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750364.pdfC BUILDING DEPARTMENT Applicant Fill ZONE �"+umpeR 750364 y �,. Inside Heavy Lines )Oa n PERMIT APPLICATION ADDRESS � FNAMCR NAME OF BUSINES51MO �D• NG LEGAL LOT LOT AREA SUBDIVISION NO. ❑ YES ❑ NOADDRESSxVARIANCE OR ADB NO.DYoe /SAO /ep COND. USE NO. F N S I IZE SERVICE SIZE CLEARANCE CHECKED BYin K F AE TYPE OF ONSTRUCTI�.CCUPA. �0�..LIPA­ INSPECTOR ^ D I 1. _U_ _ AREA REQUIRED GROUP LOAD EDYES ❑ NO PLAN CHEC D By THIS SITE IS LOCATED IN THE CIT OF EDMONDS. LOCAL SALES TA SHOULD BE rQ]29D 31,04, REMARKS VALUATION FEE PLAN CHECK NO. BUILDING PLUMBING HEAT & GAS LINE c FENCE SIGN RETAINING WALL SWIMMING POOL I hereby acknowledge that I have read this application; that the In- ELEPH ONE NUMBER O— Z HEIGHT �/� 0`/ 33? PROPOSED YARDS Z i L_ E w4 ❑ ADD FRONT SIDE REAR DEMOLISH ❑ RETAINING ❑ ALTER ALLOWABLE J PROPOSEDa SIGN AREA F -1I ENCS X—FT1 SIGN AREA ❑ In elg mooch..) :as I OTHER REQUIREMENTS IPRSPMOVE El 1 n/%//,CITYOF TELEPHONE NUMBER DATE g��' (�V PLANNING DEPT. APPROVAL r _ DWELLING STREET R/W EXISTING STREET R/W FT. DEFICIENCY THIS PROPERTY PLAN ST. R/W FT. FT. EBS{COMP. �✓ 7 �� UNITS KS REMARO Z p W 7;e,L4 TELEPHONE NUMBER �6a- 370o DONE CHKED Z LICENSE NUMBER CITY LICENSE NUMBER a Z )ascription of Property (Show Below or Attach Four Copies) STREET AND/OR UTILITY El YES W WORK REQ'D ❑ NO j UNDERGROUND ❑ YES WIRING REQ'D ❑ NO TYPE CONNECTION VERIFIED BY ❑ YES SEPTIC SYSTEM APPVD BY CITY ENG. ❑ NO PERMIT NUMBER 3 41 N S I IZE SERVICE SIZE CLEARANCE CHECKED BYin K F AE TYPE OF ONSTRUCTI�.CCUPA. �0�..LIPA­ INSPECTOR ^ D I 1. _U_ _ AREA REQUIRED GROUP LOAD EDYES ❑ NO PLAN CHEC D By THIS SITE IS LOCATED IN THE CIT OF EDMONDS. LOCAL SALES TA SHOULD BE rQ]29D 31,04, REMARKS VALUATION FEE PLAN CHECK NO. BUILDING PLUMBING HEAT & GAS LINE c FENCE SIGN RETAINING WALL SWIMMING POOL I hereby acknowledge that I have read this application; that the In- TOTAL AMOUNT DUE O— ❑ NEW RESIDENTIAL L NE ATTENTION ❑NO. -RESIDENTIAL ❑ SIGN ❑ ADD ❑ DEMOLISH ❑ RETAINING ❑ ALTER ❑ ORCFILLTE F -1I ENCS X—FT1 ❑ ❑ In elg mooch..) INSPECTION REPAIR SIGNATURE IDWNER OR AGENT) IPRSPMOVE El UMBER OF STORIES n/%//,CITYOF NUMBER OF g��' (�V DWELLING NOTE: Applicant Subject to Plan C71eck Fee 775-2525 DAT �7 UNITS IATURE OF_WQRK TO BE DONE PINK - Owner COLD . Asseszrr N S I IZE SERVICE SIZE CLEARANCE CHECKED BYin K F AE TYPE OF ONSTRUCTI�.CCUPA. �0�..LIPA­ INSPECTOR ^ D I 1. _U_ _ AREA REQUIRED GROUP LOAD EDYES ❑ NO PLAN CHEC D By THIS SITE IS LOCATED IN THE CIT OF EDMONDS. LOCAL SALES TA SHOULD BE rQ]29D 