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750241.pdft F 7 U USE RMIT BUILDING DEPARTMENT I Applicant Fill ZOO � rj ' $ MEMBER 750241 PERMIT APPLICATION Inside Heavy Ling dOB ADDRESS - l -- IS 1 lcjs32 —, -- -r POM N q, I r PIACI_ wits--, - I y y i {Az+ PERMISSIBLE HEIOjiT t PROPOSED HF�IAIIT O /R_EA RESIDENTIAL ❑ GAS LINE REQUIRED YARDS Pit—SLD YARDS NEN E]O NN-RESIDENTIAL ❑ SIGN © ADD STREET'v REETtv EXISTIN STREET R/W ............FT. DEFICIENCY THIS OPERTY DISI RETAINING ! . F. 1 REMARKS ❑ DEMOLISH ❑ LL ® ALTER METER SIZE SERVICE EXCAVATE CHECKED BY ❑ ORFILL, LENC z..........Ft.) y, 1 V I 1 I ' 1 REPAIR ❑ PRE-. MOVE ❑ PWI I REMARKS FIRE OI TYPE OF CONSTRUCTION STREET IMPROVED YES ❑ NO I SPECIAL INSPECTOR REQUIREDOCCUPANC73ROUP OOL iUAIHER OF STORIES NUMBER OF OF EDMONDS. LOCAL SALES TAX Z SHOULD BE CODED 31.04. I No. REMARKS DWELLING Valuation Foe Recelpt 1S' 'a7 UNITS r!ti'1 [OV — N2c./1,'1 _/Ale ICt=%rh Plan Check No ..................... BUILDING C rVS _ /r -) CIC 5217. (. GT( 7.�'/••v/rJ• �' l r �Q O -C _ PROPOSED USE PLUMBING PLOT PLAN (Indicate Building setbacks, abutting street.) •1 PL•'RMISSIBLE/ ACTUAL r0�o COVE /� I -f LOT COVERAGE % LOT I y y i {Az+ PERMISSIBLE HEIOjiT t PROPOSED HF�IAIIT O /R_EA ACTUAL LOT AREA TOTAL �IrIj6. f, OD i odd ,1 REQUIRED YARDS Pit—SLD YARDS FRONT SIDE REAR FRONT SIDE. REAR 48 t EOAI. LOT ARIANCE OR CONDITIONAL USI•. R�S 'YES 0 NO PERMIT NUMBER p NNIN DEP li0 A STREET'v REETtv EXISTIN STREET R/W ............FT. DEFICIENCY THIS OPERTY DISI COMP. PLAN ST. R/W ............FT. ............FT, ! . F. 1 REMARKS O Z Ira I ' \/� NSIZE I CHECKED IIY METER SIZE SERVICE CLEARANCE CHECKED BY C i I y, 1 V I 1 I ' 1 REMAIUld Ar— TYPE CONNECTION VERIFIED BY I PERC. TEST PERMIT NUMBER REMARKS FIRE OI TYPE OF CONSTRUCTION STREET IMPROVED YES ❑ NO I SPECIAL INSPECTOR REQUIREDOCCUPANC73ROUP � YES� NO L ` ! PLAN CHECKE BY THIS SITE IS LOCATED IN THE CITY OF EDMONDS. LOCAL SALES TAX Z SHOULD BE CODED 31.04. I No. REMARKS i Valuation Foe Recelpt r!ti'1 [OV — N2c./1,'1 _/Ale ICt=%rh Plan Check No ..................... BUILDING C rVS _ /r -) CIC 5217. (. GT( 7.�'/••v/rJ• �' l r �Q O -C _ PROPOSED USE PLUMBING PLOT PLAN (Indicate Building setbacks, abutting street.) HEAT & GAS LINE r —46 1— FENCE DISI nhrvcw.4y S j SIGN Ito'' y N RETAINING WALL pi2bPo1� i I SWIMMING POOL prb'• 1DDIT� 1 lcI r 5� I C Z DEhfOLITION i PRE -MOVE INSPECTION 1S' 'a7 EXCAVATION OR FILL TOTAL AMOUNT DUE Q^ I hereby acknowledge that I have read this application; that the In. formation given is correct; and that I ana the owner, or the duly author. Ized agent of the owner. I agree to comply with city and elate laws regu- ATTENTION APPLICATION APPROVAL toting construction; and In doing the work authorized thereby, no poison will be employed In violation of the Labor Code of the State 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 - NOTE: Permit Limit One Year (Except DEMOLITIONS which ONLY TILHWORKNOTEDE uty; and fees are paid, and receipt is Be shall be completed In ninety days; MOVED -IN BUILDINGS shall be was- knowledged in space provided. pletea In six ...the.) IIGNATUitN 10 YNEIi of ENT) DATE 111111101)INSPECTION DEPARTMENT DIRECTOR' 810NATUR �• � C —•�— r. �• i 1- CITY OF EDMONDS DATE 5--J,% NOTE: Applicant Subject to Plan Check Fee 775.2525 This 1'rnnit Savin work to be done on private property ONLY. Any Sonet ructlnn on lite pubtin domain Icurbs, sidewalks, driveways, mnsgaees, etc.) w'i11 rrqul re .'p—t. permis.foa. FILE . Kl I'1 c>v l- ..-r -,t rry c• rr c•rr r: v.-�-•�. Plan Check No ............... ¢ 1. k.!,E/"li /OriJ I(4t. ! 1(1d 1, e. 0_`l cw01J !'