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750226.pdf
BUILDING DEPARTMENT Applicant Fill USE ZONE �J - 1 1 `/C/y� PERMIT NUMBER j� u 7502,2_ X111 .I Inside Heavy Linos PERMIT APPLICATION I ADDRESS NAME (OR NAME OF HUeINESS) U / ID (1 ^ n NgCCniwoo 1 1. -.NE I \P` 1—nJl _! LOT I8 ERA ^ ACTUAL LOTCOVERAOEe 2� LOT COVESiAOE C MAILING ADDRES ,r PERMISSIBLE II^I/LE HEIOIIT PROPOSED HEIGHT� / i; O �� �� J CITY TELEPHONE NUMBER ACTUAL`/LOT ARE iz50I � TOTAL I ILI A. �Z �g6.64sv REQUIRED YARDS PROPOSED YARDS � NAME SIDE REAR FRON SIDE REAR WLEO L LOT VARIANCE OR CONDITIONAL ADDRESS S NO PERMIT ES NUMBER yF T. VINO T. R VAL DATE: C < CITY TELEPHONE NUMBER I BTR/\V EX INo STREET R/<Vt'.1:. .. .. DEFICIENCY THIS PROPERTY FpC NAME _ r I� ^ COMP. PLAN ST. R/t &FT. .L,J.......I W (^/ ��t r��t Nod Fkwo0% `1lJr"IL I (SLC, REMARKS Driveway Slopes not to exceed those ADDRESS —� indicated on Standard Dwg. No. 103 w � (C h C. O t 1✓V x /,o-:�s CHECKED BY eU C CITY nn Ute` 2 4J I'1, I D 13JI ./T��ELEPHONE pNUM'B 1ER "� • �— �`Is-u r,�C IMETE:it 81'!.E SERVICE SIZE CLEARANCE ���� CHEC BY STATE L10EN NUAHER CITY LICENSE NUMBER 31,;, I I �Lf Legal Description of Property (Show Below or Attach Four Copies) EMAR RE e < OT SoMY_ / i TYPE CONNECTION VERIFIED BY {\fHB i tr' PEI(C. TEST PERMIT ER d. z W � W REMARKS W O FIRE ZONE TYPE OF CONeTRU ON STREET IDSPROVED 1 EB NO SPECIAL INSPECTOR RREQUIREDOCCUPANCY GROUP NEW RESIDENTIAL GAs LINE ❑ YES SID I / THIS SITE IS LOCATED IN THE CITY . PLAN CHECK D Y NON-RESIDENTIAL SIGN OF EDMON DS. LOCAL SALES TAX I ❑ADD RETAINING SHOULD BE CODED 31.04 . DEMOLISH❑ ALTER EXCAVATE /✓�/CG/`-!'l N4Gl T�I.//" f-� (�i�G �/. I 1 ❑ ElPENCzOR .......... Ft.) REPAIR ❑ PRE -MOVE El SWIM INSP. POOL /% / Z) f!N -S % /Z'. �ir1/GCJ%/✓� NUMBER OF STORIES NUMBER OF DWELLING SrrL1 Ll: VGI-- I- UNITS NATURE OF WORK TO HE DONE Valuation Pec Receipt 'No. Ak�- C FAMILY Pion Check No ..................... BUILDING 1Oy a. PROPOSED USE ✓ _ rvCt4r� `J (�ES0A-v C1 PLUMBING I a dicate Building aetb atting corsets) PLOT PLAN (ac'.-M.bu HEAT A GAS LINE �� r tl O FENCE SIGN RETAINING WALL SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL 1 TOTAL AMOUNT DUE I hereby acknowledge that I haus read this application; that the In- fermatlen given Ie correct: am nd that I athe owner, or the duly author- Ized agent of the owner. I agree to comply with city and state law. regu- ATTENTION APPLICATION APPROVAL Jelling construction; and In dolts the work authorised thereby, no person Will be employed In violation of the Labor Code of the Stale of Washington TI IS PERMIT This application is not a permit untilI relating to Workmen's Compensalloa Insurance. AUTHORIZES signed by the Building Official or his Dep- --- NOTE: Permit Limit One Year (Fzcept DEMOLITIONS which ONLY TILE 1VORK NOTED uty; and fees are paid, and revel t is ac- p _ _ I she ompleled In ninety days; MOVED -IN BUILDINGS shall be cam- lutowledged in apace provided. died In ..,the.) S10NATU (OIVNER��GENT,�),Z DATE S10N,yDINSPECTION E TOR'8 s�%DEPARTMENT CITY OF F.DMONDS DATE NOTE: App i nt Subject is Plan Check Fre — 775-2525 This Permit r rork to be done an private property ONLY. Anyran.l rnrllm,tu�lkrt nnhlic do ,ala (,urle eldrn'nike, Arlvewaye, FILE r' o+^•. sirs+ +.III r+.lulr•erpar:ttr udeelen. PL 98.51' .-,rr •, r J n9R.A SET BACK 10'En - C- ro n Y��-'Q=Ski'C3Ac,K�.gl N. OD U i .� x Vi } - . N N h0 f i d rn i U) -0 c m n t, © �N y I r ro tin � ro 1- e r L tv r ~ O O r �3 _ 7 N. N O N :o a O 7J p.OItn �-1 in r -S :7' ' t_': M O N to ri IH �i �k :5 ID, MFS �a oo r :_sI �-a . 6 d o n <: o p r rt oF, O FJ L ro ;v r z i I' i J<