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750346.pdfI I - i, j — {,� NUMBER ER 750346 BUILDING DEPARTMENT AppllenntFlll r ZONE r\ l' - PERMIT APPLICATI®N Inside lleaYy Lines ADDRESS t� �` IGS j 3 i - �' AUG' '.l — t NAME (OR NAME OF SUSINE88) T"'� TNn /iiN s PFRIIIeelBLE q ACTUAL LOT COVERAGE. LOT COVAAOE i P41 MAILING ADDRE88 eT�/ PEii\11tldIDLE HEIOIIT PROPOSED HEIGHT C C i 1;19 ��`�%ve /U� CITYTEL�EJPHONE�IN UMBER ACTUAL LOT AREA TOTAL BLDG. AREA a a REQUIRED YARDS PROPOSED YAILUH NAME FRONT SIDE REAR FRONT HIDE REAR / 2S -I- ! I ✓-`� �' �7 ���� �nL-"�', I. AL LOT VARIANCE OR CONDITIONAL USE ADDRESS YEH El NO PERMIT NUM R ^' &)b-73 /(/� � NNING D " ' 7 tC CITY TELEPHONE NUMBEri 4 �'L LE(/e&1 ('V/i S STREET R/ EXISTING GREET R DEFICIENCY THIS ROPERTY / O Z NAME ,- COMP. PLAN ST. R/ ' I�/�S%G�-/�/� R.A.__-__ + + eiEeeed-t+=e ' - F AD29 i -..1�-...+...i C+�nrianri Tlr•r� TI t •••• k7 /O 6,2 �j 3 ,qA'z(��� �S CHECKED BY , CITYTELEPHONE NUMBER M I /�/ / METERDIZE SERVICE SIZE CLEARANCE CHEC D BY STATE �ICENSE NUMBER CITY LICENSE NUMBER ��' I /�(� REMARKS Jvl.i IC a F Legal Description of Properly (Show Below or Attaen Four Copies) 1405C a05 6 SCR�f� Po�L 13 7WZ1 ,y7 TYPE VERIFIED BY p �,C(O�NNECTTIIOIN�/J 5;e1j 7'-' ''4'1'Yl .. p�� �/� n �N� A Str O' ✓kI & 1rM ,ATO 14 f'.?Y'- 14 PERC. TEST PERMIT NUMBER y. z /S .ygRA,yB 597;�fi /7PB TH [�c�> I E .39u) REMARKS O.K. to connect into sanitary sewer Al' /I�,� �cca[ but larger than a 2" line. �fivEc it F'v /1� with no ke 13, FIRE ZON TYPE OF CO STRUCTION STREET Ia1PROV ED _,)3 ' /� E] YES NO SPECIAL INSPECTOR REQUIRED OCCUPANCY G ! ® RESIDENTIAL F-1 LINE YES Y ❑PLAN 1 1 � ®xew CHECKED DTHIS SITE IS LOCATED IN THE CITY I NON-RESIDENTIALfi1ON TAX / Pj SHOULD ADD RETAINING BE CODED 31048ALES REMARKS DEMOLISH WAIT' '% FENCE `--�"J�= . r- !Q / 3 0 ALTER EXCAVATE OR FILL I.........x.......... Ft.) PRE -SWI I E] REPAIR ❑ NHP" ® POOL NUMBER OF STORIES NUMBER OF DWELLING UNITS NATURE OF WORK TO DE DONE Valuation Fee Receipt No. % 5/j! �G n % 4 1'Ion Chec)c N. ..................... I BUILDING [o y PROPOSED USE 'ty PLUMBING U PLOT PLAN (Indlente Building setbaek., abutting street.) HEAT A GAS LINE m n FENCE SIGN RETAINING WALL N SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL TOTAL AMOUNT DUE I hereby acknowledge that I have rend this application; that the In- ' formation given le correct; and that I am the owner, or the duty author. Iced agent of the owner. I agree to comply with City and .tate )awe raga- ATTENTION APPLICATION APPROVAL latlnIf c,mumetlon; and In doing the work authorised thereby, no person will be employed In violallon of the Labor Code of the State of Washington THIS PERMIT This application Is not a permit until ' relating to Workmen's Compensation Insurance. AUTHORIZES signed by the Building Official or his Dep - ONLY THE NOTE: Permit Limit One Year (Except DEMOLITIONS whtelt WORK NOTED uty; and fees are paid, and receipt Is ac - .hall be completed In ninety days; MOVED -IN BUILDINGS .hall be win -ed in p—. provided. plated In Six months.) HIGNATURE (OWNER OR AGENT) DATE SIGNED INSPECTION DI T R DEPARTMENT 7—`r CITY OF I _... 1�-- NOTE: Applicant Subject DATE SRGject to Plan Cbeck Fee a This Permit covem work to be done on private property ONLY. 775.2525 Any eomitmethm on the marquees, Ac.) wl; imble domnln (curb., sidewalks, drivewa7a, FILE marequire Separate percnle.lon. I -/e: A J / A / '10 n ( Plan Check Nn ............ ......... BUILDING (0 S, PROPOSED USE PLUMBING �--UBE B U I L D I N G DEPARTMENT Applicant Fill PERMIT :) ZONE � — NUMBER PLOT PLAN (Indicate -Willing Fa sbu ting alrocle) 21 PERMIT APPLICATION I Insldo Heavy Linos ADDRESS L NAME (on NAME OF BUSINESS) YEItM10BIBLE e's ACTUAL / LOT COVERAGE �� LOT COVE'FIAOE ` cc MAILING ADDRESS PERMISSIBLE HEIGHT PROPOSED HEIGHT SIGN N RETAINING WALL SWIMMING POOL O CITY ` TELEPHONE NUMBER ACTUAL LOT AREA \ TOTAL 111,110, AREA Y. � `` /y 60 ��/ J ��' - o./ S REQUIRED YARDS NPROPOSED YA RDB REAR FRONT BIDE REAR p I I FRONT SIDE NAME._ / f 2-/ ��� -r I Z I np ! IAL USE -A OR CONDITON , ;2 (U.1 ADDAESB O'YES NO PERMIT NUMBER F '� / '•% �T / LADEPT. AP R1OYAL3 A - DATE: PRE -MOVE INSPECTION C , CITY ELEPHONE NUMBER "1' " t" ! _ 5 J /�' � STREET R/Lj' EXISTING 6I'REET R/W .: ::.......FT,— DEFICIENCY ROPER7•Y p I , W i I' I W � NAME- !� COfi[P. PLAN ST. R/,lV!...........p'r. ............FT. TOTAL AMOUNT DUE 16 L_) ,) �-�/,J 01- S REMARKS a:"CVc:Ritl`I-"r'•�••niS'.�L"�{•IQ:i�.•i.0 •••?i'iL"K •'�"'��i0:'r. o�r C ADDI{EBS fes. t ^a-r#a�d�a;.��I`•.^ Lra ..�=:a_ ! ( /,� h!(1,,,2 mp ned agent of the owner. 1 agree to coly with city and elate Tawe regu- Inting construction; and In doing the work authorized thereby, no person will be employed in violation of the Labor Code of the Slate of Washington ATTENTION THIS PERMIT t� 4' CITY TELEPHONE NUMBER I _ AUTIWRIZES F V,l:. - G't/LGC/ /I " j�/ �.�i J� ���� ./ METER SIZE SERVICE SIZE CLEARANCE CHEC D BY ONLY THE WORK NOTED - STATE LICENSE NUaIHER CITY LICENSE. NUDBEil f -T I I `,- - r I ttd ` r- REMARKS 'J�-VUN` c� _j-� - i I Legal Description of Properly (Show Below or Attach Four Copies) r 911,21 t� st. �� 1� r nd C)i. TYPE CONNECTION VERIFIED BY sA 5 o cf,! �� {/Lii-,l 1p PERC. TEST PERMIT NUMBER REMARKS^11 � f?, K. to connect into sanii.rry ser�'w ;%rI'i /,<elz :: i bUt; :,ith no 'Iirnel thin a 2" lire. V FIRE ZONE TYPE OF CONSTRUCTION STREET IMPROVED I SPECIAL INSPECTOR REQUIRED I OCCUPANCY GROUP GAS ❑ YES 10 NO ©' RESIDENTIAL E]LINEPLAN NEW CHECKED BY THIS SITE 15 LOCATED IN THE CITY OF EDMONDS. LOCAL SALES TAX NON-RESIDENTIAL SIGN E] / (f- SHOULD BE CODED 31.04. •i ❑ ADDRETAINING F]DEMOLISH Ej WALL REMARKS ALTER ❑ EXCAVATE FENCE OR z..........Ft.) I OVI swim E] RPR INS. © POOL PFMNUMBER ,\ _ ' r OF NO ERE OF STORIES 1 DWEL UNTSL3NG /� `I -/e: A J / A / '10 n ( Plan Check Nn ............ ......... BUILDING (0 S, PROPOSED USE PLUMBING PLOT PLAN (Indicate -Willing Fa sbu ting alrocle) 21 HEAT A GAB LINE FENCE SIGN N RETAINING WALL SWIMMING POOL I.C�� od `` /y 60 DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL TOTAL AMOUNT DUE 16 L_) ,) I hereby ncknowl.dg. that I have read this application; that the In- formation given Is correct; and that I am the owner, or the duly author. , mp ned agent of the owner. 1 agree to coly with city and elate Tawe regu- Inting construction; and In doing the work authorized thereby, no person will be employed in violation of the Labor Code of the Slate of Washington ATTENTION THIS PERMIT APPLICATION APPROVAL This application is not a permit until relating to Workmen's Compensalloa Insurmes. AUTIWRIZES signed by the Building Official or his Dep. NOTE: Permit Limit One Year (Except DEMOLITIONS which shall be completed In .tasty days; MOVED -IN BUILDINGS Shall be com. ONLY THE WORK NOTED uty; and fees are paid, and receipt is ac - knowledged in space provided. pN'd In .INSPECTION `,- - r SIONATUItE (OWNER OR AGENT) DATE BIGNE13 INSPECTION DEPARTMENT' DIRECTOR'- H ONATURE CITY OF EDhIONDB DATE 7', NOTE: Applicant Subject to Plan Check Fee 775-2525 This Permit covers work to be done on private property ONLY. Any construction an lire public domain (curbs, sidewalks, driveways, INSPECTOR marquees, ele.) will require separate permisslon.