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750321.pdf�- L� i✓ L. L I Srfs El NO TOTAL AMOUNT DUE RESIDENTIAL ❑ GAS LINE E]YEB d.NO IIY � t IN THE CITY .ating cons ructlon; end In doing the work authorized thereberson `PERMIT �e USE 7503-. �S" Ia. NUMBER �/ THIS PERMIT relating to Workmen's Compensation Insurance. BUILDING DEPARTMENT Applicant Fill PLAN CHEC E / THIS SITE IS LOCATED LOCAL SALES TAX pleted 'pleted In six monthsSIGNATU1tE Inside Heavy Lines PERMIT APPLICATION ADDRFDB �1A. ❑ etcx NA111E (OR N OF BUSINESS)AS/�E /�/�.LOT G CP - PERM1d1I1DLE ^ UALJ kl-L—T COVERAGFe COVEItAOE ❑ MAILING! DREBB PROPOSED HEIGHT PEItA1ItldIDLE HEIOIITI� J RETAININGA WALL' . J� 3 20�(T HLDO. AREA ❑ -a C1�f Y'�— TELEPHONE NUMBL.R A LypT» F�1 rd� TOTAL / L!(/CL f C/G /•fYROPOeED YARUB QUNAMEFRONTREAR ALTER[—]EXCAVATE ❑ On FILL (..........x..........Ft.) FRONT SIDE RE ❑ REPAIR PRE -MOVE ❑ INSP. ❑ SWIM POOL ALJ T!% GSL ��L1� IGCr F L LOT VARIANCE OR CONDITIONAL USE /�1 -r ( �7 �C:WM/J — J ���ar �rC•/ 'py) ADD tld YE8 ❑ NO PERAfIT NUMBER I S j..G .-S L/J J�' a C / Iro — PLANNING DEPT. APROVAL DATE: P i _/L: TELEPHONE NUMBER a ` CITY t /'• 177 !oCV� STREET R/W STREET R/W DEFICIENCY THIS PROPERTY e_1 %y L•,�/(;��j.p� EXISTING ............FT. OEWIj AMC COMP. PLAN ST. R/W ............FT. ...........IT. ' p REMARKS 01 ADDRESS r 'z Ia O 2-12 .V- J Z- cr_s7 CHECKED BY CITY TELEPHONE NUMBER tp a. PROPOSED USE METER BILE SERVICE SIZE CLEARANCE KED HY I U STATE LICENSE NUM -11/ CITY LICE1161 NUMBER PLUMBING I I ICH' rl�_ C�i71 PLOT PLAN (Indicate Building setbacks, abutting street.) % —©2 ,/�[�" I REMARKS � A^ Lel`I escrlplton of Pro perly (Show law or Attach Four Copies) FENCE • TYPE CONNECTION VERIFIED BY O SIGN Fi PER0. TEST PERMIT NUMBER11 y. i � tRETAINING I ch REMARKS W O N � ; FIRE ZONE I TYPE OF CONSTRUCTION STREET IMPROVED �- L� i✓ L. L I Srfs El NO aL=� APPLICATION APPROVAL 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 apace provided. DiRECTOt' 81 N T [A�,� %- FILE w� w TOTAL AMOUNT DUE RESIDENTIAL ❑ GAS LINE E]YEB d.NO IIY � t IN THE CITY .ating cons ructlon; end In doing the work authorized thereberson El NEW THIS PERMIT relating to Workmen's Compensation Insurance. AUTHORIZES NOTE: Permit limit One Year lF.xcept DEMOI Iwhich PLAN CHEC E / THIS SITE IS LOCATED LOCAL SALES TAX pleted 'pleted In six monthsSIGNATU1tE ❑ NON-RESIDENTIAL ❑ etcx /�) /' OF EDMONDS. SHOULD BE COOED 31.04. ❑ ADD ❑ RETAININGA WALL' ED51ONDS i ARK I / ❑ DEMOLISH ❑ FENCE / L!(/CL f C/G %Ly ✓/� /7!J/!6I%Z J/ ALTER[—]EXCAVATE ❑ On FILL (..........x..........Ft.) ❑ REPAIR PRE -MOVE ❑ INSP. ❑ SWIM POOL '�T / / �- /CNIJ l�%S /�1 -r ( �7 �C:WM/J — J ���ar �rC•/ ' NUMBER OF STORIES NUMBER OF DWELLING UNITE NATURE OF WORK TO BE DONE Valued.. Fee Recclpt No. Plan Cheek No.. ................... tp a. PROPOSED USE rI PLUMBING PLOT PLAN (Indicate Building setbacks, abutting street.) BEAT & GAS LINE � FENCE t16 — SIGN tRETAINING WALL J L�- N SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL aL=� APPLICATION APPROVAL 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 apace provided. DiRECTOt' 81 N T [A�,� %- FILE w� w TOTAL AMOUNT DUE thate in- I hereby acknowledge that I have reed this application;]bewm- formation given Is correct; and that I — the owner, or the author- agent of the owner. I agree to comply wlt6 city and elaregu- ATTENTION .ating cons ructlon; end In doing the work authorized thereberson will be employed In violation of the Labor Code of the State ogton THIS PERMIT relating to Workmen's Compensation Insurance. AUTHORIZES NOTE: Permit limit One Year lF.xcept DEMOI Iwhich ONLY THE WORK NOTED shall be completed In ninety days; MOVED -IN BUILDINGS nom- pleted 'pleted In six monthsSIGNATU1tE (OtVN Elt OI A T) DATE INSPECTION 5 DEPARTMENT CITY OF ED51ONDS NOTE: Applicant Subject to Plan CLeck Fce 775-2525 This Permit raven work to be done on private Property ONLY. Any construction on the public domain (curb., ld—alk., driveways. marquees. etc.) will require separate permission. aL=� APPLICATION APPROVAL 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 apace provided. DiRECTOt' 81 N T [A�,� %- FILE w� w , Fi 16 ur .5i coo .5i j `R,•• ®oma° _ USE PERMIT "°MBE" B U I L D I N G DEPARTMENT Appucatt Fm ZONE - I-- 750321PERMIT , Inside Heavy Linos APPLICATION JOB ADDRESS / •" .'