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750303.pdfA �`✓ LEG .LOT VARIANCE OR CONDITIONAL USE Ed NO PERMIT NUMBER i W ADDRESS .• N G DEPARTMENT PERMIT 750303 ZONE 2O �S "°I`B�'t 0 O U I L D I Applicant Fill NO U PT. AP - Inside Heavy Linos PERMIT APPLICATION AIIDR-11 al CITY TELEPHONE NUMBER LAME (OR NAME OF BUSINESS) cc �• _ PERMISSIBLE eo LOT COVERAGE �S'�10 a� ACTUAL / LOT COVERAGE 1 a 1 I 1 sA1LIN ADDREdB •� % YEItMIdtlfDLE HEIGHT PROPOSED I{EIGHT� �t - - a J" c��i, So I 1 UTY ti TELEPHONE NUMBa;a �) ACTUAL LOT 4 A ICDD�hG I aYIO C�1 TOTAL DLDO. R A 7. li n r ) ,f . SQUIRED YAILDtl PROP ED YARUR —POSED Ii i �`✓ LEG .LOT VARIANCE OR CONDITIONAL USE Ed NO PERMIT NUMBER i W ADDRESS O NO U PT. AP - al CITY TELEPHONE NUMBER cc tl REET R' EXISTING REET R/W ............FT. DEFICIENCY THIS PROPERTY 0 NAME a I COMP. PLAN ST. R/W ............FT. ............FT. W REMARKS i L rC ADDREBB Z ' j$i CHECKED W F CITYTELEPHONE NUMBER aSETER H12E BERVICfl 872E CLEARANCE CBECKED BY STATE LICENSE NUMBER CITY LICENSE NUMBER m I REMARKS � Legal Description of Property (Shaw Below or Attach Four Copies) L r /^ V / b &/ &,'11,61/1161 / Pl 6 aRC � X3 �; I TYPE CONNECTION VER��IIF�FIED�� BY 0 � o �� ' � �r�l 5 r✓) PL•'RC. TESTel P IT NU HEA pp it 1 '1 O REMARKSN a FiAE ZONE TYPE OF CONST/R}ICTION STREET IMPROVED ' ' I J �t/ YES [] NO 4[r( SPEOIAL INSPECTOR REQUIRED OCCUPANCY GROUP . ® RESIDENTIAL GAS ❑ ❑ YES ®.N[) T I cl li lli NEW LINE PLAN CHECKED Y THIS SITE IS LOCATED IN THE CITY NON-RESIDENTIAL 0 SIGN �� (�1�% TAX SHWLD ADD ❑ RETNINC O sr-..�-- M/ARK ) BE CODED 31.04.SALES �I ti DEMOLISH ALTER ❑ PENCi..........ri.) /! �G�JTT J G /s�✓ �L �G Ii ❑ ORCFILLTE REPAIR PRE -MOVE SWI ❑ INSP. ❑ POOL NUMBER OF STORIES NUMBER OF . DWELLING UNITS • NA OF t RK TO HE DOO'N/E Valuation Fee Receipt Na. i Plan Check Na. to ��J BUILDING 4 aPLUMBING - PROPOSED USE / / 3 13Y66 / S 2i (O aPLOT PLAN (Indicate Building setbacks, abutting streets) HEAT & GAS LIMINE I O FENCE I+ SIGN S tRETAINING WALL N SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL �J �J-' ���y U TOTAL AMOUNT DUE I hereby acknowledge that I have read this application; that the In• formation given Is correct; and that I nm the owner, or the duly NAbor- Ired agent of the owner. I agree to comply with city and .late lawn regu- ATTENTION APPLICATION APPROVAL lating construction; and In doing the work authorized thereby, no Derson 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 Iasurmce. AUTHORIZES eigned 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 - shall be completed In nicely days; MOVED -IN BUILDINGS shall be com- knowledged in space provided. pleled In six months.) SIGNATURE (OWNEq OR AGENT)_ _ DATE STONED INSPECTION DIRECT'B SiGNATU DEPARTMENT - CITY OF EDMONDS DATE NOTE: Applicant Subject to Plan Check Fee 775-2525 This Permit raren work to be done sn private property ONLY. Any tonelrurllan on the public domain (curbs, sldewaiks, driveways, i marquees, Ste.) will require separate permission. FILE J I 1 �(/-7'i-(., t! �t�ljlF.i(•bt-.0.. TYPE CONNECTION e 1 i (// - 1 [/y � BUILDING DEPARTMENT Applicant Fill ZOO '_-: — `7 euafs i E E C �- PERMIT APPLICATION Inside Heavy Lines I JOB .- ADDRESS ".t�-.. - - -.. J� Ct; ('i.J % .