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750358.pdf1 BUILDING DEPARTMENT Applicant Flu zo.E `Z`, _ NUMBER _{ PERMIT APPLICATIONI Inside Heavy Lines ADDRE88 77503�58 NAME (OA NAME OF SUeINEBB) / t, ��_ ......,,--••--�� ` �..� -��• , ` V \V��_� , PERMISSIBLEACTUAL �� ESiAOE LOT COV.RAG E� 0 LOT COV 1/ WWW I \ atA1LIN0 ADDRE80 PItOP08ED IIEIOHT ' PERMISSIBLE HEIGIIT�� j z I 1 (J'.'r�� •��\Lj� i O` J�� CITY TELEPHONE ./ A LIQ OT ARE TOTAL BLDG. A EA L •M_ ' •� —� .� REQUIRED YARDS PROF..ED`'-YIA-AJDB NAME FRONT HIDE REAR FRONT HIDE REAR I` Lj 4- s, t I. Al LOT VAAIA NCF. OR CONDITIONAL UBE FUr AllDREtlB YES 0 NO PERMIT NUMBER - N N T. APF IC CITY TELEPHONE NUMBER ! STREET R/W EXISTING STREET R/W 9..FT. DEFICIENCY TIiIB PROPERTY p y, NAME /%/. COMP. PLAN eT. R/W ..W.Q..FT. .. 0.••.F'r• REMARKBDriveway popes not to exceed those o C ADDRE tlx indicated on Standard Dwg. No. 103 � ' BY CHE��,C///{,�D BY CITY TELEPHONE NUMDER Y I IM Fl I MQ„'�[D rg METER SIZE SERVICE Sl L CLEARANCE CHECKED STATE ICENBE NVa1HER CITY LICENSE NUMBER�/� 1 I / 19aos RE& Below Attach Four Copies) Legal Description of Properly (snow or TYPE ONNNECTION VERIFIED Y o SA� (Saver_ �+ PERC. TEST PERMIT ..... (,1 REMARKS m , ! UI�Pt?Z�QDUr�p WIi21AG REBID; FIRE ZONE TYPE OF CONE RUCTION 6T12Frldf IMPROVED I ..4 YES INBPECTWOR R QUIRED OCCUPANCY GROUP _ ®- RESIDENTIAL GAS ❑ LINE CC/ ❑ YES 10 NEW PLAN CHEC CED BY THIS SITE IS LOCATED IN THE CITY NON-RESIDENTIAL OF EDMONDS. LOCAL SALES TAX elcN D 31.04. -{�-�� ( SHOULD IIE CODEHET l , ADD ElDEMOLISH_jWALLNING umI,ARK I FENCx..........Ft.) ��/� o7y �_0/%✓('�, LyY (�/Y 1/ Z3 ALTER ❑ EXCOR AVATEILL E ❑ /✓ (/!//y�V N�ly/l�'��f REPAIR ❑ INBPPRE.MOVE O POOLE `V /� ZSCT /r/ l!I'Z J1/� 1A62! G/� . NUMBER 03' STORIES NUMBER OF ! DWELLING UNITS NATURE OF WORK TO BE DONE Vnluallon Fee Receipt No. NAV 1 C'.L�tJST�-2`.G:T�i�t�5 Plan check No ..................... OBUILDING -- 'y7 PROPOSED USE PLUMBING lZlt-7i 1�1G�� L AN (Indlcata Bullding setbacks, abutting street,) PLOT PL HEAT & GAS LINE U PENCE SIGN RETAINING WALL N SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL TOTAL AMOUNT DUE 7 7 1 hereby neknowledgo that I have read this appllcntlon; that the 1n• formation given Is correct; and that I are, the owner, or the duly author- Ized agent of the owner. I agree to Comply with city and state laws regu• ATTENTION APPLICATION APPROVAL loting construC➢an; and In doing the work authorleed thereby, no person i will be employed In vlol¢tlon of the Labor Code of the Slate of Washington TNN PERMIT This application is not a permit until relating to Workmen's Compeneatloa Insurance, AUTHOFUZEN signed by the Building Official or his Dep - NOTE: Permit Limit One Year (Except DEMOLITIONS which ONLY TILE WORK NOTED uty; and fees are paid, and receipt is ac- ' .hnll be completed In ninety day.; MOVED -IN BUILDINGS shall he corn• knowledged in space provided. picted In .1. month,.) t)IGNATUIiF (OWNER Oil T) DATE SIGNED INSPECTION TO '8 SfO ATU E i DEPARTMENT ' CITY or ED51ONDS DATE _ _.----- - NOTE: AhN(icu)ft Subject to FIaD Check Fee � __ 775-2525 This 1'ennit a work In Iw don. an prl,nte property ONLY. Any cone, rucHe. on the public dnmaln (carne, elaew'aik.r drh'ewoysr FILE nuvquree. It'.) will eequlre..eVnrale perml..lon, I NATURE OF WORE TO HE DONE pp Valuation Fee Receipt No. USE PER �' Legal Description BUILDING DEPARTMENT ucant Flu App ZONE NUM13ER 7 V TYPE CONNECTION SAM X"M r -n VERIFIED BY 414 - Inside Ileavy Linea PERMIT APPLICATION J OB ADDRESS '71 BUILDING NAME OF b BINK85) PLUMBING - PERI IJ15 M r-,,- M T EFC NAME (OR PF. ISLE ACTUAL ERAG LOT or c Lolthil"a COVJAA T PLOT OT PLAN (Indicate Scel id q9 setbacks, abutting streets) HEAT & GAS LINE MA10146 eiiiiiii PSIDIIHSIBI, ff"T L5All) ACTUAL LOT AREA TOTA LUG. FENCE CITY FIRE ZONEI TYPE OF CONSTRUCTION STREET IMPROV TR P 'YES C3 NO. YA RDS —PROPONFiVYAIiUB RETAINING WALL NAME FRONT' REAR FRONT BIDE REAR OCCUPANCY GROUP [] YES [0,96' I _j - / OR �GITFIO_NAL'41i PLAN CHECEDY K # THIS SITE IS LOCATED IN THE CITY OF EDMONDS. LOCAL SALES TAX SHOULD BE CODED 31.04. RMMA RKqj' LOT VA" CO ❑DEMOLISH E] EXCAVATE ORFILL " 0 RAINING RETAINING WALL FENCE ......... . . ...... Ft.) ADDREIIII y -YES [3 NO PERMIT NUMBER ❑REPAIR 0 PRE -MOVE INSP. o 'P�.