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750315.pdfAPPLICATION APPROVAL i This application Is not a permit until signed by the Building Official or his Dep- uty; and fees are paid, and receipt is ac- knowledged In space provided. rE FILE TOTAL AMOUNT DUE Plan Check No..- ................. 720 d� / formation given le correct; and that I am the owner, or the duly author - BUILDING DEPARTMENT Applicant Fill U E28 g "�'nI't ,zed agent oI the owner. I agree to comply with city and state law, regu- i Iating construction; and In doing the work authorized thereby, no person �%`J�31� PERMIT APPLICATION I Inside heavy Lines -To -W -- e ADDRLam"' will be employed In violation of the Labor Code of the Slate of Washington PLUMBING relating to Workmen's Compensation Iasuranoe. NOTE: Permit Limit One Year (Except DEMOLITIONS which NAME (Oft NAME OF BUSINERS) I'ERa11yaIBLE 1 �/7� ACTUA / 7t �. � Lv G� LOT COVERAGE'. ^? �� � / ti LOT COVERAGE ' ''i D J,ti C y) MAI�G -A URERB PEItMIatlIBLE HEIGHT 3PROPOSED Ii EIGHT N .37.83w UnI. L T A TOT BLI)9. R' � Z f rS! 1 1 i i' i CITY �./ TE EPHONE NUI/Hf.1t , (7 N7 (7 )7 5 W /� 77 9.>? [) S REQUIRED Y".. PROP RED YAROS BI NAME FRONT DE REAI FRONT RIDE REAR /yyXF 25 ' I t N LOT VAR ANNE CON T10NAL B. ADDRESS M 'F.S 0 NO PERMIT NUMBER F EP '. AYPR V � CITY OF EDMONDS p �- CITY 11 TELEPHONE NUMBER STREET R/W EXISTING ST 'ET R/W ............FT, DEFICIENCY THIS PROPERTY m NAME nn COMP. PLAN 8T. R/W ............FT. ............FT. O ctj E YL REMARKS ADDRERR F? C Do ,. CHECKED 11 ! Oi N T, 1 , CITY TELEPHONE NUMBER All METER RILE SERVICE SIZE CLEARANCE HECK td p CIT STATE LICENSE NUMBER Y LICENSE NUMHER tJ _� I I I � REMAitICa Legal Description of Property (Show Below or Attach Four Copies) .4e) /tl JA`i(�; B LL/A/�E" /Y(.�/YIES TYPE CONNECTION VERIFIED BY t C) /V /t/al PERC. TEST PERMIT I M dl f E REMARKS a e MZ :d FIRE ZONE TYPE OF CONSTRUCTION STREET IMPROVED _ j SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP ! YES I ® ZIK- RESIDENTIAL LINE ❑-1— ❑ NEW PLAN CHECKEDBY THIS SITE IS LOCATED IN THE CITY LOCNON-RESIDENTIAL ❑ gION , ,[,//L4t.�' OH ULD 8E CODED 31045ALES TAX RETAINING,WALR fARK9 i ® ADD ❑ DEMOLSli ❑ MALTER ❑ EXCAVATE FENCE /g�% �/�S.I.VLfC/A',— J ��iC] ���- OR RILL 4.........x..........Pt.) PRESWIM 1 REPAIR ❑ IN.RPh10VE O POOL a %,t ). I CLL /7/ 1.'�L� S� �/✓•i�C• 6;,,, f NUMBER OF STORIES NUMHER OF / DWELLING / UNITS NATURE OF WORK TO BE DONE Valuation Fee Rceelrt No APPLICATION APPROVAL i This application Is not a permit until signed by the Building Official or his Dep- uty; and fees are paid, and receipt is ac- knowledged In space provided. rE FILE TOTAL AMOUNT DUE Plan Check No..- ................. 720 d� / formation given le correct; and that I am the owner, or the duly author - ,zed agent oI the owner. I agree to comply with city and state law, regu- (Or BUILDING Iating construction; and In doing the work authorized thereby, no person 4 PROPOSED USE will be employed In violation of the Labor Code of the Slate of Washington PLUMBING relating to Workmen's Compensation Iasuranoe. AUTHORIZES NOTE: Permit Limit One Year (Except DEMOLITIONS which ONLY THE WORK NOTED """be completed In nicety days; MOVED -IN BUILDINGS shall 6e coin- .� PLOT PLAN (Indicate Building setbacks, nbut[Ing eUeele) BEAT & GAS LINE h n FENCE SIGN RETAINING WALL N SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL pletcd In Rix month..) I(• TUBE (OWNER OR AGENT) DATE SIGNED INSPECTION 7 - 7 7-S DEPARTMENT / CITY OF EDMONDS NOTE: Applicant Subject to Plan Clicck Fcc 775-2525 This Prrndt rncan work to be dune on Private property ONLY. Any rnnelr.ctlun on tke public domain (curbs, sidewalk., driveways, ra—wee., etc.) ,III require .eparale permission. APPLICATION APPROVAL i This application Is not a permit until signed by the Building Official or his Dep- uty; and fees are paid, and receipt is ac- knowledged In space provided. rE FILE TOTAL AMOUNT DUE I hereby acknowledge that I have read this application; that the In. formation given le correct; and that I am the owner, or the duly author - ,zed agent oI the owner. I agree to comply with city and state law, regu- ATTENTION