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750373.pdftea ADDR {et 07 CITY pT U - USE 0PERMIT BUILDING DEPARTMENT ApplIcantFin m_ PERMIT APPLICATIOPi A ADDRESS Inside Ifeavy Lines I 7 .� ✓1 NAME (ORNAME OF BUSINESS) I ) ACTUAL / MAILIC A D I e-""5 f -e — I IK LOT COVEMAI NUeiBEfi OF STORIES NUMBER OF I){ P20 DWELLING ^ UNITS �tJ CITY TELEPHONE NUMBER NATUP OF WORK TO DOE Q I 3-a/03 Fee NAME JBE .P/T [� nP s 5oc/a tP5 kVj ADD�B i i �0 � LeI 0� a C1 Y TELEPHONE NUMBER tea ADDR {et 07 CITY pT U - USE 0PERMIT REMARKS ZOE N m_ NUMBER A ADDRESS 1O. 7 .� ✓1 PEItAl1S .7J_ ACTUAL LOT COVE OEs LOT COVEMAI I I 1 1 ---- Pei REAR I VVES ❑ NO PERMIT NGMtlEK " {, Q tGV P !O EPT. APPROV L D�/T I I L6 64-1 i STREET R/W��(... C EXISTING STRUT R/WtY... DEFICIENCY PROPERTY 6... l COMP. PLAN ST. R/WW.�Fr. ....Al....FT. REMARKS Driveway slopes not to exceed thoes O t W a i w IPROVED 1l I, 1Y I i__� I ❑ YES [] NO SPECIAL INSPECTOR REQUIRED I OCCUPANCY GROUP GAS ❑ YES NO ❑ RESIDENTIAL ❑ LINE PL C CK D BY NEW ❑ THIS SITE IS LOCATED IN THE CITY NON-RESIDENTIAL OF EDMONDS. LOCAL SALES TAX SIGN ADD ETAINING RWALL REMARKS SHOULD BE CODED 31.04. ❑ DEMOLISH ❑ (� c� y�}' �{' PENCE..........Fl.) El (' ep " O SIDeW-C IO K REMOVED,, ALTER ❑ EXCOR AVATEILL ❑ , SWIM ❑ REPAIR ❑ IN MOVE ❑ POOL ti NUeiBEfi OF STORIES NUMBER OF I){ P20 DWELLING ^ UNITS �tJ NATUP OF WORK TO DOE Valuation Fee Receipt No. JBE .P/T �1 'I .a ....i. Flan Cate], Na... Ozoo i SUILDING �0 � LeI 0� _ tO L PROPOSED USE PLUMBING n ✓ !e'I)� ,ry / HEAT A GAS LINE e C--'N'(Q e? ,J aPLOT PLAN (Indicate Building setbacks, abutting streets) G FENCE SIGN tRETAINING WALL N SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL TOTAL AMOUNT DUE L,Spea o t hereby neknowledRe that I have rend this application; that the In- V IarmatIon given Iscorrect; and that I nin the owner, or the duly author- ized agent of the owner. I agree to comply with city and .late taws rag". ATTENTION APPLICATION APPROVAL luting construction; and In doing the work authorized thereby, no Dereon Will be employed In violation of the Labor Code of the State of Washington TIUS PERMIT This application is not a perinit until relating to Workmen's Compensation Ineurance. AUTIIOIUZES signed by the Building Official or his Dep - NOTE: Permit Limit One Year (Except DEMOLITIONS which ONLY TU WORK NOTED uty; and fees are paid, and receipt is no- ehall be completed In ninety day.; DIOVED•IN BUILDINGS shall be com- Icnowledged In space provided. pleted In six months.) S G TURK. (OW Ell filV AGENT)DATE SIGNED INSPECTION DIREC R'S SIONAT RE —IJ -76- DEPARTMENT CITY OF Fee EDMONDS DAT NOTE: Aptlicant Subject to Plan Check 775-2525 This Permit c-ersrork l0 11p dune an private property ONLY. Any constructionon the public domain (curbs, sidewalks, d,11—Y.' FILE touquees, etc.) Wlll require separate permission. STATE LICENSE NUMBER -WE—MAJUCS FP_ e�� Legal Description of Properly (Show Below or Attach Four Copies) . rz— r, Il TYPE CONNECTION VEIUF;i BY BUILDING DEPARTMENT ApplIcant FIR ZUSE PERMIT ONE nUMHE R Z , I PERMIT APPLICATION Inside Heavy iume- JAODBDRMSS V c. 