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750329.pdf;0 BUILDING DEPARTMENT Applicant YII cantP ZUOSNE -Imo. NUMBETR 750329 '..� PERMIT APPLICATION Inside Heavy Linea ADjois ADDREBH N (OR A E OF BUSINESS) PElialltlBIHLE � � J LOT CORAGE 1 LO UCL RAGE I 'MAILINO DDREBH d VE�� 4� l�T l •� PERMISSIBLE HEIGHT / PROPOSED ILIGHT ,ry .•s / Y 1 O C TY TE PHONE NUMBER ALTDe bAR A TOTAL' I.DO.,AREA i LL,')) REQUIRED YAItDB P.ROG.... YA RDB E FRONT BIDE REAR FRONT BIDE REAR � ADDRESS L L LOT VARIANCE OR CONDITIONAL UeE NYAES NO PERMIT NULIHER NO JrPT. A VAL /- �yrATE; C C1TY TELEPHONE NUMBER STREET1V / C �_. EXISTIN TREET R/Rl".. .tax.- DEFICIENCY THIS PROPERTY rj NAME � COMP. PLAN ST. R/.&-*.-. 6/v ).....FT. W W REMARKS c ADDRESS Driveway slppes not to exceed those o , indicated on Standard Dwg. No. 103 w t - CHEC E Y I F 111'1 TEL7EP%HONE NUMBER j V I� METER SlL 111111E 812E CLE RAN 1 CHE BY STATE LIICDENSE NUMBER C1 Y LICE��18E NUMBEli REMARKS C Legal Descrlpton of Property (Show Below or Attach Four Copies) TYPE CONNECTION VERyr Y / L PERC. TEST Iu W M ER I REMARKS TL"'y Zk,&0.%ea, Ct). l/42,L" _ / r./�/�^ ./LI I Ee ❑ No (5;— SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP a 5,-70 ❑ YES ��Iti C GAB RESIDENTIAL ❑ LINE NEW PLAN CHECKED THIS 517E IS LOCATED IN THE CITY / OF LOCAL SALES TAX NON-RESIDENTIAL BIG . �, �4_- ULDEDMONDS. B CODED 31.04. ❑ ADD RETAINING DEMOLISH ❑ WALL FENCE El I / �i C)/" S/ U/!/C• Re, I �' /� L1B, C I7 73 ALTER ❑ OR FILL(.....................Ft.) REPAIR E] PRE -MOVE El SWIAI NSPPOOL 0 i /{ d 1FC 7—/—U &.1 5 /L� 11V / NUMBER OF STORIES NUMBER OF DWELL NO Off/ UNITS NATURE OF WORK TO BE DONE Vnluallon Fee It -MIA Na, Plan Check N. ..................... z_r D BUILDING _ - PROPOBpD USE PLUMBING aPLOTIPL (Indicate Building setback., abutting streets) HEAT & GAS LINE CI C _ FENCE tRETAINING WALL --- N — - SWIMMING POOL DEMOLITION PRE -MOVE. INSPECTION EXCAVATION Olt FILL -- TOTAL AMOUNT DUr. /Q/ fV Ihereby acknowledge that I have read this application; that the In- T � formation given le correct: and that I am the owner, or the duly author. tzed agent of the owner. I agree to comply with city and elate laws regu- ATTENTION APPLICATION APPROVAL tat,., cooetruellon; and In doing the work authorized thereby, no person will be employed In violation or the Labor Code of the State of Washington TITIN PERMIT This application is not a permit until relating to workmen'. Compensation Insurance. AUTHORIZE" signed by the Building Official or his Dep- —pt TEVxcept DEMOLITIONS wh1th oxl.v Tu r. %,ORH NOTED uty; and fees are paid, and receipt Is ac- .b.mpleted In alt y ; MOVED -1N BUILDINGS atoll be win• knowledged In space provided. Piet Q 1 elz month.. tll UItE (OlV OR E DAT'' TONED INSPECTION lid/ I1 Tlt' DEPARTMENT ,84ONAT ..l " CITY Or F.D11I NDS DA•rr: NOTE: Applicant Subject to Pla Cheek Kr 7-� 775-2525 This Pe bill c n'ero work to be duan an Private properly ONLY. i Any construction on flat public domain (curbs, sidewalk., driveways, FILE ntnsquees, ele.) .111 require separate perml.Mon. M CT—I NAME m ADD tLSH F 0 LJ \.I. AA .VTilRT7� J I!J 1 (7 S'STREETW EXISTINT�TREET R/W41 0 �E'T. DEFICIENCY THIS PROPERTY COMP. PLAN ST. R/w�rl (1C_. ...1•+....pT. -'" REMARKS 1)rivewav slpnnS not to exered Plos- indi catf'd oil St-Indavd Dtap. No. 100 No. 100 t- CREC 1 � 1 •t 29 v or Attach Four Copies) d TYP CONNECTION VERIFT, BY PLRC. TEST FIRE ZONE �I RMIT UILDING DEPARTMENT APPllPaIltFiu z�NE1\ NU RESIDENTIAL ❑. LINE NEW NoSIGN / ADD ❑ RETAINING TS DEOLLl HALL ALTER ❑ EXCAVATE ❑ FENCE OR FILL (.......... X..........Ft.) Ej YES WNO PLAN CHECTD q / /5 Ir' R ARKS J �/ 1,/�/-1 )i !