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750322.pdfBUILDING DEPART ZINE NEMS e. % Applicant Fill 5� 1. U.JLL H L(nL�,,� I hereby acknowledge that I have read this application; that the in. PERINIT APPLICATION IIIts eavy es ]OB ADDRESS IrMI agent of the owner. I agree to Comply with Illy and elate law. tutu- Q /A luting conetructloa; and In doing the work authorised thereby, no person will be employed In vlolatlnn or the Labor Code of the State of Washington NAME (OR NAME OF BUSINESS) /� FENCE ONLY TILE WORK NOTED shall be completed In ninety days; MOVED -IN BUILDINGS shall be Com- SIGN �jZ SPECIAL INSPECTORREQUIRED ❑PLANYES PERMISSIBLE ACTUAL // NEW ❑ ALTER ❑ REPAIR ❑ j ❑ GASRESIDENTIAL L NE SIGN WALLEl EN E ( X..........Ft.) SWIMPOOL N LOT COVERAGE LOT COVEIIAOE I UMBER OF�eTORlE9 I NUMDER OF DWELLING UNl 8 d SLING ADDRESS IATURE OF WORK TO HE DON J ��/_•' S� �t ��� �ZY// a Valuation ) PERMISBI LF. HEIOHT P OPOSED HEIGHTl wo CITYTELE/P�IiONE NUMBER A UAL LOT AREA HLDO. EA TO AR / (.1 /T 1�� C J / ,�7 y 7 REQUIRED YARDS PROPOSED YARDS a NAME FRONT SIDE REAR FRONT BIDE REAR WaOMSIS WE tr W ADDRESS L• LOT VARIANCE R CONDITIO L USE p'B'Mal S L NO PERMIT NUMISEft s .F V LC O Dq ✓ I ) ) IN AEP APPRO CITY TELEPHONE NUMBER STREET EXISTINGA81 ET R/W ............FT. DEFICIENCY THIS PROPERTY NAME T /' /J j7 r /� ,r ' V s/ G e " UC�J l (T /V COMP. PLAN ST. R/W ............FT. ............FT. �W7 `• . RDhtAR1C8 C ADDRESS / 4z w 7 e CHECKED BY IOi CITY TELEPHONE NUMDER V ��s.��,q ., l �r� [' [ [/ /y //� METER BILE SERVICE SIZE CLEARANCE CHECKED BY STATE LICENSE NUMBEIi CITY LICENSE NUMBER I {[a. Legal Description of Property (Show Below or Altnch Four Copley) REMAliXH CI� TYPE CONNECTION VERIFIED BY I � 7, r O ' PERC. TEST PERMIT NUMBER a , I V W REMARKS m I hereby acknowledge that I have read this application; that the in. BUILDING formntlon Riven Is correct; and that I nm the owner, or the duly authur- IrMI agent of the owner. I agree to Comply with Illy and elate law. tutu- Q /A luting conetructloa; and In doing the work authorised thereby, no person will be employed In vlolatlnn or the Labor Code of the State of Washington HEAT d: GAS LINE relating to Workmen's Compensation Insurance. F) TYPE OF CONBTRUCT2 STREET IMPROVE IYE9 NO FENCE ONLY TILE WORK NOTED shall be completed In ninety days; MOVED -IN BUILDINGS shall be Com- SIGN �jZ SPECIAL INSPECTORREQUIRED ❑PLANYES P I OCCUPANCY GROUP EJADDRETAINING NEW ❑ ALTER ❑ REPAIR ❑ NONRESIDENTIAL ISH EXCAVATE TE ORCFIL INSPPRE-AfOVE ❑ GASRESIDENTIAL L NE SIGN WALLEl EN E ( X..........Ft.) SWIMPOOL CNECXED dY THIS SITE IS LOCATED IN THE CITY , EDMONDS. LOCAL SALES TAX H ULD E\CODED 31.0,4.DEMO` �B REMARKS ` G (� •�f��� J�n \ NO ` I.N C�(�V �.