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750289.pdfi �. BUILDING DEPARTMENT Applicant °� S - NURMBR 750289± In Id H Lin PERMIT APPLMAIl®N 9 e cavy es NAME (OR NAME OF BUSINESS) , AP, K /Itis. ILI,iI /will �, G.s MAILING ADDRESS /2 sIxoNOS go, CIT T EPHONE NUMBER M��nit� %cN Jof�NSct✓ FN�rN/I lIddlo 7t A) E S " l�D�c T�c7ud/!6 D 3161) 32zJ /f94/N f,d/lr JOB ADDRESS � � ✓1 7 /' •_ 00, Y �[ PEtlM1NdI8 b LOT COVERAGE Iffy �(��•1/ ACTUAL LOT COVE AGE N� PEItDllN9f�' HE PROPOSED [ THE PROPONED [ T. (JAI L R TOTAL BLDG. ARF,A I n 3 la (A It RE FRONT IR YARDS HIDE HEAR PR PONE YARUS FRONT NIDE REAR L / tv li/CCQ 75- - .J / 3 rEET �LF AI. LOT ES VARIANCE OR CONDITI AL USE +] NO PERMIT NUMBER I � i � • s] cc CITY /� ��J /',Q'/ r l - 61 7STREET TELEPHONE NUMBER IN6 E APYR - I R/1 1 't. I � • s] cc CITY /� ��J /',Q'/ r l - 61 7STREET TELEPHONE NUMBER IN6 E APYR - I R/1 1 't. I i L / tv li/CCQ 75- - .J / 3 rEET ExISTINa e R/W „-*..`.!...FT. DEFICIENCY THIS PROPERTY ',O� i NAME '�• COMP. PLAN ST. R/W W /r )// ME 4,i D AJ .WK...FT. ..L .FT. REMARKS i !! a� ADDRESS Driveway slopes not to exceed those z 6 y/c3 FF I �l .1 �%� 1 � � D `y U S �- indicat d on 9andand Dw . N 0 W C / ..J ! !' CITY 1" , TE PHONE NU�1H CHECK HY xnu�- V / W ��` /7t7 q / 2�/" •t� STATE LIC NSE NUMBER TY LICENSE NUMBER METER 817I SERVICE 512E I CLEARANCE I CHEC BY 01 LegalDescriptionof Property (Show Below or Attach Four Copies) REMARKS Imo. !^ \I, CCG J J 1 i 40t glccK 6o. P1 Rt ©F sol ��lb , � /• TYPE CONNECTION VERIFIED = sr�n�, TQ�1K EXtSr to �'�Aeh �rd� 7o P/�7 PERC. TEST PERMIT NCMDER ,i W el,,2OF Cc'co',- t7 �/O VD%, REMARKS D c PIA T , �� F a j .i _ �•�� J COvA1Y'/ /D��TG P^ /r )I ll Q l rV /OJ� FIRE TYPE OF/COjO TRUOUT STREET IMPROVED tI �/!C' 4� U/FK' ' O !� / NUE•-SPECIAL Lt MA A �Z�tOJN�F,. ^" .AYES NO IN�PECTOR REQUIRED O GROUP RESIDENTIAL OAS ❑ LINE (OCCUPANCY (3 YES 0 NO S PLAN CHECKE BY NEW THIS SITE IS LOCATED IN THE CITY r NON-RESIDENTIAL smN SALES TAX 0H0 ADD DEMOLISH O RETAINING ALL E PENCEPE, ULD BE COD DOC 04 REMARKS Li 7 s ALTER ❑ OnFILLElx..........Ft.) i/C�CJ�C�-� PRE-i1IOVE REPAIR SWIM ❑ INSP. ❑ POOL NUMBE NUMBER OF STORIES R OF i DWELLING •I UNITS NATURE OF WORK TO BE DONE �"' NT' 0 (,J Valuation Fee Recclnt No. i kiD L rYC- I'JC ( Plan Check NV V Lek BUILDING ,/ �i ay, V PROPOSED USE �1 \ 'Rr, iq_ �'�T(']nr�"5 �� IIJ ii) 1. 