�'(� PERMIT APPLICATION Inside heavy Linea JIGS rI / ADDRESS Q �0 _�• /` REPAIR ❑ PRE -MOVE SWIM INSP. ❑ POOL J N J L• 1 ! %(! ��,;/ Y / vi.: i/V 1 �Y- G i �.I /� — / ,// PERMISSIBLE / /fi'(.C•C. lll//�CNJJ��. NAeCE _1 -R!1 -,ME OF BUSINESS) /1 %� LOT COVERAGE !7 L. OTUC L IAGE'MAILIN 1 i j t t!.:> ire/}7(�i((`1� d • ;u ;% �C& DWELLING O AUURESB pERM18sIBLE HEIGHT t PROP0330E1GHT UNITS y1j. TOTAL SLl]O. AREA CITY TE PHONE(N�/UMB(I�.Rl 1 7Ux 0 5A 1 ' ]l NATURE OF WORK TO BE DONE Valuation / PROPTO"S'Fr.D YARDS PR �^ ~ % REQUIR YARDS /NAME FRONT SIDE FRONT BIDE RE.ALR, Recelpt No, j ^REAR / Plan Check No...................... G LF GAL LOT VARIA CE OR CONDITIONAL VSE A UltEtlB• Q YE9 ❑ NO PERMIT NUMBER / IjEPT. ' 0 M CT—I NAME m ADD tLSH F 0 LJ \.I. AA .VTilRT7� J I!J 1 (7 S'STREETW EXISTINT�TREET R/W41 0 �E'T. DEFICIENCY THIS PROPERTY COMP. PLAN ST. R/w�rl (1C_. ...1•+....pT. -'" REMARKS 1)rivewav slpnnS not to exered Plos- indi catf'd oil St-Indavd Dtap. No. 100 No. 100 t- CREC 1 � 1 •t 29 v or Attach Four Copies) d TYP CONNECTION VERIFT, BY PLRC. TEST FIRE ZONE 7 j _ �- 5-- .7 Q `) 1GAS 1 �"_. — /,/O44EB t3 NO SPECIAL INSPECTOR EQUIRD EOCCUPANCY GROUP, \^ R j RESIDENTIAL ❑. LINE NEW NoSIGN / ADD ❑ RETAINING TS DEOLLl HALL ALTER ❑ EXCAVATE ❑ FENCE OR FILL (.......... X..........Ft.) Ej YES WNO PLAN CHECTD q / /5 Ir' R ARKS J �/ 1,/�/-1 )i !�'(� THIS SITE IS LOCATED IN THE CITY OF EDMONDS. LOCAL SALES TAX 1I 'L BE CODED 31.04. // t//- Y G /t-� l�l.= V Iq /.� REPAIR ❑ PRE -MOVE SWIM INSP. ❑ POOL J N J L• 1 ! %(! ��,;/ Y / vi.: i/V 1 �Y- G i �.I /� NUMBER OF STORIES NUMBER OF DWELLING UNITS NATURE OF WORK TO BE DONE Valuation Fee Recelpt No, Plan Check No...................... 0 BUILDING % \ �/ PROPOSED USE l Z,". '/ dll� Lam/ a� PLUMBING � .� PLOT'PLG/ AN (Indicate Hulldln6 tbncke, abutting streets) HEAT & GAS LINE PENCE _ SIGN RETAINING WALL N HWIMMINO POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION Olt FILL TOTAL A51OUNT DUE I hereby acknowledge that I have read this application; that tho In- formation given Is correct: and that I athe owner, or the duly author. Ized age^[ o[ the owner. I agree to comply with city and stale laws regu- lath. construction; and In doing the work authorised thereby, no person will be employed In vlolallon of the Labor Code of the Slate of Washington ATTENTION Tills PERMIT APPLICATION APPROVAL This application is not a permit until - relating to Workmen's Compensation Insurance. NOTE: Permit Limit One Year (Earept DEMOLITIONS whleh ehall be completed In ninety. days; 51OVED-IN RUILDINOS shall be com- AUTHORIZES ONLY THE WORK NOTED Signed by the Building Official or his Dep - uty; and fees are paid, and receipt is ac- knowledged in Space provided. pleted In six months.) 1 SIGNATURE (O\VN£. OR AGEN VAT Fj-SIGNED / NOTE: Applicant Subject to Plan Check Fce INSPECTION DEPARTMENT CITY OF EDMONDS 775-2525 DIRECTOR'S 81,6NAT E/ J I /. DATE %� Jf `1 /• INSPECTOR work to be doe en VII -Ce 11-Perty ONLY. This 'ermlt c n Any cIan elructlon on the public domain (curb., sidewalks, drI_ays, marquee., etc.) will require separale permission.