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750363.pdfr 1 r A USE PERMIT 750363 BUILDING DEPARTMENTI gpplicantFill ZONE NUMBER Z PROPOSED USE 5 ❑ NEW PERMIT APPLICATION Inside Heavy Lines /yam ; NO, ADDRESS 2� NAME OAR NAME OF BUSINESS) •/V CODE ❑ NON-RESIDENTIAL F SIGN /I LEGAL LOT LOT ARE SU BDI/Yui/BION NO. J U W ❑YES ❑ NO MAILING RESS5 ❑ DEMOLISH RETAINING ❑{W�FAALQL R 3 .tADD D y� VARIANCE OR ADB NO. /8'140 ©2-ym-1-t- �� K�v� GOND- USE NO. ❑ ALTER RCFILLTE ❑ OR O CITY TELEPHONE NUMBER 1z' 1 O �.s.1 0 t/ s �� 44G6 PROPOSED YARDS HEIGHT �V (/J Z IS LOCATED IN THE CITY PRE -MOVE FRONT SIDE REAR NAME Q EDMONDS. LOCAL SALES TAX G U ALLOWABLE PROPOSED J '1 a POOLSHOULD F SIGN AREA SIGN AREA SWIMMING POOL UMBER OF STORIES NUMBER OF DWELLING I- F ADDRESS OTHER D J = REQUIREMENTS UNITS 1 hereby acknowledge that I have read this application; that the in- tormallon m given to correct; and that 1 athe owner, or the duly author- C CITY TELEPHONE NUMBER j - TO BE DONE Q PLANNING DEPT. APPROVAL DATE lating Construction; and will be employed In violation of the Labor Code of the State of Washington Insar"Ce. THIS PERMIT NAME relating to Workmen's Compensation AUTHORIZES STREET R/W EXISTING STREET R/W FT. DEFICIENCY THIS PROPERTY fff i NOTE: Permit Limit One Year (Except DEMOLITIONS which p U ADDRESS -!/D n / A � �• - / COMP. PLAN ST. R/W FT. FT. i WORK _L// i 4 REMARKS Z pleted in six months.) INSPECTION E Z ZE CITY TELEPHO.. NUMBER S/it/Nu/d o p 7 7G— .z /if'? SIGNATURE )OW�AGENT)DATE SIGNED DEPARTMENT DIRECfT. R'S 5`GNATUr;E O U CHECKED BY STATE LICENSE NUMBER CITY LICENSE NUMBER W Z I EDMONDS O � NOTE: Applicant Subject to Pfau C7leck Fee Legal Description of Property (Show Below or Attach Four Copies) STREET AND/OR UTILITY ❑ YES m 775-2525 WORK REQ'D El NO This Permit covers work to be done an private pproperty ONLY. construction on the public domain (curbs, sidewalks, driveways, Any construction on the public domain (curbs, sidewalks, driveways, 1 UNDERGROUND ❑ YES 1 Z WIRING REQ'D ❑ NO 0 a TYPE CONNECTION VERIFIED BY a N ❑ YES PERMIT NUMBER pj W SEPTIC SYSTEM D APPVD BY CITY ENG. ❑ NO N Q REMARKS ! ! d J 1aErvw 512E ISERVICE SIZE ICLEARANCE ICHECKED BY VALUATION FEE Z PROPOSED USE 5 ❑ NEW RESIDENTIAL LINE NO, E OF CONSTRVCTION CODE ❑ NON-RESIDENTIAL F SIGN BUILDING U ❑ ADD ❑ DEMOLISH RETAINING ❑{W�FAALQL R AREA OCCUPANCY OCCUPANT GROUP LOAD ❑ ALTER RCFILLTE ❑ OR IX I (H+ItC X )YES N. rREMARKS. HEAT & GAS LINE W O THIS SITE IS LOCATED IN THE CITY PRE -MOVE SWIM IOF EDMONDS. LOCAL SALES TAX G U REPAIR INSP. POOLSHOULD BE Z_ SWIMMING POOL UMBER OF STORIES NUMBER OF DWELLING r D J I UNITS 1 hereby acknowledge that I have read this application; that the in- tormallon m given to correct; and that 1 athe owner, or the duly author- m ATURE OF WO TO BE DONE ATTENTION APPLICATION APPROVAL lating Construction; and will be employed In violation of the Labor Code of the State of Washington Insar"Ce. VALUATION FEE Z PROPOSED USE PLAN CHECK O NO, 6 PLOT PLAN JINOICATE BUILDING SETBACKS, ABUTTING STREETS) BUILDING U W PLUMBING Ill HEAT & GAS LINE O FENCE M �d -�.od t�7VV SIGN RETAINING WALL SWIMMING POOL I r I TOTAL AMOUNT DUE 1 hereby acknowledge that I have read this application; that the in- tormallon m given to correct; and that 1 athe owner, or the duly author- Ized agent of the owner. I agree to comply with city and state laws ngu- In doing the work authorised tbareby, no person ATTENTION APPLICATION APPROVAL lating Construction; and will be employed In violation of the Labor Code of the State of Washington Insar"Ce. THIS PERMIT This application Is not a permit until relating to Workmen's Compensation AUTHORIZES signed by the Building Official or his Dep- NOTE: Permit Limit One Year (Except DEMOLITIONS which ONLY THE NOTED Uty; and fees are paid, and receipt is nc----��"— Shall be completed In ninety days; AlOVED-IN BUILDINGS shall be Cam- WORK Imowledged In apace provided. pleted in six months.) INSPECTION SIGNATURE )OW�AGENT)DATE SIGNED DEPARTMENT DIRECfT. R'S 5`GNATUr;E CITY OF EDMONDS r CVV/llVll/r7 tl--- NOTE: Applicant Subject to Pfau C7leck Fee DATE 775-2525 This Permit covers work to be done an private pproperty ONLY. construction on the public domain (curbs, sidewalks, driveways, Any construction on the public domain (curbs, sidewalks, driveways, ORIGINAL - YELLOW - lmpcclo, ORIGINAL - Filc YELLOW -Any marquees, etc.) will require separate permission, _ PINK. 0.—, GOLD -A—, 1