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750285.pdf�SL N� 111P/ "i BUILDING ]]7ttt PrP 0. PROPOSED USE PLUMBING PL O PI N (Indicate ➢uliding -- oaks, abut Ing streets) HEAT do GAS LINE S 5025 ONE PERM 1 BUILDING DEPARTMENT Applicant FLU NUMBER I Inside Heavy Linea JOB PERMIT APPLICATION ADDRESS N N E OR NAME OF BUSINESS) / I 7 I "��/�� .e �aE 1AX�V CBlia V ! i NOAU RE D 1fOn1,lYJ m�krtrj �p�Pl � •�e/1•i}fA:l, PEIt ItltlIBLE HE3011T / � PIlOPUSED II EIGHT ( •Vj, I " C TOTAL HbB6. AREA CITY TELE HONE UMHLR .t �i�— / A OAL LOT AREA Nei ID 1� xuel �rZ Amss s�•k.lcrt TOTAL AMOUNT DUE nc,wvi ED YARDS PRO D YARUS JJ�� (JO 1 hereby acknowledge that I have read this application; that the In- FRONT SIDE REAR FRONT 6IDE REAR ! NAME( APPLICATION APPROVAL will be employed In violation of Na Labor Code of the elate of Washington THIS PERMIT This application Is not a permit until N ADDR — plot In a months.) I.EGAI.I LOT VAILIANCL Olt CON ❑ TI NAL USE �yES NO PFI1 IN NUMBER � DIRECT 7 S SIONAT RE 2 ? �R.p -%'F+ C L./ DEP• ROV KKJJ �/ TELEPHUNL NUMDER )//• Y' � STREET /W EXIST3N0 STREET R/ .. .. :�FT• DF.FICIENC THIS PROPERTY , C NAME COMP. PLAN ST. R ..../...FT. ,�r./�/C�.Itir. 7 W I REMARKS Driveway slopes not to exceed those c FADDRESS indicate d on Standard Dwg. No. 103 _W HECK D Y C F. CITY TELEPRONE NO SELL I �U l A METER SIZEI SERVICE SIZE CLEARANCE CHECK BY O STATE LICENSE NUMBER CITY LICENSE NUMBER Ex�sT REMARKS < Legal Description of Property (Show Below or Altech Four Copies) _ TYPE CONNECTION VERIFIED BY O I i1 PEIiC. TEST PERMIT NUMBER fd I �c'Ir S•ILIL W �Q^ift/jf �'Ie t'zr IJ-�J/ %Zt/ REMARKSf_/F-7.t m r/ L�%S ,.f ��..i.(1 r�l�l(f GGSvNGC,r�(}� `L�A il�Gr�t �Nx= < FIRE ZO E TYPE F 9.9USTRUCTI1yOI1j� T.REET IMPROVED D�� NO zV N -YES [] SPECIAL INSPECTOR REQUIRED OCCUPANCY ROUP C-2, F-2 GAB RESIDENTIAL E:] (3 YES *NO ►=-Il NEW LINE PLAN CHECKED BY THIS SITE IS LOCATED IN THE CITY OF EDMONDS. LOCAL SALES TAX V ADD NON-RESIDENTIAL ❑ SIGN RETAINING SHOULD BE CODED 31.04. REMARKS _ DEMOLISH WALL E]❑ ///�� y , r //� `O C -K 1/•� FV.-+ IVy C W ElALTERF-1 EXCAVATE ORFILL (.ENC .II .......... Ft.) !/�, REPAIR ❑ P3RE-MOVE ❑ POOL NUMDER OF STORIES NUMBER OF DWELLING J. O UNITS Plan Check No..F - •� "i BUILDING ]]7ttt PrP 0. PROPOSED USE PLUMBING PL O PI N (Indicate ➢uliding -- oaks, abut Ing streets) HEAT do GAS LINE S �Sit L_: FENCE SIGN RETAINING WALL N SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL TOTAL AMOUNT DUE JJ�� (JO 1 hereby acknowledge that I have read this application; that the In- ! 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 .tate laws regu- ATTENTION lating construction; and In doing the work authorized thereby, no person APPLICATION APPROVAL will be employed In violation of Na Labor Code of the elate of Washington THIS PERMIT This application Is not a permit until relating to Workmen's compensation Insurance. AUTHORIZES ONLY TILE Ngrmit limit One Year (EXCept HEMOLITION8 whlel, WORK NOTED .hall con leted In ninety days; MOVED4N BUILDINGS shall be cam• signed by the Building Official or his Dep - Uty; and fees are paid, and receipt is Be knowledged In space provided. plot In a months.) _ Sl A' E (OWNER OIt N' DATE aIgNEU INSPECTION DEPARTMENT CITY OF F.DMOND$ NOTE: Applicant SJr�ject to Plan 6herk Fce 775-2525 DIRECT 7 S SIONAT RE DAT FILE This Permit rev'. work to he done on private property ONLY. Any conslruetlen on the public domain (curbs, sidewalks, driveways, marquees, etc.) will require sepurale permission. USE PERMIT DEPARTMENT ZONE NUMBER 750285 BUILDING DEPART Applicant Fill PERMIT APPLICATION Inside Heavy Lines PtlRMISSIHLH .LOT COVZRAOI? NAME (oft NAME OF BUSINESS) 11 AILING, ADDRESS ADDRESS YItOP0.BD HEIGHT CITY . I .