1/�Fj'IV••I.I 1�-' PLUMBING % J , . O Y PLOT PLAN (Indicate —ming setbacks, abutting inmets) I HEAT A CA 9 LINE r, 1 /� t ^ O FENCE SIGN RETAININ6WALL I I BWIaiMIN6 POOL — DEMOLITION ' PRE -MOVE INSPECTION EXCAVATIO, OR FILL I hereby acknowledge that I have read this application; that theIn_ TOTAL AMOUNT DUE `� V 1 formation given le correct; and that I nm the owner, or the duly author- tzed agent of the owner. I agree to comply with city and state Tawe reau- lating conetruclloa; and In doing the work authorized thereby, no parson ATTENTION APPLICATIO APPROVAL - t will be employed In violation of the Labor Code of the State of Washington THIS P�.Mrr This application is not a permit until relating to Workmen's Compensation Insurance. AUTHORIZES signed by the BuildingOfficial Or his De p- NOTE: Permit Limit One Year (Except DEMOLITIONS which ONLY THE WORK OTED uty; and fees are paid, and receipt is ac - - shall be completed In ninety days; MOVED -IN BUILDINGS shall be was- knowledged In space provided. plated In elx months.) BION ER OR AGENT) DATE eIONEll INSPE TION P DIRECT. 'S BfONA E - Iv l j / ' /V— ENT DEPARTMENT Y^/ CITY OF DAT NOTE: Applicant Subject to Plan Check Fee EUBIQNDS / G Thisi'ermll covers work to be done on private property ONLY. 775. 525 Any cunstruellall on the public domain (curbs, sidewalks, drhroway., FILE ' marquee., etc.) will require mut-te permis.lon. V 8 b 7.5r•�/ �-9�� u�6sT Awl f 7 NJ i V 8 b 7.5r•�/ �-9�� u�6sT 'j ^\� //1 • , „ ,. 1 r) O.%;,,i.. I r !( (Is�lt�- '16 i �-��- l7 �ai•�1� W P�,. ` I I h'l. 4 -3 0 � . � b i BUILDING DEPARTMENT Applicant Flll i USE r•• ..y PERMIT ZONE (`. ' c. .) NUMBER ` Inside Hooey nos PERMIT APPLICATION ADDRESS 3d NAME (OR NAME OF BUSINESS) • / - t ( ' ,/'. T .'/,'r:. , 1L /, 1 ` I!r l�, /'� f+r/.J I �.•�) ? / I .� PEISA11tlBIBLE ALCT UCALV gAOEIAT COVERAGE.YoU tri MAILING ADDREBB _ `�ytv�, PEIL41tlSI LHE PROPOSED H CITYF TELEPHONE NU BEA UA LPTr R A l TOTAL BLDG. ARA 7 ;1 /I Cr-' A/ r, r/'L,O r REQUi� YARDS PROPOSED YARDS a ).tc 1 T•1�rJ)fJ l: f• "'S FRONT BIDE REAR FRONT SIDE REAR yrtHiir);,J--.f'nl ,fof�A%SpA' ' AI i�- � ADDRESS 7 L ftS felt& ;..,r, , c:u•t'.IF D " •/t �'J t T f �. / r1l tf 1N, C/rI j.F�6AL LOT VARIANCE OR CONDITi NAL UBE Q YEB NO PERMIT NUMBER ! ATE: O .PL, NININO DEPT. APPS N ,1 t•AY^^-+ J �f� +� " /•�+ e CITY �.I -v:� TELEPHONE NUMBER S/ '.4,, fv�- Lf C EXIBTIN6 81RtEET R/W ............F'r. DEFICIENCY THIS PROPERTY' EXISTISTREENG . � NAME Com• r COMP. PLAN ST. R/W .... !2.F'T. I /1 ,% / /-. / i (•� rYI l l . �1/F" ` C) Pj REMARKS 06 g ADDRESS �? Dvivehav slopcc not to e;:",—ri ':'t'03 `�r-lnr,aad Iha:-. i`r�. ].f!:i / 11 On.tn p J, r 5 i indS�_r�rr.(t on CHECK F7 BY j F _/ CITY . , ,r N r _ I� 1. f. !` METER'� O STATE LICENSE NUMBER CITY LICENSE NUMBER E SERVICE /S Z I'4Lp RAN 4 'Ur- !. TEP.­�Yl) Legal Description of Proparly (Shaw Below or Attach Feur Copies)! - REMARKS + 1 ,, S .4/ jt. -l. IS �n - .