(�} �ty" (O -1M1:}Tri l - .L .rl 4 PROPOSED UeE i .: BUILDING DEPARTMENT Applicant YID PERMIT APPLICATION Inside Heuvy Lines PERMIT ZONEI ! I \n S NUMBER % PLUMBING ADDRESS �`, /1.)3.a - td O d z x rr3yy NAME (OR NAME OF BUSINESS) _ ��//)/-'� r!5 Z- i t_ VE/IJ SAN PERMISSIBLE 7. ACTUAL IAT COVERAOE 2JJ/U LOT COVERAGE t MAILING ADDRESS PERMISSIBLE }3EI61iT / Pico lIF�IpHT r/ N ! CITY TELEPHtONE NUMBER ACTUAL LOT AREA , TOTAL �L 6. EA t[�'} YARDS H C l!/'rt V l j L - 2r) 7 1 01 REQUIRED PROPOSE YAKDB FRONT SIDE REAR FRONT BIDE REAR O , i � 1 NAME /11 om= l5 '7��1 ADDRES8 I.EOAI, LOT VARIANCE OR CONDITIONAL USF. AYES � NO PERhIIT NUM➢ER NNINO DEP'1\ APPRO A DATE: - I`L11A.I Imo) 1 )' STREET$$ {V EXISTINCS'�TREET R/W ............FT. DEFICIENCY THIS PROPERTY CITY TELEPHONE NUMBER _ COMP. PLAN ST. R/W ............FT. ............F"1'. SIGN NAME REMARKS ,( 'I RETAINING WALL 1p W ADDRESS O O V U I CHECKED BY CITY TELEPHONE NUMBER I METER SIZESERVICE SIZE I CLEARANCE I CHECKED BY I Id STATE LICENSE NUMBER CITY LICENSE NUMBER REMARKS /I(1)I1k 111 I . Legal Description of Property (Show Below or AttachFour Copies) 4 l71 /-rctM�1 Pit t.✓CX)i� G2ove0 /rCCr'%Ili l[ �- TYPE CONNECTION VERIFIED BY 1-O 11I/1 T TUrOin56= /?r= C/1VDFPI /)V 1/0/llh/£I Imo} re PL•'RC. TEST PERMIT NUMBER I a W z PRE -MOVE INSPECTION REMARKS _ --� CRPArE_ SI?i Al/!F/F/7 F�✓' /-. T -t oc)- eA/ FIRE ZO E TYPE OF CONSTRUCTION STREET IhtPROVED i � I -� �J AYES NO kl r ,�./_SIC n !/1�13�ifl Piet �,F.sr ! I j SPECIAL INSPECTOR REQUIRED OCCUPANCy.13ROUP ❑ YES NO 1 TOTAL AMOUNT DUE X CA8 RESIDENTIAL Q LINE NEW NON-RESIDENTIAL amx ADD RETAINING DEMOLISH WAIT' ALTER E] EXCAVATEFENCE OR FILL (..........x ......... .Ft.) PLAN CHECKED DY THIS SITE IS LOCATED IN THE CITY OF EDMONDS. LOCAL SALES TAX SHOULD BE CODED 31.04. REMARKS I hereby acknowledge that I have read this application; that the In- SWINI REPAIR ❑ NSP' ❑ POOL formation given Is correct; and that I ara the owner, or the duly author, ! NUMBER OF STORIES NUMBER OF - APPLICATION APPROVAL lating construction; and In doing the work authorised thereby, no Is, DWELLING �,- UNITS / THIS PERMIT This application is not a permit until retailer. to Workmen's Compensation Insurance. AUTHORIZES Kl I'1 c>v l- ..-r -,t rry c• rr c•rr r: v.-�-•�. Plan Check No ............... ¢ 1. k.!,E/"li /OriJ I(4t. BUILDING IGJT�/. ^1 _Zr?y,i.'�f� !'(�} �ty" (O -1M1:}Tri l - .L .rl 4 PROPOSED UeE / PLUMBING V PLOT PLAN (Indicate Building setbacks, abutting streets) HEAT & GAS LINE --_-•-_-- FENCE _ SIGN ,( 'I RETAINING WALL { iia_ U SWIMMING POOL /I(1)I1k 111 DEMOLITION ! z PRE -MOVE INSPECTION EXCAVATION OR FILL r ,�./_SIC TOTAL AMOUNT DUE f S l� I hereby acknowledge that I have read this application; that the In- formation given Is correct; and that I ara the owner, or the duly author, Ired .sent of the owner. I agree to comply with city and state law. sego. ATTENTION APPLICATION APPROVAL lating construction; and In doing the work authorised thereby, no Is, will be employed In violation of the Labor Code of the Slate of Washington THIS PERMIT This application is not a permit until retailer. to Workmen's Compensation Insurance. AUTHORIZES signed by the Building Official or his Dep - NOTE: Permit Limit One Year (Except DEMOLITIONS which ONLY TILE WORE NOTED uty; and fees are paid, and receipt is ae- ehall be completed In ninety day.; MOVED -IN BUILDINGS .hall be cam. Imowledged in space provided. pleted in .I. months.) SIGNATURE {OWNER OR AGENT) DATE SIGNED INSPECTION DIRECTOWe SIGNATURE DEPARTMENT - "'.. .; .:.: ;�. !!-:' --�... •-, .. CITY OF EDMONDS DATE / NOTE; Applicant Subject to Plan Check Fee j -• 7 -:7 775-2525 _ This Penult covers work In be done on private properly ONLY. Any con.trucllun an the public domain (curbs, sidewalk., d,lv.wnys, INSPECTOR nlalquee., etc.) will require separate p—d..l.n.