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750370.pdf6 D SERVICE SIZE IJ J ICHECKED BY VALUATION FEE — METER D NO. E I y PLOT PLAN INDICATE BUILDING SETBACKS, �% REMAR ❑ NEW BUILDING DEPARTMENT Applicant Fill USE ZONE PERMIT NUMBER 750370 ❑ ---El ❑ ALTER ❑ ❑ NON-RESIDENTIAL ❑SIGN RETAINING DEMOLISH ❑ WALL ORXCF'LLTE ❑ i ENCS X_FT) PERMIT APPLICATION Inside Heavy Lines /OB AN C ® REPAIR ❑ INP. O POOL NAME (OR N E OF BUSINESS) ADDRESS O AREA NUMBER OF %, mak�%C), Q1 LEGAL LOT AREA SU BOIV ISIDN NO, RETAINING WALL TJ/O - WMAILING ADDRESS ES E3NO UNITS 1" NATURE OF WORK TO BE DONE THIS SITE IS LOCATED IN THE CITY 3 N <'� AOO - \ � A�s VARIANCE OR GOND, USE NO. ADB NO, ---%� SHOU D BE E G C V ELEPHONE NUMBER Iced agent of the owner. I agree to comply with city and state laws regu. Z U O Hcy-o\oo PROPOSED YARDS wlllbe employed In violation of the Labor code of the State of Washington lasuranca. HEIGHT Z = NAME AUTHORIZES FRONT SIDE REAR NOTE: Permit Limit One Year (Except DEMOLITIONS whichONLY THE WORK NOTED Ilty; and fees are paid, and receipt is ac- ALLOWABLE knowledged in space provided. J a INSPECTION F U SIGN AREA TUR NER OR AGENT) SIGNED 1PROPOSED SIGN AREA IR R SIGN AT E F ADDRESS JDATE CITY OF OTHER EDMONOS Z REQUIREMENTS DATE U R CITY TELEPHONE NUMBER -- $� J This Permit covers work to be done on private property ONLY. 6 I PLANNING DEPT. APPROVAL DATE ORIGINAL - file YELLOW - lospector marquees, etc.) will require separate permission. AGI PINK - Owner COLD - Ascessrr E STREET R/W r�� C l� EXISTING STREET R/W FT. DEFICIENCY THIS PROPERTY 55 • /'—� c:� \ COMP, PLAN ST. R/W FT. FT. C C Tv TELEPHONE NUMBER REMARKS O Z ��03-27 3�1 E o U STATE LICENSE NUMBER CITY LICENSE NUMBER CHECKED By w Z 'Z23-a2—ec�1 N� Legal Description of Property (Show Below or Attach Four Copies) STREET AND/OR UTILITY ❑ YES w WORK REQ'D ❑ NO UNDERGROUND ❑ YES Z WIRING REQ'D ❑ NO O TYPE CONNECTIONVERIFIED BY 1; 6 C N E w ❑ YES PERMIT NUMBER al SEPTIC SYSTEM 3 D APPVD BY CITY ENG, ❑ NO w N J REMARKS 6 D SERVICE SIZE IJ J ICHECKED BY VALUATION FEE — METER D NO. E I y PLOT PLAN INDICATE BUILDING SETBACKS, �% REMAR ❑ NEW El RESIDENTIAL GAS LNE FIRE Z ❑ ---El ❑ ALTER ❑ ❑ NON-RESIDENTIAL ❑SIGN RETAINING DEMOLISH ❑ WALL ORXCF'LLTE ❑ i ENCS X_FT) PLUMBING SPECIA REOUII ❑ AN C ® REPAIR ❑ INP. O POOL AF NUMBER OF STORIES AREA NUMBER OF j SIGN DWELLING RETAINING WALL TJ/O SWIMMING POOL UNITS 1" NATURE OF WORK TO BE DONE THIS SITE IS LOCATED IN THE CITY w TOTAL AMOUNT DUE OF EDMONDS. LOCAL SALES TAX D rhsltlllgella SERVICE SIZE CLEARANCE ICHECKED BY VALUATION FEE — D NO. E I y PLOT PLAN INDICATE BUILDING SETBACKS, �% w F E ABUTTING STREETS( BUILDING V 7J 3 TYPE OF CONSTRUCTION CODE WU PLUMBING ( NN OI HEAT er GAS LINE �p I CTOR AREA OCCUPANCY OCCUPANT j SIGN GROUP LOAD RETAINING WALL TJ/O SWIMMING POOL 1" BY THIS SITE IS LOCATED IN THE CITY w TOTAL AMOUNT DUE OF EDMONDS. LOCAL SALES TAX D ---%� SHOU D BE E O Iced agent of the owner. I agree to comply with city and state laws regu. Z O APPLICATION APPROVAL J_ wlllbe employed In violation of the Labor code of the State of Washington lasuranca. THIS PERMIT 7 m relating to Workmen's Compensation AUTHORIZES rhsltlllgella PROPOSED USE Z PLAN CHECK VALUATION FEE — D NO. y PLOT PLAN INDICATE BUILDING SETBACKS, �% ' E ABUTTING STREETS( BUILDING WU PLUMBING ( NN OI HEAT er GAS LINE �p I FENCE SIGN RETAINING WALL SWIMMING POOL Nhereby acknowledge that I have read this application; that the In. TOTAL AMOUNT DUE formation given In correct; and that I am the owner, or the duly author - Iced agent of the owner. I agree to comply with city and state laws regu. ATTENTION hating conetruetlon; and In doing the work authorised thereby, no person APPLICATION APPROVAL - wlllbe employed In violation of the Labor code of the State of Washington lasuranca. 