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750372.pdfValuation Fee Receipt No. , _ _ _. - - _ _ _ __... ..... .3 I�-S' ;G 1.0+ BUILDING �-7tQ .7 t/ COO' CJ BUILDING DEPARTMENT Applicant F1 Inside Heavy Lines PERMIT APPLICATION IT °N v NUMBER 750,972 PROPOSED USE ADDRESS NAME (Olt. NAME OF BUSINESS) G f t� c E\z\C_ W. :NS ` j5 PEKhit .... LE '" ACTUAL LOT COVERAOEe2 LOT COV10AAGE 1/1 t PLOT PLAN (Indicate Building setbacks, abutting streets) N FI MAILING ADDRESS YEltNIBSIBLE HEIOIIT / PROPOSED HEIGHT CITY TELEPRONE NUMBER ACTUAL LOT A EA OTAL SL DO. AREA- Q t v y ( ,7 — 3\o Q 21ROPOSED YAKUS R NAME FRONT SIDE REAR FRONT BIDE REAR SIGN G N ) ADDRESS F.GAL VA LANCE OR CONDITIONAL VSE -Q NO PERMIT NUMBER - - K 1N D�[•T._ pPP VAL G( „ w ATE: t�t�-/ Zl N CITY TELEPHONE NUMBER STREET R/W EXISTING STREET R/W ............ FT. DEFICIENCY THIS PROPERTY I A p� NAME DEMOLITION COMP. PLAN ST. R/W ............FT. ............FT. W 1 � REMARKS U F 7 PRE -MOVE INSPECTION 0 W I ADDRESS`,` x1 CHECKED BY CITY TELEPHONE NUMBER O G METER SIZE I SERVICE SIZE CLEARANCE CHECKED BY {g , it STATE LICENSE NUMBER CITY LICENSE NUMBER TOTAL AMOUNT DUE Legal Description of Properly (Show Below or Attach Four REMARKS •�-Copies) �A1 APormoA P TIZ� \ I hereby acknowledge that I have read this application; that the in. TYPE CONNECTION VERIFIED BY Q 107 GOVN SEA q\C-W 196aS formation given le correct; and that I am the owner, or the duly author- O C Lt i106 4 W W . PERC. TEST PERMIT NUMBER APayL%15�t,A1_Ll ��••�v A`` VA4o -16 REMARKS O m will beemplg In vlolello. of the Labor Cade of the State of Washington THIS PERMIT VNFASU2\r�1L� �S FEET SoJtr1 0r - relatingyed . to Workmen'. Compensation Insurance. AUTHORIZES signed by the Building Official or his Dep - FIRE ZONE I TYPE OF CC;,CTION STREET IMPROVED No 1 X74", Jr r 1E,. W W SPECIAL INSPECTOR REQUIRED -Y•"! C] YES / OCCUPANCY GROUP RESIIDtOENTIALF'CV GAS xcw El LINE NON-RESIDENTIAL El SIGN IF IADD ❑ DEMOLISH ❑ WAS KING CRALTER EXCAVATE FENCE OR FILL (.........s..........Ft.) s"I.,pp PRE - PMOVE O POOL E] REPAIR ❑ NSP. PLAN CHEC ED BB' / THIS SITE IS LOCATED IN THE CITY t•lOH ULD 6E CODED 31.1 EDMONDS. 045ALE5 TAX MARK �� rJ�/srlEdcv <J --J P�irJ,6 c; 19-13 ' n /J / NUMBER OF STORIES INSPECTION Dl, '8 16N TORE I V W TeLINGF DEPARTMENT 1 CITY OF Applicant Valuation Fee Receipt No. Ilan Check No ..................... .3 I�-S' ;G 1.0+ BUILDING �-7tQ .7 t/ COO' CJ C, �4 PROPOSED USE PLUMBING G PLOT PLAN (Indicate Building setbacks, abutting streets) HEAT A GAS LINE E O FENCE SIGN tRETAINING WALL N SNiMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL TOTAL AMOUNT DUE I hereby acknowledge that I have read this application; that the in. a formation given le correct; and that I am the owner, or the duly author- Ircd agent of ina owner. 1 agree to eomplY with city and elate laws regu- lating conetructloa; and In doing the work authorised thereby, no person will beemplg In vlolello. of the Labor Cade of the State of Washington THIS PERMIT This application is not a permit until relatingyed . to Workmen'. Compensation Insurance. AUTHORIZES signed by the Building Official or his Dep - NOTE: Permit Limit One Year (Except DEMOLITIONS which ONLY THE WORK NOTED uty; and fees are paid, and receipt is ac. shall be completed In ninety days; BIOVED-1N BUILDINGS .hall be com. Imowledged In space provided. pleled In six months.) SIGNATURE (OWNER OR AGENT) DATE SIGNED INSPECTION Dl, '8 16N TORE I DEPARTMENT 1 CITY OF Applicant EDMONDS DATE NOTE: Subject to Plan Check Fee 1, Thi. Pennll covers work to be done on private property ONLY. 775-2525 Any eonstractlan on the public dom.la (curb.,sidewalks, driveway., mnrgueen, etc.) w711 reglilre eeparats perudr.lon. FILE ... -- — - Ihereby acknowledge that I have read this application: that the In- - i BUILDING Ired agent of the owner. I agree to comply with city and stateTawe regu- ATTENTION i, PROPOSED USE 7y PLUMBING will be employed In violation of the Labor Code of the State of Washington BUILDING DEPARTMENT APpilet at Fla USE ,'? PERMIT '°"E E_; ; 4 .'; NUMBER HEAT k GAS LINE '1 ONLY TILE WORK NOTED PERMIT APPLICATION Inside Ileavy Linos A AD Yr DDRESS / `�" eyy- /�' i � -=f p e .W7 I i, 1 j j 7 NAME (on NAME OF BUSINESS) ACTUAL PERMISUIBLE r h� LOT COVEnAOEe ;.:. ��, ,, LOT COVAAGE I y ) t • m MAADDRESS ILING PROPOSED HEIGHT PERMISSIBLE HEIGHT I CITY { - '.,''"•5 ( t `, y..