Iating construction; and In doing the work authorized thereby, no person will be employed In violation of the Labor Code of the Slate of Washington THIS PERMIT relating to Workmen's Compensation Iasuranoe. AUTHORIZES NOTE: Permit Limit One Year (Except DEMOLITIONS which ONLY THE WORK NOTED """be completed In nicety days; MOVED -IN BUILDINGS shall 6e coin- pletcd In Rix month..) I(• TUBE (OWNER OR AGENT) DATE SIGNED INSPECTION 7 - 7 7-S DEPARTMENT / CITY OF EDMONDS NOTE: Applicant Subject to Plan Clicck Fcc 775-2525 This Prrndt rncan work to be dune on Private property ONLY. Any rnnelr.ctlun on tke public domain (curbs, sidewalk., driveways, ra—wee., etc.) ,III require .eparale permission. APPLICATION APPROVAL i This application Is not a permit until signed by the Building Official or his Dep- uty; and fees are paid, and receipt is ac- knowledged In space provided. rE FILE or r © RESIDENTIAL ❑ LINE NEW ❑ �^ I SIGN ADD Z°NE 2) NQDBER DEMOLISH O BUILDING DEPARTMENT Applicant Fin (�'e �--- PERMIT APPLICATION Inside Iicavy Line, Ins ADDRE88 F-1ORCFILLTE Fee NAME (OR NAME OF BUSINESS) J C� F• I 11 -7 / K �%� - PERMIHBIBLE c _ ACTUAL COESi LOT COVERAGE �L aI� LOT COYAOE J L REPAIR ❑ N �7 O - MAILI O ADDflESt. PERMISSIBLE HEIGHT PROPOSED HEIGHT N// 5E y7 l 72 ? - i (� Com% /YS TOTAL BLDG. AREA �— z ti 3 CITY TELEPHONE NUMBER ACTUAL LOT ARBA Xn, Iii I��C. G1 / I C.. Cr' S :`'I C:' 1'/ C7 S t•U %/ _ / 6� ^ �� U n •'tr �� —� REQu D YARDS I� PIiOPOl�ED YARDS_ REAR p' SIGN NATURE OF WORK TO BIDE REA NAME ,F,\RONT `'BIDE -1FROW 2 �J I I �_ t _' V� 1•/ �S�•1 / ty 0 /� F/�J, V `- LEGAL LOT VARITiNCL OR COND 1 NAL SE- ADDREBB 9.YES ❑ NO PERMIT NUMBER W U P ANKH, O DEPT. APA ROV w r4 DEMOLITION CITY TELEPHONE NUMBER ! I STREET R/W/I p EXISTING STILET R/W ............FT. DEFICIENCY THIS PROPERTY �y4? EXCAVATION OR FILL NAME COMP. PLAN ST. R/W ............FT. ............FT. REMARKS C 61 ADDRESS EEj TOTAL AMOUNT DUE CHECKED BY (.-0ri C F CITY TELEPHONE NUMBER AM -- UMETER formation given le correct; and that I am the owner, or the duly author- SIZE I SERVICE SIZE I CLEARANCE I I (CHECK! BY or r FIRE ZONE TYPE OF CONSTRUCT/ION © RESIDENTIAL ❑ LINE NEW ❑ NON-RESIDENTIAL ❑ SIGN ADD El DEMOLISH O WALL NINC ALTER `IqPLUMBING ❑ F-1ORCFILLTE Fee Rece LENC x ........ .Ft,) REPAIR ❑ IN PE[OVE O BPOL NUMBER OF STORIES NUMBER OF 1 L.. L ` FENCE DWELLING / UNITS SIGN NATURE OF WORK TO BE DONE RETAINING WALL N FIRE ZONE TYPE OF CONSTRUCT/ION BTREETZ 'Uv( L I YE9 NO SPECIAL INBPECTOA REQUIRED OCCUPANCY GROUP ❑ YES m,NO -y. 7 PLAN CHECKED I4Y THIS SITE IS LOCATED IN THE CITY / OF EDMONDS. LOCAL SALES TAX SHOULD BE CODED 31.04. [2EIf ARK�I C ax `IqPLUMBING Valmid.. Fee Rece Jv S / ? ,;. e. L_ /— C.. Plan Check N........._........... 7 BUILDING — [O 3, PROPOSED USE C `IqPLUMBING PLOT(( PLAN(lndlC6LnrrBmldlpf afitb(V tS�itp Ing —at.) HEAT A GAS LINE 1 L.. L ` FENCE SIGN RETAINING WALL N SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL TOTAL AMOUNT DUE (.-0ri thereby acknowledge that I baro rend this application; that uta In- C) formation given le correct; and that I am the owner, or the duly author- ized agent of the owner. I agree to comply with city and stale laws re-- ATTENTION APPLICATION APPROVAL lating tonetructlou; and In doing the work authorized thereby, no Person will be employed In violation of the Labor Code of the Stale of Washington THIS PERMIT This application is not a permit until relating to Workmen's Compen..iton Insurance. AVTIIORIZES signed by the Building Official or his Dep - NOTE: Permit Limit One Year (Except DEMOLITIONS .which THE WORK NOTED uty; and fees are paid, and receipt is ac - shell be completed In ninety days; MOVED -IN BUILDINGS shall be corn- knowledged in space provided. pleted In elx months.) IIID ATUUE (OWNER OR AGENT) DATE SIGNED INSPECTION 1 CTOR'B SIGNATURE U .- _ I .J DEPARTMENT � '..., � � .•'_ •": ' CITY O OF F 1 I- . :�!/,o. �L7/t•I!c./ Check Pee EDTY `DATE NOTE: Applicant Subject to Plan 775-2525 This Permit ew�em work to be done an Private property ONLY. Any construction on the public domain (curb., eldewalke, driveways, INSPECTOR marquee., els.) will require separate perndssion. I