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750306.pdfr �.USE PERMIT PUILDING DEPARTMENT - Applicant FM ZONE NUMBER _ r PERMIT APPLICATION Insido Heavy LIDos A D /��07 ADDRESS It NAME OF DUSINESS) J _ PERMItltliHLE % ACTUAL �!•N/I / ) /�7-r'c:c�C /✓1 /ice•/ LOT COVERAGE LOT COVESiAOE MA LINO ADDREBB '•�' 7j1 PERM Itl BIBLE HEIOIST PROPOSED k1 EIGHT IATA• -)/,/ Vit'./jL d REQUIRED YARDS PROP08ED YARDS FRONT BIDE REAR FRONT SIDE REAR _ i NAME .1/?e vc� t-X�sTi.�/6 -,t�L� CNaFw�E" W ADDRESSLEGAL LOT VAR ANCE OltCONDITIONAL USE [3 YES ❑ NO PERMIT NUMBER .N.� ••S� t PLANNING DEPT. APPROVAL / DATE: CITY TELEPHONE NUMBER NON-RESIDENTIAL ❑ BION %. STREET R/W EXISTING STREET R/W ............p'I'. DEFICIENCY THIS PROPERTY COMP. PLAN 8T. R/W ............FT. ..._ ..._ ..FT. O 1 IATA• -)/,/ Vit'./jL //.ej - t) L lC' _ REQUIRED YARDS PROP08ED YARDS FRONT BIDE REAR FRONT SIDE REAR _ i NAME .1/?e vc� t-X�sTi.�/6 -,t�L� CNaFw�E" W ADDRESSLEGAL LOT VAR ANCE OltCONDITIONAL USE [3 YES ❑ NO PERMIT NUMBER .N.� ••S� ! PLANNING DEPT. APPROVAL / DATE: CITY TELEPHONE NUMBER NON-RESIDENTIAL ❑ BION %. STREET R/W EXISTING STREET R/W ............p'I'. DEFICIENCY THIS PROPERTY COMP. PLAN 8T. R/W ............FT. ..._ ..._ ..FT. O 1 NAME REMARKS k 1 r z z w ADDRESS CHECKED BY td CITY TELEPHONE NUMBER / �JC%C J!�/L-/lLJw //./Gii zqz� ❑ OR FILL (.....................Ft.7 METER SIZE SERVICE SIZE CLEARANCE C CKED BY O CC =r O STATE LICENSE NUMBER CITY LICENSE NUMBER DWELLING ^i` �•' REMARKS - UNITS I y Legal Description of Property teh.w Below or Attach Four Capt..) •I Jr- t;.j�>T Illi i—i •. C%1- T111:_ _i._t'1-Y11 t'•SI'l IT. C i T1{L. I a TYPE CONNECTION VERIFIED BY r 'YHI= AIr r'�t;rtLfF�'i:: f- Tt(c C CI•I/t..C�:;i PERC. TEST PERMIT NUMBER w �iidlip_lt. RElawnxB m a a E�riCN I� i I , nP `.� < ..-•N 5.1,1 1.7 hloc:n4 FIRE ZONE TYPE OF CONBTR ION STREET h1PROVED _ ,l//UC'p ,.y ,�(/,! � a A i/f/-i -,!—,EL -1 cr;N rc:L �.vrYt,—.c �,..•%k.L. -PROPOSED BUILDING SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP CCI 4 USE I i RESIDENTIAL ElGAB LINE C1YESNEWPLAN LEI B CHECKTHIS SITE 15 LOCATED IN THE CITY NON-RESIDENTIAL ❑ BION %. OF EDMONDS. LOCAL SALES TAX - ❑ ADDElRETAINING /2S ARKS H LD BE CODED 31.04. DEMOLISH ❑ WALL ❑ ALTER EXCAVATE ❑ FENCE / �JC%C J!�/L-/lLJw //./Gii zqz� ❑ OR FILL (.....................Ft.7 SWIM © REPAIR ❑ PREINSP. ❑ POOL CC =r /t/S/ NUMBER OF STORIES NUMBER OF DWELLING UNITS I NATURE OF WORK TO BE DONE Valuation Pa. Receipt No. /i•i/'L %r: a-- /% ) .n.r. r.'=l' -r. •t}'; '._"i rtl/.=�/'_ % flan Check No.... .... . ........... P,ez=�-, — iT// i/f/-i -,!—,EL -1 cr;N rc:L �.vrYt,—.c �,..•%k.L. -PROPOSED BUILDING �1 [r CCI 4 USE �q PLUMBING O .� P OT PLAN_ (Indicate Hullding Setbacks, "b tiles streets) _ _ HEAT @ GAB LINE ZJ } FENCE CAV V, tza SIGN I� RETAINING WALL LS 3 � BWIa471fIN6 POOL I DEMOLITION PRE -MOVE INSPECTION 'LS/t EXCAVATION OR FILL TOTAL AMOUNT DUE I hereby acknowledge that I h¢ve read thio application; that the In- (. , formntlon given Is correct; and that I — the owner, or the duly author- Ized agent of the owner. E agree to comply with city and elate laws rag.- ATTENTION APPLICATION APPROVAL latln6 const Mellon; and Ip doing the work authorized thereby, no person will be employed In Violation of the Labor Code of the Slate of Washlaglon THIS PERMIT This application is not a permit until relating to Workmen's Compeneatlon Imurance. AUTHORIZES signed by the Building OPflefa] or his Dep. NOTE: Permit Limit One Year (Except DEMOLITIONS which ONLY TILE WORSE NOTED uty; and fees are paid, and receipt Woe. .hall be completed In nl¢ety deys; MOVED -IN BUILDINGS shall be com•ledged lR pace provided. pleted in el: months.) SIGNATURE (OWNER OR AGENT) DATE III ONED INSPECTION D AE 0 B B ATURE / -i I /}1 i1 _ �%j DEPARTMENT ~� /L'4 -%i.