31,04, REMARKS VALUATION FEE PLAN CHECK NO. BUILDING PLUMBING HEAT & GAS LINE c FENCE SIGN RETAINING WALL SWIMMING POOL I hereby acknowledge that I have read this application; that the In- TOTAL AMOUNT DUE O— formation given le correct; and that I am the owner, or the duly author- Ized agent of the owner. I agree to comply with city and state laws regu- ATTENTION APPLICATION APPROVAL lacing conetrucllun; and In doing the work authorized thereby, no person will be employed In violation of the Labor Code of the elate of Washington THIS PERMIT This application Is not a permit until relating to workmen'. Compensation Insurance. AUTHORIZES signed by the Building Official or his Dep - NOTE: Pe,tnafl Lima ONLY THE NOTED uty; and fees are paid, and receipt is ac- yQhO MOVED -IN NCBDILDINGS shall be calch m- .hallpletee WORK knowledged in apace provided. In elg mooch..) INSPECTION SIGNATURE IDWNER OR AGENT) DATE SIGNED DEPARTMENT DIRECT el A URE n/%//,CITYOF 6 g��' (�V EDMONDS NOTE: Applicant Subject to Plan C71eck Fee 775-2525 DAT �7 This Permit covers work to be done on private property ONL V. the domain Ole S,sidewalks, dr{vaways, ORIGINAL -File YELLOW •Inspector Any construction on public marquees, etc.) will require separate permission. PINK - Owner COLD . Asseszrr VARIANCE O JC! /,� .J'O(.� f�l%() �G•nl GOND. USE NO. CITY ELEPHONE NUMBER O ! HEIGHT = ( L t� /A/ ,t 7-? J / PROPOSED YARDS Z �,�. L- (V 1 ! f.rfwef �'r-� i'- 1 7 FRONT SIDE REAR Z a i ) NAME +ZONUSEE } R F. ADDRESS lL.. ._ :' NUMBER v C j i BUILDING DEPARTPERMIT MENT Applicant Fill /1 f\ l-1 � W 1l PERMIT APPLICATION inside Heavy Lines JOB _ CHECKED BY 1 e,..., ne...... I— ret Prn.. tV (Show Below W REOVIRED SPECTOR, ADDRESS--'� ('-':) 00CACDUPANT Z NAME IDR NAME OF BUSINESS) h 1 ��11 lYl LEGAL LOT LOT AREA SUBDIVISION NO. el Z W yEj MAILING ADDRESS -tl✓ ❑YES ❑ NO R ADB NO. CITY VARIANCE O JC! /,� .J'O(.� f�l%() �G•nl GOND. USE NO. CITY ELEPHONE NUMBER O ! HEIGHT = ( L t� /A/ ,t 7-? J / PROPOSED YARDS Z �,�. L- (V 1 ! f.rfwef �'r-� i'- 1 7 FRONT SIDE REAR Z a i PLANNING DEPT. APPROVAL { l /—,, I I \ STREET R/W EXISTING STREET R/W FT. DEFICIENCY THIS PROPERTY ) NAME .. �,.... L t J_ N R F. ADDRESS lL.. ._ F. v C CITY TELEPHONE NI O � W V STATE LICENSE NUMBER CITY LICENSE CHECKED BY 1 e,..., ne...... I— ret Prn.. tV (Show Below or Attach Fol PLANNING DEPT. APPROVAL { l /—,, I I \ STREET R/W EXISTING STREET R/W FT. DEFICIENCY THIS PROPERTY .. �,.... L t 3 • COMP. PLAN ST. R/W FT. FT. ❑ NEW RESIDENTIAL 1E] El GAS LINE REMARKS % e W ❑ SIGN� 1 l -t ' - CHECKED BY W ❑ ADD ❑ DEMOLISH ❑ RETAINING