT BIDE nEAR i I eI C��Y-I!/ Plan Check N. ..................... -> C N/h z '-Iyy1 BUILDING LEGAL. LOT VARIA NCI, Oft CON &A U U(!(C.t PE $1 /I a, PROPOSED USE W ADDREed (a YES � NO PERMIT NUMBER �7 F n W i /S.. PLANNING DEP 'ROVA )3 PLUMBING REMARKS C CITY TELEPHONE NUMBER V D STREET /W EXISTING STREET R/W .......... _FT. DEFICIENCY THIS PROPERTY O I PLOT PLAN (Indicate Building setback., abutting street.) NAME CODSP. PLAN 8T. R/W ............ FT...........in. W I � L•t/ N r A ROVED REMARKS i ! ed ADDRESS / C RETAINING WALL /1. 1/ /Ll pl N i CHECKED BY GA9 ❑ (OCCUPANCY QJJ� Til CITYI TELEPHONE NUMBER I ❑ i PLAN CHEgfcE AN DY SITE IS LOCATED IN THE CITY ECKED BY ❑ oo U 1 METER dl'LESERVICE SIZE: CLEARANCE TAX STATE LICENSE NUMBER I CITY LICENSE NUMBER I I I __ •t MAR 8 BE CODED 31.04MONDS. C��Y-I!/ Plan Check N. ..................... z '-Iyy1 BUILDING PERDIIT NUMB R U(!(C.t PE $1 /I a, PROPOSED USE n W PLUMBING REMARKS m V D PLOT PLAN (Indicate Building setback., abutting street.) HEAT & GAS LINE I � c7 W FIRE,,Z�OyNE TYPE OF CONSTRUCTION E A ROVED i ! SIGN NO RETAINING WALL SPECIAL INSPECTOR REQUIRED GROUP N i GA9 ❑ (OCCUPANCY QJJ� Til SWIMMING POOL ® RESIDENTIAL ❑ ('INE PLAN CHEgfcE AN DY SITE IS LOCATED IN THE CITY ❑ NEW NON-RESIDENTIAL ❑ SIGN 1 THIS LOCAL 5ALE5 �HOULD TAX ADD DEMOLISH RETAINING WALL •t MAR 8 BE CODED 31.04MONDS. ALTER EXCAVATE FENCE i On FILL (/ 0 (..........x........... t.) TOTAL AMOUNT DILE - REPAIR o PRE -MOVE O �Z" formation given Is correct; and that I am the owner, or the duly author - INSP. POOL( 0,. (sed agent of the owner. I agree to comply with city and state laws regu- ATTENTION NUAIHER OF STORIES NUMBER O ' I 1 will be employed In violation of the Labor Code of the State of Washington THUS PERMIT This application is not a permit until UNITS relaling to Workmen's CempIrt...on Mrance. AUTHORIZES Signed by the Building Official or his Dep - NOTE: Permit Limit One Year (Except DEMOLITIONS which ONLY THE WORK NOTED I LA-kAA) i A-V_ v Plan Check N. ..................... z '-Iyy1 BUILDING U a, PROPOSED USE PLUMBING V PLOT PLAN (Indicate Building setback., abutting street.) HEAT & GAS LINE 0 O I V FENCE i ! SIGN RETAINING WALL ! N SWIMMING POOL DEMOLITION J PRE -MOVE INSPECTION EXCAVATION OR FILL i (/ 0 TOTAL AMOUNT DILE I hereby acknowledge that I have read this application; that the In- t5 formation given Is correct; and that I am the owner, or the duly author - (sed agent of the owner. I agree to comply with city and state laws regu- ATTENTION APPLICATION APPROVAL ' lating construction; and In doing the work authorleed thereby, no person 1 will be employed In violation of the Labor Code of the State of Washington THUS PERMIT This application is not a permit until relaling to Workmen's CempIrt...on Mrance. 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 be completed In ninety days; MOVED -IN BUILDINGS shall be com- knowledged in apace provided. plated Ia six menthe.) 81ONATURE (OWNER Olt AGENT) I DATE SIGNED INSPECTION DEPARTMENT 1 ECTOR'B SIGNATURE �. / /• _i %. '. .'� '7 / i CITY OF DATE � EDDIONDS NOTE: AhPlicant Subject to Plan Check Fee --7 I 775-2525 `f' _ / Sr Thl. Prrndt .,ren work to I. done on prlvnln properly ONLY. Any con.lrucllon on the publle domoln (eurb., sidewalk., driveway., marquees, ate., will require .eparale perml.M... INSPECTOR