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 whichONLY THE WORK NOTED Ilty; and fees are paid, and receipt is ac- shall be completed In ninety days; MOVED -IN BUILDINGS shall be com- knowledged in space provided. pleled In six months.) INSPECTION TUR NER OR AGENT) SIGNED DEPARTMENT IR R SIGN AT E JDATE CITY OF EDMONOS DATE NOT].: Applicant Subject to Plait Check Fee 775-2525 -- $� J This Permit covers work to be done on private property ONLY. I Any construction on the public domain (curbs, sidewalks, driveways, ORIGINAL - file YELLOW - lospector marquees, etc.) will require separate permission. PINK - Owner COLD - Ascessrr rhsltlllgella Ir •off n a-&,t� m d," F USE �- - BUILDING DEPARTMENT Applicant Fill ZONE PERMIT APPLICATION Insido Heavy Lines ,OB ADDRESS NAM_P.IOR NAME OF BUSINE551 ICJ LEGAL LOT E MAILING ADDRESS - i 1 MIT aBER Vit: C �I - i Z '^^ VARIANCE OR All L.a,l �, ."- ,�� ~ GOND, USE NO. 'TELEPHONE O NUMBER CITYZ HEIGHT W ,5 PROPOSED YARDS o\ Uta SIDE REAR Z Z i{1 FRONT NAME ALLOWABLE PROPOSED y ' I- SIGN AREA SIGN AREA U W ADDRESSOTHE I REQUIREMENTS K CITY TELEPHONE NUMBER DATE PLANNING DEPT. APPROVAL 'I NME STREET R/W `')Cil•L �_.0 EXISTING STREET R(W FT. DEFICIENCY THIS PROPERTY i ` �(�f_-`1 :I e: "\`+_ (,�r� fl r�`.! �,} 0 ADD_\R ESS COMP, PLAN ST. R/W FT. FT.;' Iu 4 TELEPHONE NUMBER REMARKS E CITY Z _ CHECKED BY W V STATE LICENSE NUMBER CITY LICENSE NUMBER ? �aZ-�..�ctC��,> W STREET AND/OR UTILITY YES Legal Description Of Property (Show Below or Attach Four Copies) l . WORK REQ'D ❑ NO UNDERGROUND ❑ YES .� WIRING REQ'D ❑ NO -' I Z 0 TYPE CONNECTION VERIFIED BY i I - ❑ YES PERMIT NUMBER W I j ISEPTIC SYSTEM W APPVD BY CITY ENG. E3 NO 3 I; W 1 O W J REMARKS Q J METER SIZE SERVICE SIZE ICLEARANCE CHECKED By E I W REMARKS NEW LINE FIRE ZONE TYPE OF CONSTRUCTION CODE ❑RESIDENTIAL ❑ GAS - --, ' I ❑ NON-RESIDENTIAL ❑ SIGN AOD SPECIAL INSPECTOR AREA OCCUPANCY OCCUPANT REQUIRED ❑ ❑ REGROUP LOAD DEMOLISH WATAINING LL "^ ❑ ALTER ❑ ORFI LL F] FENCE ENCS _PT) 0 AN CHECES KEDBY THIS SITE IS LOCATED IN THE CITY W ' O I OF EDMONDS. LAL SALES TAX OC PRE -MOVE SWIHOU DBE El REPAIR F-1 OM '...L. PO L Z j INSP. REMARKS j NUMBER OF STORIES NUMBER OF DWELLING UNITS Is NATURE OF WORK TO BE DONE �I /�`,s %�/L'7 VALUATION % �.+. f�; �'t �— FEE PROPOSED USE PLAN CHECK Z NO, 0 y PLOT PLAN INDICATE BUILD N SETBACKS, ABUTTING STREETSI ._ BUILDING / i Z \) j. PLUMBING W it in al HEAT & GAS LINE 0 j FENCE SIGN it 1 RETAINING WALL SWIMMING POOL j f d 1 n I hereby acknowledge that I have read this appllcatlon; that the In- TOTALAMOUNT DUE ` formation given Is correct: and that I e.m the owner, or the duly author- Ired agent of the owner. I agree to comply with city and ,tato laws regu- ATTENTION APPLICATION APPROVAL Iating construction; and In doing the work authorised thereby, no person Will be employed In Violation of the Labor Code of the State of Washington THIS PERMIT This application is not a permit until relatlog to Workmen's Compensation Imurnace, AUTHORIZES signed by the Building Official or his Dep - ONLY THE Uty; and fees are paid, and receipt is aC- NOTE: Permit limit One Year (E=C -pt DEMOLITIONS which WORIt NOTED ,hall be completed In alnely any.; aIOVED-IN BUILDINGS dull be cam- knowledged in apace provided. r pleted in el% month,.) INSPECTION "ISIGNATV RPy (OWNER OR AGENT) DATE SIGNED DEPARTMENT DIRECTORS SIGNATURE/, CITY OF ,i ' f EDMONDS NOTE: Applicant Subject to Plan C9ieck Fee 775-2525 ,ORIGINAL This Permit covers work to be done on private property ONLY. - file YELLOW - In;pxtor Any construction on the public domain (curbs, sidewalks, driveways, Assess,, marquees, etC.) will require separate prrmission, PINK - Ovmer GOLD - ....... .... -_ .. , _ _ .. _ . _.-.-- 1 i. Mi o� 4 iii Cj� 1- � RECORD OF INSPECTION . S l �t i I Foundation" Plumbing (Partial) S_TJ yN (Rough) • _ J Furnace &. Riel Li Final , I 1 - t Ft n 1 i. Mi o� 4 iii Cj� 1- � RECORD OF INSPECTION . S l Date Passed i I Foundation" Plumbing (Partial) S_TJ yN (Rough) -- Frain Furnace &. Riel Li Final I 1