� ,� /j•') �..'�i'•j 0 f- I ��� ~ NAME (OR NAME OF BUSINESS) !/ PEItM188 33 E ^' ACTUAL �) j +• LOT COVERAGfIe �'� i•,•- LOT COVEfFAGE ppp��t �/TfL1NG'A�D LE88t7 PEItDi lde[BLE HEI°If�j, t PItOP08ED HE[OHT 7 tZ dz in n -7r ,•l_ /.,if' r j O _= C1Y T L PHONE NUMBER Cf AL LOT AREA r TOTAL BLDG. AREA tI � f�a7 ,F- , / ! L,••. a'� .�r. _ ij I- n A 'D YARDS PROPOSED YAKDa j I NAME FRONT tlIDE REAR FRONT BIDE HEAR I {� O / �1 ��'•! '�!` l LEGAL LOT VARIANCE Olt CONDITIONAL USE a.7 • ADD— RLB� '�]'YEB NO PERMIT NUMBER - /C.7 / /•e' ��) SCJ PLANNING DEPT. APP1iO_AL DATE: UhU c -`_ CITY TELEPHONE NUMBER 1 C �• 17 q STREET R/W EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY ,. •� ry rr r.• NAMEj COMP. PLAN 8T. R/W ............ FT............. FT• N? ' J ,t= REMARKS DI ADDRESS —� I �j!' ! ST - CHECKED HY CITY TELEPHONE/NUMBER O •:;--ti's:=%i �r_-% I ,-� t�fl- (t/ / I jj11ZE CLEARANCE - CI KED BY STATE LICENB NUMBER CITY LICENSE NUMBER .! I)� I (� p,' i Legal eecrlptlon of Pro arty '(Sh CIoN or Atlo.ch Four Copies) _ /•}"r'-- -1 1 -- , TYPE CONNECTION 14- {y+ �-I / (/-• 1 j PERC. TEST a _�, W j W REMARKS 'n J FIRE ZONE OF CONSTRUCTION STREET IMPROVED I.TYPE ❑ NO SPECIAL INSPECTOR REQUI EDOCCUPANCY GROUP © RESIDENTIAL GAB ❑ LINE ❑ YES Q.NO I NEW PLAN CHEC EI� BY THIS SITE IS LOCATED IN THE CITY ❑ / OF EDMONDS. LOCAL SALES TAX I�:-�' NON-RESIDENTIAL SIGN - 1%/ SHOULD BE CODED 31.04. RKS ! ADD RETAINING F-1DEMOLISH WALL AI�KB '� C• ❑ FENCE / / -/. j: ✓' �j='i /%//•7.k./,FC_!% j ALTER OR FILL (.......... x.......... Ft.) ElALTER[:]C PRE-MOVE swim REPAIR E] INSP. POOL �- 'J I.0/..� �;'/Q..) •:� •`•tel: (i�'1/:J. _ ,S c/,f•_r %t_'_, 1 NUMBER OF STORIES NUMBER OF DWELLING UNITE _ ' ✓ '� i:� i - :'/ / �r�,C= f;.i.'d s_ NATURE OF WORK TO BE DONE Valuation Fee Receipt No. I i . .•_��• /-:ti•:� �/.-". _'-:. Y�Y `4{-•i` 7 Plan Check No..................... � .Oi ! '�'"'-.),1•-�'� ltf G.-+�1j BUILDING PROPOSED USE ! \•;y-r._<_._-.._.�- PLUMBING � date OPLOT PLAN (Indl gtha.10a.abUtting streets) HEAT A GAS LINE C FENCE SIGN RETAINING WALL I N SWIMMING POOL DEMOLITION• PRE-MOVE INSPECTION i t EXCAVATION OR FILL TOTAL AMOUNT DUE I hereby acknowledge that I have read this application; that the In- V formation given Is correct; and that I am the owner, or the duly author- ized agent of the owner. I agree to comply with city and state law. mgu- ATTENTION APPLICATION APPROVAL lating omoiliuetlon; and la dolag the worst authorized thereby, no person i will bo employed In violation of the Labor Coda of the Stale of Washington THIS PERMIT This application is not a permit until relating to Workmen'. Compensation Ineurance. AUTHORIZES signed by the Building Official Or his Dep- NOTE: Permit Limit One Year (Except DEMOLITIONS which ONLY THE WORK NOTED uty; and fees are paid, and receipt is ac- shall he completed In nicety day.; MOVED-IN BUILDINGS shall be coon• lfnowledged in space provided. I plated In six months.) ' SIGNATURE (OWNER OR AGNT) DATE SIGNED INSPECTION E IJATll ( �t DIRECTORIS)8It_ , - -" DEPARTMENT I C� - CITY OF _...... -. EDMONDS DATE v__.. NOTE: Applicant Subject to Plan Cbeck Fee 775-2525 This Permit covers work la bo done on private property ONLY. Any construction on the public dom.ln (curbs, sidewalk., driveway., INSPECTOR j �. r..«., etc.) will reeulre "Pont. pumis.lon. I I� ' i