{ `S I UMBER OF�eTORlE9 I NUMDER OF DWELLING UNl 8 775-2525 IATURE OF WORK TO HE DON J ��/_•' S� �t ��� �ZY// Plnn Check Nn.. ................... Valuation Fee p 1—e" es - O / (.1 /T 1�� I hereby acknowledge that I have read this application; that the in. BUILDING formntlon Riven Is correct; and that I nm the owner, or the duly authur- IrMI agent of the owner. I agree to Comply with Illy and elate law. tutu- PLUMBING luting conetructloa; and In doing the work authorised thereby, no person will be employed In vlolatlnn or the Labor Code of the State of Washington HEAT d: GAS LINE relating to Workmen's Compensation Insurance. AUTHORIZES FENCE ONLY TILE WORK NOTED shall be completed In ninety days; MOVED -IN BUILDINGS shall be Com- SIGN �jZ 31GNATUIiE ON A DATESNED INBPECTfON RETAINING WALL DEPARTMENT N SWIMMING POOL CITY Or EDhIOND$ DEMOLITION 775-2525 PRE -MOVE INSPECTION Any constructiun on ibe public domain (curbs, ddewalks, drlvewan, EXCAVATION OR FILL I hereby acknowledge that I have read this application; that the in. TOTAL AMOUNT DUE formntlon Riven Is correct; and that I nm the owner, or the duly authur- IrMI agent of the owner. I agree to Comply with Illy and elate law. tutu- ATTENTION luting conetructloa; and In doing the work authorised thereby, no person will be employed In vlolatlnn or the Labor Code of the State of Washington THIS PERMIT relating to Workmen's Compensation Insurance. AUTHORIZES NOTE: Permit Limit One Year (Except DEMOLITIONS which ONLY TILE WORK NOTED shall be completed In ninety days; MOVED -IN BUILDINGS shall be Com- pleted In .Iz months.) 31GNATUIiE ON A DATESNED INBPECTfON DEPARTMENT CITY Or EDhIOND$ NOTE: AHNlicant Subject to Plan Check Fee 775-2525 This Penult cover. work to be done an prly to property ONLY. Any constructiun on ibe public domain (curbs, ddewalks, drlvewan, mrtraueee. etc.) will rcgalre ..past. permledon. (%•2161 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 space provided. FILE - 6 ORB BIO DEPARTMENT URE 1 (�' ( 4 :.'�(/.� CITY OF EDIVIONDS DATE NOTE: Applicant Subject to Plan Check Fee 775-2525 This Permit cnvers work to be done on private property ONLY. Any wnstructlon on the public domain (curb., sidewalks, drlveways, mINSPECTOR marquees, etc.) will require separate permission. t r^� C.- _ I `q YES [I NO 'P CIA ECTI REQUIRED OCCUPANCif' GROUP BUILDING DEPARTMENT USE PERMIT i;•� �' ZONE 3- NUMBER 1,50 RESIDENTIAL Y%1 1 `� Applicant Fill NEW N LAN CHECKED❑ P THIS SITE IS LOCATED IN THE CITY PERMIT APPLICATION Insido Heavy Lines r-�/ -jog Q NON-RESIDENTIAL I :I OF EDMONDS. LOCAL SALES TAX / iii4—� ADDRESS � / � AINING REMARKS - ' NAME (OR NAME OF HUBINE88) N ' - i!' _ ' f ' El ALTER EXCAVATE EJ �. ��A�G?/(� LOT C VERA r' ACTUAL LOT COVERAGEo �� LOT COVESYAGE 1, 11 �L. }--( \ S` rr/`- 1 I T MAILING ADDRESS T PER61188IBLE HEIGHT � PItOPUBED RETORT t AonrQ,c .,'J_ci O f DWELLING CITY TELEPHONE N7UMBER A UAL LOT AREA `\ TO DLDG. AREA ,.; C.. /) '-le "7' �t^REQUIRED YARDS PROPOSED YARDH Valuation Fee Receipt No. /T'2F /2 NAME FRONT SIDE REAR FRONT BIDE REAR .< Plan Check No ..................._ I I t, S.Pr r (r.G rl � r' N." I.� S ►CSN'O .(/i7/F . PROPOSED USE O F ADDRESS E LEGGAL LOOTT VARIANCE R CONDITION L USE [13 -TES ❑ NO PERMIT NUMBER j �tR � ,_ ]1 INO DEPT APPRD A 1 tG CITY TELEPHONE NUMBER / - FENCE i' I 8T 'ET R/\V/ D v RETAINING WALL - EXISTING S REF.T R/W ............FT. DEFICIENCY THIS PROPERTY N NAME �� E COMP. PLAN 8T. R/W ............FT. ............FT. W .; 1 DEMOLITION I �i _//SI (r ✓•t�' REMARKS PRE -MOVE INSPECTION C ADDRESS x 1E. EXCAVATION OR FILL CHECKED BY W j C CITY NUMBER TOTAL AMOUNT DUE L7 s forms orm Hon given 1s correct; and that I aot the owner, or the duly author- V q .