�APITO YAL r -W-UMBER OF STORIES NUMBER OF I hereby acknowledge that I have read this application: that the In- CITY STREET _/v STREET DEFICIENCY THIS PROPERTY formationgiven Is correct; and that I ona the owner, or the duly author. DWELLING I EXISTING Ized agent of the Own— I agree to comply With city and late laws re 91, g`* ATTENTION APPLICATION APPROVAL ME COMP. PLAN ST. R/Wl'a.FT. will be ampI eyed In violation of the Labor Code of the State of Washington lopes not to Pxcepd those OZ i ind.u., I. Workmen-. Compensation Insurance. in ADDRESS iw!icats„ j nn �f-;,nclarf' 'hlo. N0. 10:1 $4 NOTE: Permit Limit One Year (E—pt. DEMOLITIONS Which ONLY THE WORK NOTED uty; and fees are paid, and receipt Is Be Shall be Completed In ninety days; INIOVED-IN BUILDINGS shall be Coal- Imowledged in space provided. pleted In six month..) SIGNATU Kla W—U OR AGENT) DATE 1110110131 INSPECTION _4 C-"2-^ir1 METER SIZE SERVICE SIZEI CLEARANCE By DEPARTMENT Rik CIA. N LICENSE ..... 11 CITY OF ICHECKED to NOTE' A 1i I S b I t P1 Check Fee EDMONIDS DATE 'A NATURE OF WORE TO HE DONE pp Valuation Fee Receipt No. �' Legal Description acm Faur Copts-) Of Property (Show Below or Attach; z 7 V TYPE CONNECTION SAM X"M r -n VERIFIED BY 414 - 0 BUILDING -lyPROPOSED USE PLUMBING - PERI IJ15 M r-,,- M T EFC PLOT OT PLAN (Indicate Scel id q9 setbacks, abutting streets) HEAT & GAS LINE L5All) O FENCE ✓ FIRE ZONEI TYPE OF CONSTRUCTION STREET IMPROV TR P 'YES C3 NO. RETAINING WALL Z SPECIAL INSPECTSWREQUInz. OCCUPANCY GROUP [] YES [0,96' I _j - / RESIDENTIAL ❑ NEW NON-RESIDENTIAL PLAN CHECEDY K # THIS SITE IS LOCATED IN THE CITY OF EDMONDS. LOCAL SALES TAX SHOULD BE CODED 31.04. RMMA RKqj' F❑ALTER ❑DEMOLISH E] EXCAVATE ORFILL " 0 RAINING RETAINING WALL FENCE ......... . . ...... Ft.) EXCAVATION OR FILL ❑REPAIR 0 PRE -MOVE INSP. o SWIM, POOL r -W-UMBER OF STORIES NUMBER OF I hereby acknowledge that I have read this application: that the In- formationgiven Is correct; and that I ona the owner, or the duly author. DWELLING I Ized agent of the Own— I agree to comply With city and late laws re 91, g`* ATTENTION APPLICATION APPROVAL UNITS will be ampI eyed In violation of the Labor Code of the State of Washington NATURE OF WORE TO HE DONE pp Valuation Fee Receipt No. Plan Chcd, N . ..................... z 0 BUILDING -lyPROPOSED USE PLUMBING PLOT OT PLAN (Indicate Scel id q9 setbacks, abutting streets) HEAT & GAS LINE is O FENCE SIGN RETAINING WALL SWIMMINGP..L DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL TOTAL AMOUNT DUE I hereby acknowledge that I have read this application: that the In- formationgiven Is correct; and that I ona the owner, or the duly author. Ized agent of the Own— I agree to comply With city and late laws re 91, g`* ATTENTION APPLICATION APPROVAL bill.g Conatirtictloic; and In doing the work outholliuni thereby. no per... will be ampI eyed In violation of the Labor Code of the State of Washington THIS PERMIT This application Is not a permit until i ind.u., I. Workmen-. Compensation Insurance. AUTHORIZES signed by the Building Official or his Dep - I NOTE: Permit Limit One Year (E—pt. DEMOLITIONS Which ONLY THE WORK NOTED uty; and fees are paid, and receipt Is Be Shall be Completed In ninety days; INIOVED-IN BUILDINGS shall be Coal- Imowledged in space provided. pleted In six month..) SIGNATU Kla W—U OR AGENT) DATE 1110110131 INSPECTION DIRECTORS 81014ATURE DEPARTMENT CITY OF NOTE' A 1i I S b I t P1 Check Fee EDMONIDS DATE 'A can 11 ice 0 an 775-2525 0— J ThilPrOult rnvens work to be done on private properly ONLY. Any c ...... ttion on the luild a domain (..,be. sidewalk., cisl—W".. et..) 11� require separate permission. INSPECTOR i H