•C_, 1 NAME (OR NAME OF BUSINESS) , PEf,TtIeS1HLE % ACT _ O IAT COVE AGE MIAl N ADDR Be ) PEI,DIIBSIDLE HF.IOIIT / PROPOSED tIEIGHT O � /TYPE ,. TELEY ONE UMHlali I A I ACTUAL LOT AREA TOTAL BLDG. AREA t , - FIRE ZONE OF CONSTRUCTION STREET IMPROVED CITY ' •"? / )Iy/� (rF�'!// l % PROP Ew D YA RPB � t ' E3 NO / FRONT HI'DEJ FRONT BIIDE/ REAR I NAME ++REAR .�/.. ! t,/—, f"'•`7 / -_•. /t t illi � l RESIDENTIAL ❑ (y U ❑PLA ©HYO LEGAL LUT •' VARIANCE Olt CONDITIONAL E yM7 ADDRESS (]•YES [:I NO PERMIT NUMBER NBCHECKE _ THIS SITE IS LOCATED IN THE CITY r PJ.ANNINO DEPT. APPRO AL / DArTEI' -' "1 \+.I I"E. «'� �..J'.:<'7.- ❑ NON•REBTDENTIAL ❑ SIGN r (:'.>'"d.,.//..-•---- CITY TELEPHONE NUMBER R(t{' p \ ADD RETAINING R�MitRX9` E%I8TIN6 BEET A/W ............FT. DEFICIENCY THIS PROPERTY EJXISTP _ NAME COMP. PLAN eT. R/W ............FT. ............FT. �!1 [F' ❑ALTER FENCE EXCAVATE r _ !�f �i � Gil .f / ,fi REMARKS d ADDRESS z REPAIR PRE -MOVE SIMM ❑ INSP. POOL ❑ S ,''�� 1 /' / /%7 �/� ti i //-'" // �•/�j,t CHECKED BY NUMBER OF STORIES NUMBER OF CITY TELEPHONE NUMBER � DWELLING I UNITS p METER BILE SERVICE SIZE CLEARANCE CHECKED BY NATURE OF WORK TO HE DONE V STATE LICENSE NUMBER CITY LICENSE NUMBER Fee Recelpl No, (d / REMARKS + t Legal Description Of Properly (Show Below or Attach Four copies) -; Plan Check No..... ................ TYPE CONNECTION VERIFIED BY O � E E C i O ' I /TYPE FIRE ZONE OF CONSTRUCTION STREET IMPROVED � Z_ ` I -(�.. ; ✓' ❑TES E3 NO 2 SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP l RESIDENTIAL ❑ GAS ❑ INE ❑PLA ©HYO Lr ❑ NEW NBCHECKE _ THIS SITE IS LOCATED IN THE CITY ❑ NON•REBTDENTIAL ❑ SIGN r (:'.>'"d.,.//..-•---- OF EDMONDS. LOCAL SALES TAX BE CODED 31.04. \ ADD RETAINING R�MitRX9` SHOULD _ DEMOLLSII WALL ❑❑ ' ' ❑ALTER FENCE EXCAVATE r _ !�f �i � Gil .f / ,fi l ': r . / : ✓ /'J f . ' f / , /."': ;' . / lr , . .Ft ❑ OR FILL ❑ (..........X..........) i REPAIR PRE -MOVE SIMM ❑ INSP. POOL ❑ S ,''�� 1 /' / /%7 �/� ti i //-'" // �•/�j,t t NUMBER OF STORIES NUMBER OF � DWELLING UNITS NATURE OF WORK TO HE DONE valuation Fee Recelpl No, / Plan Check No..... ................ O BUILDING Y �4 PROPOSED USE PLUMBING ( ! / U PLOT PLAN (Indicate BUllding setbacks, abutting streets) HEAT & GAB LINE FENCE II SIGN { RETAINING WALL ( i N I SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION I EXCAVATION OR FILL 11 ' i TOTAL AMOUNT DUE Ihereby acknowledge that I have read this application; that the In. formation given to correct: and that I sm the owner, or the duly author - lied agent of the owner. I agree to comply with city and state laws Milo- ATTENTION APPLICATION APPROVAL lating conetruelton; and In doing the wort, authorized thereby, no person 1 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 TIIE {YORK NOTED uty; and fees are paid, tend receipt is ac - shall be completed In ninety days; MOVED -IN BUILDINGS shall be Som- knowledged in space provided. pleted In six months) SIGNATURE (OWNER OR AGENT) ,. _ DATE SIGNED INSPECTION DEPARTMENT DIRDCTOft'S SIGNATURE ,,rr I .. -. CITY OF i EDAIONDS DATE NOTE; Applicant Subject to Plan Check Fee 775-2525 This Permit Covera work to be done on private property ONLY. Any construction on the public domain (curbs, sidewalks, driveways. INSPECTOR merquees, etc.) will require separate permission.