� (- `=•' �/ (ff i���.-L� (TELEPHONE METER SIZE SERVICE SIZE' CLEARANCE CHECKED BY latlnIf construction; and In doing the work authorized thereby, no person STATE LICENBII NUMBER CITY LICENSE NUMBER I THIS PERMIT I relatlgg to Workmen's Compensation Imucanw. 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 - raW shall be completed In likely days; MOVED -IN BUILDINGS shall be was- knowledged in space provided. REMARKS t SIGNATURE (OWNEED Legal Description of Property (Show Below or Attach Four Copies) IJ //_sv ✓!1-�t)< TYPE CONNECTION VERIFIED BY PERC. TEeTPERMIT NUMBER 04 � REMARKS to v a Z N Y F ONBTRUCTIO STREET IMPROVED - 6 ORB BIO DEPARTMENT URE 1 (�' ( 4 :.'�(/.� CITY OF EDIVIONDS DATE NOTE: Applicant Subject to Plan Check Fee 775-2525 This Permit cnvers work to be done on private property ONLY. Any wnstructlon on the public domain (curb., sidewalks, drlveways, mINSPECTOR marquees, etc.) will require separate permission. t r^� C.- _ I `q YES [I NO 'P CIA ECTI REQUIRED OCCUPANCif' GROUP RESIDENTIAL YO `� NEW N LAN CHECKED❑ P THIS SITE IS LOCATED IN THE CITY Q NON-RESIDENTIAL I /��(_-, �' OF EDMONDS. LOCAL SALES TAX ADD AINING REMARKS - SHOULD BE CODED 31.04. DEMOLISH ' El ALTER EXCAVATE EJ ��-tet L, (- ALX ,�1 1v� C wO `5") On FILL I..........X..........1".) ❑ I. REPAIR ❑ IRE -MOVE O PSWIMOOL 11 �L. }--( \ S` rr/`- 1 I T NUMBER OF eTOR1E9 NUMBER OF DWELLING UNI1B NATURE OF WORK TO BE DON StC' '� ` �' �jtJ7 �-!J Valuation Fee Receipt No. /T'2F /2 .< Plan Check No ..................._ I I t, S.Pr r (r.G rl � r' N." BUILDING .(/i7/F . PROPOSED USE j �tR PLUMBING aPLOT PLAN (Indicate Building set`ba, gtt,rng streets) HEAT & GAS LINE O FENCE I SIGN v RETAINING WALL - N SWIMMING POOL 1 DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL I hereby acknowledge that I have read this application; that the In. TOTAL AMOUNT DUE L7 s forms orm Hon given 1s correct; and that I aot the owner, or the duly author- Ized agent of the owner. I agree to comply with Illy and elate law, rag'- ATTENTION APPLICATION APPROVAL latlnIf construction; and In doing the work authorized thereby, no person ; Will be employed In violation of the Labor Code at the State of Washington THIS PERMIT This application is not a permit until relatlgg to Workmen's Compensation Imucanw. 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 - i shall be completed In likely days; MOVED -IN BUILDINGS shall be was- knowledged in space provided. Dleted in ,Ix months.) SIGNATURE (OWNEED INSPECTION DlR' - 6 ORB BIO DEPARTMENT URE 1 (�' ( 4 :.'�(/.� CITY OF EDIVIONDS DATE NOTE: Applicant Subject to Plan Check Fee 775-2525 This Permit cnvers work to be done on private property ONLY. Any wnstructlon on the public domain (curb., sidewalks, drlveways, mINSPECTOR marquees, etc.) will require separate permission.