•' ..-��/ • • .tom .` CITY OF ` - EDMOND9 AT' I �-�• �__�._ NOTE: Applicant Subject to Plan Check Fee — / ! 775-25`15 Thi. Pernul r ,.,it to be done on prl-te properly ONLY. Any construction on tla public d.m.in (curbs, .Idewalk., dri—ay., FILE marquees, etc.) n'I11 require Separate pernd..loa. Wes USE ONE NUMBIER f 4a V- V p I I I BUILDING DEPARTMENT I ApplicantFlll PERMIT APPLICATION Inside Heavy Lined NAME (OR NAME OP U.—tut) �, int NG wuonEds £3 it CITY -TELEPHONE NUMBER - f --j 7 t NAME_ /.ter- .a"7 flBoyF W ADDRESS JOB ADDRESS ^ _- ()d r/ /j' , - )d�� {/ PEItAIISBmLF. ^ LOT COVERAGE^ ACT/U/1AJLLY"/' LOT COVERAGE PERMISSIBLE HEIGHT PROPOSED HEIGHT ACTUAL LOT AREA TOTAL BLDG. AREA REQUIRED YARDSI'ROPOd'D FRONT SIDE REAR YARDS FRONT SIDE REAR REMARKS EJ CO LEOAI. LOT NDITIONAL USE NO PERMIT NUMBER YES [I NO Ii 1 O I eU C 4 U PLANNING llF-PT. APPROVAL / 7 CITY TELEPHONE NUMBER DATE: ❑ LINE PLAN CH: n/LV ❑RESIDENTIAL EXISTING STREET R/W ............FT. DEF (:IENCY THIS PROPERTY COMP, PLAN ST. R/W ............FT. ............FT. REMARKS EJ 1 o ❑ CHECKED BY y L PLUMBING ZCa' '.�/� METER SIZE SERVICE SIZE CLEARANCE Ct� OK D BY I I REMARKS FENCE /�// ! / TYPE CONNECTION VERIFIED BY I .•.,Ft.) C' 61IT NUM R 1`7 Q NIP. li M SWIM POOL - IUMBER OF STORIES SPECIAL INSPECTOR REQU GA9 ❑ YES [A.NO ❑ NEW OfEDMONDS. LOCAL SALES TAX -� SHOULD BE CODED 31.04. ❑ LINE PLAN CH: ❑RESIDENTIAL NON-RESIDENTIAL /!) )ARKS ❑ ADD EJ 1 o ❑ RETAINING WALL RE, PLUMBING DEMOLISH ALTER EXCAVATE ❑ FENCE /�// ! / ❑ ORFILL .•.,Ft.) REPAIR ❑ NIP. El SWIM POOL - IUMBER OF STORIES NUMBER OF C.AF 111-19 DWELLING 9IGN UNITS j f ' BTR MPROVED I i DJlE9!' [j NO . IOUP I •-r 1.. OfEDMONDS. LOCAL SALES TAX -� SHOULD BE CODED 31.04. i — 5.!PCn/t.7- -r-r-� .v -'vr7tlanr_lN/Lrr/A(1 It/A/_L-. BUILDING t /!) Ir .?cif . Y PROPOSED UBE 1 o Valuation Fee Receipt / 1 ... — (-Y I:. I ,� f i � �Ai i 1' T . FY+ -.!.-T /�'F- .4 . � ��./�-. Plan Chetlt Nn ................. — 5.!PCn/t.7- -r-r-� .v -'vr7tlanr_lN/Lrr/A(1 It/A/_L-. BUILDING t /!) Ir .?cif . Y PROPOSED UBE PLUMBING APLOT PLAN (Indicate Bulldln6 Setbacks, abutting streets) HEAT & GAS LINE J PENCE C.AF 111-19 9IGN RETAINING WALL — SWIMMING POOL S. I DEDfOLITION PRE -MOVE INSPECTION - EXCAVATION OR FILL - TOTAL AMOUNT DUE 1 hereby acknowledge that I have read this appllcatlon: that the In. formation given Is correct; and that I sthe owner, or the duly author. one Izeci agent of the owner. I agree to comply with city and state laws regu- ATTENTION APPLICATION APPROVAL Iating construction; and In doing the wont authorized thereby, no person , will bo employed In violation of the Labor Code of the stale of Washington TIHd PERMIT This application is not a permit until relnting to workmen's Camp eneaItch Imurance. AUTHORIZEB signed by the Budding Official or his Dep- - NOTE: Permit Limit One Year (Except DEMOLITIONS which ONLY THE {YORK NOTED uty; and fees are paid, and receipt is ac- sball be completed In ninety day.; MOVED -IN BUILDINGS shall be com. knoWledged in space provided. pleted In sig months.) 1 SIGNATURE (OWNER Olt AGENT) • DATE SIGNED ' CTION ,DIIRECTOR S SIGNATiUREISPE DEPARTMENT . / CITY OF t •/f�'j /'1 <.. EDMONDS DATE ---- NOTE: Applicant Subject to Plan Check Fee 775-2525 Thla P.—It a ork lu be done on private property ONLY, ' Any construct,.. on 11 a public domain (curb., eIdewolk., driveways, INSPECTOR marquees, e1c.) w'lll require .epurate perml.aion. 7,77 - - - . f 1 I i. i i { ,> r �I it. IJ t-'• - 1 1 t r l t t ' 1 RECORD OF INSPECTIONS bate Passed,, Foundation -3 ....,� Plumbing (Partial) ' (Rough) i Frame Furnace & Fuel Lines Final j i , i