��i?0 ftl I ii) l`II )-k (�C' TYPE CONNECTION VERIFIED Y ° :v a! C f?GaC.h A14a io ',�. Tk\IJK , PERO. TEST PERMIT NUMBER tc 1 / 1'n r• H F• frc n hd d / /ii I f (. I . r J 'W REMARKS I W , ••"' (:y/•+ T i•! -'L% t.)!�� j lir / {��j fr.'. ! �J /: 11, l.r �i l %� FIRE1Z`Ol`NE TYPE OF CONSTRUCTI N STREET IMPROVED �• iiAt :)r(i/ 7•' v� r- t _I... f` nJ� - !i •� _JS4" YES Q NO r I' SPECIAL INSPECTOR REgU1RED OCCUPANCY GROUP YES NO RESIDENTIAL OAS ❑ LINE ❑ 1 Ej NEW PLAN CHECKED,BY THIS SITE IS LOCATED IN THE CITY CITY— El NON-RESIDENTIAL El �'r� OF EDMONDS. LOCAL SALES TAX �.1.'.% ADD RETAINING DEMOLISH WALL y• SHOULD BE CODED 31.04. REMARKS -._. p ❑ FENCE tl•ALTER FX PENCE OR FILL (........ Vt.) ". �.r. R'I., •.'_'. l�-__�.�.^ i IC..:1�, V ..x .......... PRE - REPAIR ❑ INSP. O Be wOO - NUMBER OF STORIES NUMBER OF DWELLING UNITS NATURE OF WORK TO BE DONE e_ { i � � 1 _ i ) ('U{�r �(�It\� '.? I�1 f Valuation Fee Receipt No. . Pion Check No................... •',, l BUILDING �'f "0 r S CI .- -•-.. 4 a PROPOSED USE; �• 1 .y. (" •`-.J�1�1�. PLUMBING :•... .__JL^ ; , f°'51_'(7)`_' 1 t �. 1.. 1�1 �J�J :'11 � �t='��., / a PLOT PLAN (Indicate Buildingsetback.. abutting street.) HEAT A OAS LINE eIt C ..([ W// 444 � / C' �ij :♦ FENCE 1 SIGN jI + RETAINING WALL _ N ( SWIMMING POOL DEMOLITION i PRE -MOVE INSPECTION EXCAVATION OR FILL I TOTAL AMOUNT DUE /`. _c.•, I hereby ackno 1c1go that I le-, read this appllcatlon; that thet— G. formation given fe correct; and that I nm the owner, or the duly "the, Ized agent of the owner. I agree to comply with city and slate laws regu- ATTENTION APPLICATION APPROVAL lating construction; and in doing the work authorized thereby, no person will be ..played In violation of the Labor Code of the State of Washington TIHS PERMIT This application is not a permit lentil relating to Workmen'. Compensation Insurance. AUTHORIZER signed by the Building Official or his Dep - NOTE: Permit Limit One Year (Except DEMOLITIONS whieb ONLY THE WORK NOTED Uty; and fees are paid, and receipt is ac- aball be completed In .tasty days; MOVED -IN BUILDINGS .hail be com• knowledged in space provided. - pleled In six month..) SIGNATURE (OWNER OIL AGENT) DATE SIGNED INSPECTION DIRECTOR'S SIGNATURE f I DEPARTMENT NOTE: Applicant Subject to Plati Check Fee CITY OFt EDIIIONDS DATE 775-2525 This Permit lavers pork to be done .n prit'nte properly ONLY. Any construction an lim public domain (curb., sidewalks, dli—sys, n.rquees, etc.) will require ecpar.te permfeelan. INSPECTOR ' i � jI 1 1 I I I 1 f j I 1 I I- I I I 1 I `750z16t RECORD OF INSPECTIONS .�f-� Date Passed p�.1NGf l" Foundation �Ly Plumbing (Partial) (Rough)--�5� Frame Furnace & Fuel Lines- Final ines Final I I I