REOVIRED SPECTOR, AREA OCCUPANCY; 00CACDUPANT Z WALL ❑ ALTER EXCAVATE FENCE OR FILL 1_ X_FT) ❑ YES ❑ NO .....: :� el Z W F; STREET AND/OR UTILITY ❑ YES WORK REQ'D ❑ NO CITY w O UNDERGROUND ❑ YES OF EDMONDS. LOCAL SALES TAX WIRING REQ'D ❑ NO -•'t SHOULD E E ' D Z TYPE CONNECTION BY NUMBER OF REMARKS _ �1"•, t._-1`•)`I•}��� �i..': i? h{ 1"1 ``" `�� (' r- l� -1 EVERIFIED EE PERMIT NUMBERSEPTIC NATURE OF.WORK TO BE DONE SYSTEM APPVD BY CITY ENG. N O .I uE• SIZE I.ERVICE SIZE ICLEARANCE ICHECKED B .. �,.... L t 3 ❑ NEW RESIDENTIAL 1E] El GAS LINE FIRE ZONE TYPE`OF CONSTRUCTION CODE (•"-' !`; �'-'"• NON -R.51 DEN TIAL ❑ SIGN� 1 l -t ` J ❑ ADD ❑ DEMOLISH ❑ RETAINING REOVIRED SPECTOR, AREA OCCUPANCY; 00CACDUPANT WALL ❑ ALTER EXCAVATE FENCE OR FILL 1_ X_FT) ❑ YES ❑ NO .....: :� F; PLAN CHECKED BY THIS SITE IS LOCATED IN THE CITY w O OF EDMONDS. LOCAL SALES TAX ❑ REPAIR ❑ PRE -MOVE SWIM INSP. POOL -•'t SHOULD E E ' D Z NUMBER OF STORIES NUMBER OF REMARKS _ �1"•, t._-1`•)`I•}��� �i..': i? h{ 1"1 ``" `�� (' r- l� -1 DWELLING UNITS 4'�` 1 '•��'-,Ih C!.. _`; •lam-E�I� `.-..= L, \ 1���'','1, (-%n'.� y I� NATURE OF.WORK TO BE DONE VALUATION FEE PROPOSED USE PLAN CHECK Z O _ NO. LL PLOT PLAN INDICATE BUILDING SETBACKS. ABUTTING STREETS) BUILDING ��©' W PLUMBING O Ol HEAT &GAS LINE ' 0 FENCE SIGN RETAINING WALL SWIMMING POOL I hereby acknowledge that I have read this application; that the In- formation given le correct; and that I sm the .weer, or the duly nothar- teed agent of the owner. I agree to comply with city and slate law. reg.. ATTENTION APPLICATION APPROVAL let ing con.tmetlon; and In doing the work authorised thereby, no person Labor Code of the State Of Washington will be employed In Violation of the THIS PERMIT This application is not a permit until relating to Worllmen's Compensation Insurance. AUTHORIZES signed by the Building Official or his Dep - NOTE: Permit limit One Year (Except DEMOLITIONS whichVyORK ONLY THE Uty; and fees are paid, and receipt is Be - .hall be completed In Nbely days; MOVED -IN BUILDINGS emit be com- NOTED knowledged in space provided. plated In elx mon Lhs.) INSPECTION SIGNATURE IOWNER OR AGENT) DATE SIGNED DEPARTMENT DIRECTO R -,S SIGNATURE 1r f l: 1' �`, t -.• l ciMY OF (1, �•r,.%r t .f:.r....9J, . _ a_, . : ED MONDS DATE NOTE: Applicant Subject to Plan Check Fee 775-2525 I- / This Permit covers work to be done on private property ONLY. driveways, ORIGINAL -file YELLOW -Inspector Any canstruetlon on the public domain inurhs, sidewalks, PINK Ov nes GOLD - AtSesenr marquees, etc.) will require separate permission. -