% > TELEPHONE NUMHb.It _ I/" J� TOTAL HLDO. AREA. _ � 1 1. i ` (� .E7 ,;1 •`l fir_ . �-,1) i , •.11, IA, vI I��. �.. REQUIRED YARDS 1 PROPOSED YARDS FRONT SIDE REAR FRONT BIDE REAR RETAINING WALL NAME �U i•. Cl (q ADDRESS ARIANCE OR CONDITIONAL USE i .A. ('1 YES -•ti"` ,� NO PERMIT NUMBER - 1 / -,Pi1.A�`ININO EPT. rPPROVAL DATE. { 1 t (I•! v y%,.: �� '� CITY TELEPHONE NUMBER .. STREET R/W EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY p NAME�y COALP. PLAN ST. R/W ............FT. ............FT. W REMARKS EXCAVATION OR FILL TW - v x ADDRESS _ i CHECKED DY CITY OZ TELEPHONE NUMBER METER SIZE SERVICE SIZE CLEARANCE CHECKED HY I I I p: U STATE LICENSE NUMBER CITY LICENSE NUMBER REMARHS ` Legal Description of Property (Show Below or Attach Four Copies) Ar /-Y 1 TYPE CONNECT O JRIFIED BY 170 PERC. TE LA71[77 C/ REAnnxa 'wd m m F ( - 1 % .,E 11 0\t S',A :�i/: ^!' ..�%o!�=�.\. f\riH?r= f�•'•ri'1{_^; naw a oi pi7 FIRE ZONE TYPE OF CONSTRUCTION STREET IMPROVED ; `• ' SPECIAL INSPECTOR REQUIRED I OCCUPANCY GROUP ❑ BCHECKED �BYOE RESIDENTIAL ❑ LINE NEw NON-RESIDENTIALSIGN El ADDEl❑ RETAINING DEMOLISH WALL FENCE ' ALTER ❑ EXCAVATE El OR FILL (.......... x ........ -Ft ) PLAN C THIS SITE IS LOCATED IN THE CITY i / OF EDMONDS. LOCAL SALES TAX i.".;1_�.,'.i�' SHOULD BE CODED 31.04, REMARKS ' /� :/- l (:_/) REPAIR ❑ PRE -MOVE ❑ swim INeP. POOL NUMBER OF STORIES NUAfBER OF DWELLING I UNITS NATURE,OF NVORK, TO BE DONE Valuation Fee Receipt Na. APPLICATION APPROVAL This application Is not a perfnit until signed by the Building Official or his Dep- uty; and fees are paid, and receipt is ac- Itnowledged In space provided. DIRZCTOWS 0 ONATURE DATE / INSPECTOR TOTAL AMOUNT DUE Ihereby acknowledge that I have read this application: that the In- [0y \: BUILDING Ired agent of the owner. I agree to comply with city and stateTawe regu- ATTENTION i, PROPOSED USE 7y PLUMBING will be employed In violation of the Labor Code of the State of Washington THIS PERMIT U PLOT PLAN (Indicate Building setbaeks, abutting streets) O HEAT k GAS LINE NOTE: Permit Limit One Year (Except DEMOLITIONS which ONLY TILE WORK NOTED shalt be completed In ninety days; MOVED -IN BUILDINGS .11.11 be com- pleted In six na-U-) ��! FENCE INSPECTION . - SIGN CITY OF EDMONDS RETAINING WALL N SWIMMING POOL Any construction on the public domain (curb., sidewalks, driveway., DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL - APPLICATION APPROVAL This application Is not a perfnit until signed by the Building Official or his Dep- uty; and fees are paid, and receipt is ac- Itnowledged In space provided. DIRZCTOWS 0 ONATURE DATE / INSPECTOR TOTAL AMOUNT DUE Ihereby acknowledge that I have read this application: that the In- formatlon given le correct; and that I ace the owner, or the duly author- Ired agent of the owner. I agree to comply with city and stateTawe regu- ATTENTION lating construction; and In doing the work authorlred thereby, no person will be employed In violation of the Labor Code of the State of Washington THIS PERMIT relating to Workmen's Compensation Insurance. AUTHORIZES NOTE: Permit Limit One Year (Except DEMOLITIONS which ONLY TILE WORK NOTED shalt be completed In ninety days; MOVED -IN BUILDINGS .11.11 be com- pleted In six na-U-) SIGNATURE (OWNER OR AGENT) DATE BIGNED INSPECTION . - DEPARTMENT CITY OF EDMONDS NOTE: Applicant Subject to Plan Check Fee 775-2$2$ This Permit raven work to to dune on private properly ONLY. Any construction on the public domain (curb., sidewalks, driveway., marquees, etc.) will require separate permission. APPLICATION APPROVAL This application Is not a perfnit until signed by the Building Official or his Dep- uty; and fees are paid, and receipt is ac- Itnowledged In space provided. DIRZCTOWS 0 ONATURE DATE / INSPECTOR RECORD OF INSPECT ONS Date Passed Foundation Plumbing (Partial) (Rcugh) Frame _ Furnace & Fuel Lines_ Final _ _T J �_z 1 -7��