'FEBTr' NAME. (OR NAME OF BUSINESS) A GTU A _7ffT_11Ml8Ifl11LF 1. ACTUAL T COVELGE L COVE... LIT COVE G A T .I'D.- ED HEIGHT HEIGHT pRopoliEff—HEIGHT FNVAI 0 n F CITY T LEPHONE NUM ER -I_. AREA ACTUAL LO'r AREA L REQUIRED YARDS A PRO .. REAR t ulnirn NAME FIR NT 0 FRONT BIDE RE FRONT SIDE Ali W ADDL6 LOT -VARIANCE OR CONDITIONAL U E NUMB D � 7_ [3 NO PERMIT ER[\L) U Lgidp- 7 `/CANNING DEPT. V'7?'AD"? -)I CITYO EPHONE NUMBER R/W 1 7 STREET R tDEFICIENCY THIS PROPERTY EXISTING ST �`r R/W(�Z7J.t1.-.FT- I NAMEcOMP. /( PLAN ST. RESIDENTIAL 0 GAS LIN ❑ YES NO PLAN CHECKED BY THIS SITE is LOCATED IN THE CITY RFAIJUM V) NEW NON-RESIDENTIAL D SIGN TAX 0' 'DMO &IELDOC31.04. 86e rn 'd •v, ;1,, 1Y CHECKTi, I ADD RETAINING DEMOLISH Li WALL SHOULD BE CODEDSALES REMARKS 'v_Q`VV CQ, ALTER EXCAVATE PENCE OR FILL .......... x .......... F'.) i I ❑PRE - REPAIR swild REPAIR ❑ POOL CITY i (A INSPB A 0 Q NUMBER OF STORIES I NUMBER OF MET— SIZE SERVICE 'SIZE CHECKED BY 4� I I CLEARANCE IC DWELLING STATE LICENSE NUMBER -WE—MAJUCS FP_ e�� Legal Description of Properly (Show Below or Attach Four Copies) . rz— r, -7f . W TYPE CONNECTION VEIUF;i BY Z , I V c. 'FEBTr' FNVAI 0 n F t ulnirn OVED —vf mt U Lgidp- Ifo SPECIAL INSPECTOR REQUIRED OCOCCUPANCYOR OUP I RESIDENTIAL 0 GAS LIN ❑ YES NO PLAN CHECKED BY THIS SITE is LOCATED IN THE CITY NEW NON-RESIDENTIAL D SIGN TAX 0' 'DMO &IELDOC31.04. ADD RETAINING DEMOLISH Li WALL SHOULD BE CODEDSALES REMARKS 'v_Q`VV CQ, ALTER EXCAVATE PENCE OR FILL .......... x .......... F'.) ❑PRE - REPAIR swild REPAIR ❑ POOL INSPB NUMBER OF STORIES I NUMBER OF DWELLING UNITS NATURE OF WORK TO HE "u— Valuation Fee Receipt Na. Pla. Check No BUILDING PLUMBING 1 7zXl t HEAT A GAS LINE PLOT PLAN (IndICata_WU_1IdIn9 setbacks abUttl J v FENCE SIGN RETAINING WALL N SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL TOTAL AMOUNT DUE I hereby acknowledge that I halo read this application; that the In- formation ,Ivan 12 correct; and that I sun the owner, or the duly author- ized agent of the owner. I agree to comply with city and state law. regu- ATTENTION APPLICATION APPROVAL lannif construction; and In doing the work authorized 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 relating to Workmen's Compensation Insuffic". AUTHORIZER 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: MOVED -IN BUILDINGS shall be earn- Imowledged in space provided. -SIGNATURE pleted In six months.) INSPECTION DIRECT (OWNER Oft ADEN DATE SIGNED DEPARTMENT OF CITY DATE EDDIONDS NOTE: Applicant Subject to Plan Check Fee 775-2525 This P -I'll ate property ONLY. Ilk bdl.., Old, W �;� a".. (curbs,p"I w ks,tdrivew"s, Any ru" h. p"bINSPECTOR rm,fl,e 1p—tl