• 11 " % TELEPHONE NUMBER ~SLUG,. 0 -Ul—Ty STREL / STREET EXISTING R/vki.. i-Tx7L-EPRONE NUMBER REQUIRED YARDS PRO;1ok5 YARDS 11 IA. 11 COMP. PLAN ST. NAME d ADDRESS bl) CITY LICENSE NUMBER PtlRMISSIHLH .LOT COVZRAOI? LOT-0OVERAGE. PEII t 2 ri ii 0, 11 T' YItOP0.BD HEIGHT CITY . I .• 11 " % TELEPHONE NUMBER ~SLUG,. ACTUAL LOT AREA 1 AREA TOTA STREL / STREET EXISTING R/vki.. 1313FICIENCYLTHIS PROPERTY REQUIRED YARDS PRO;1ok5 YARDS FRONT 81—DIC REAR PliONf 81—DE . REAR COMP. PLAN ST. . 14; " *. d 1 I LEGAL -LOT VAMANCEIr � YES "NO PERMIT STATE LICENSE NUMBER CITY LICENSE NUMBER 4' PLANNING DEPT. APPROVAL CITY . I .• 11 " % TELEPHONE NUMBER ' STREL / STREET EXISTING R/vki.. 1313FICIENCYLTHIS PROPERTY F 14AME0 F'-1 VC COMP. PLAN ST. d REMARKS NUMBER CC ADDRE88 � 3 `_'C/7C"'- REMARKS Cl - I TELEPHONE UMBER L CHECKED BY 0 Q METER SIZE SERVICE SIZE CLEARANCE STATE LICENSE NUMBER CITY LICENSE NUMBER REMARKS Legal Description of Property (Sho' —ch Copies) F Four 17- 6 -/ F'-1 VC V RI r Y 2, NUMBER REMARKS 11179YE TYPJIf1 OF CONSTRUCTIOP STREET IMPROVED _ �J- 0 I I b.YES [3N SPECIAL INSPECTOR REQUIREDNOY GROUP IICCUF�' .......T.AL F-1 C] YES 0.110 I NEW LINE PLAN CHECKED BY THIS SITE IS LOCATED IN THE CITY NON-RESIDENTIAL F_1 - OF EDMONDS. LOCAL SALES TAX SIGN V16 SHOULD BE CODED 31.04. FADD RETAINING El WALL REMARKS DEMOLISH PEN E ALTER EXCAVATE C ❑ OR FILL .......... x .......... 3,L) ❑PRE -MOVE SWIM REPAIR INSP. POOL NUMBER OF STORIES NUMBER OF I DWELL NG UNITS NATURE OF WORK TO BE DONE ve.]..U.. Fee Recelpt No. Plan check No.. ..... ..... BUILDING PROPOSED USE ---------- PLOT PLAN (Indicate Running eolbaclus. WtUal; at..,.) HEAT & GAS LINE ",;C/ 77 CI PENCE SIGN RETAINING WALL SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OIL FILL r TOTAL AMOUNT DUE I hereby acknowledge that I have read this application: that the in-nt lormation given is correct; and that I athe owner, or the duly author- Ized agent of the owner. I agree to comply with city and state laws rasa - ATTENTION APPLICATION APPROVAL Cana M no person 1.11.1 Itellon; and In doing the warit authorized thereby. will be "Played In violation of the Labor Code of the State of Wasbicrton THIS PERMIT This application Is not a permit until relatlag to Workmen. Compensation Inunfrance. AUTHORIZES signed by the Building Official or his Dep - NOTE: Permit Limit One Year (Except DEMOLITIONS which ONLY TH ' WORK NOTED uty; and fees are paid, and receipt is ac .hall be completed In rivaty day.: MOVED -IN BUILDINGS hall be Co.- knowledged in space provided. plated in six months.) SIGNATURE (OWNER Olt AGENT) D—INSPECTION DATE SIGNED DIRECTOR'. SIGNATURE DEPARTMENT A CITY OF EDMONDS DATE NOTE. Applicant Subject to Plan Check Fee 775-2525 ThisPcr It v—work ti, he dare an private property ONLY. Any , onstruction an the public domain (curb., aidewulks, driveways, INSPECTOR cte.) -75lozia RECORD OF INSPECTIONS Date Passed Foundation Plumbing (Partial) (Rou h)