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750376.pdfBUILDING DEPARTMENT Applicant Fill ONE PERMIT 750376 PERMIT APPLICATION Inside EleaYy Linos O �f I, ADDRESS W NAME (OR NAME OF HUBIN BS) �v�/S &ORVAL 40SP �I PEUMMS-LF. AC DAI, IAT COVEIIAOEe LOT COVESiAOE JW CL I rt9iy�{�AJ p1 .. MAILING ADDRESS (7r 2 �� CITY �/-•�y� �,sr C T/EJL/E/PHON/E N�UMDI r, / /4�`�S5� Pt:RM1tltlI8LF. HEIGHT PItOI'OHED HEIGHT,'/ j ,v C 0 A. ACTUAL LOT 7 � TOTAL BLDG. AREA IYYA ' REQUN7/F.DYAiIDB PROPOHEU IiDN ^ FRONTtlIDE REAR FRONT BIDE REAR yADDIfF:tltl [+ ej c NAMEEY//•�ld,��i���''�(�� A �/ I�rG �l1}0 �'� 57" 5W LOT VAKIANCF. OltCONDITI NA USE I NO PERMIT NUMUER 6 / GV c, ' ANE D PT. P ItOVAL 70 �o SODA U CITY TELEPHONE NUMBER—)d6 14A1a'0 �'/ � / r� (� STREET /\V E%IBTINO STREET R/W ............FT. DEFICIENCY THIS PROPERTY C COMP. PLAN ST. R/W ..........,.FT. ............FT. W NAME REMARKS tO, V� t+ Z 8 Z ADDRESS /t CHECKED BY CI TELEPHONE NUMBER METER SIZE I SERVICE SIZE I CLEARANCE I CHECKED BY 14k7 E STATE LICENSE NUaIHER I CITY LICENSE NUMBER Legal Description of Property (Show Below or Attach Four Copies) REMARKS /'\// S' L /� ,. The N 1/2 of Tracts 27 6 28, and the S 1/2 TYPE CONNECTION VERIFIED BY Tracts 25 S 26, Solners Five Acre Tracts, according to the Plat thereof recorded in z �D a1 O < PERC. TEST I PERMIT NUMBER Vol. 7 of Plats, Pg. 25, records of Snoho REMARKS S m o � I mish Cty. , Washington; together with that FIRE ZONE I TYPE OF C�TRUCTION STREET IMPROVED I�7N6/. 0 NO portion of 216th St. SW now vacated. SPECIAL INSPECTOR REQUIREDI OCCUPVf GROUP ❑ YES O - GAB RESIDENTIAL LINE ❑ NEW ❑ PLAN CHEC Y THIS SITE IS LOCATED IN THE CITY NON-RESIDENTIAL SIGN OF EDMONDS. LOCAL SALES TAX SHOULD eEE CODED ! , ADD ❑ RETAINING DEMOLISH WALL ® ALTER ❑ ORCFILLTE FENCx..........Fl.) SWIl REPAIR ❑ INSP. ❑ POOL � ' �31.044..�� ,' ` / REM1/A�RK (',L^ % /V (J K--/{`r `-'�D •� I-L.O6 Z Cil./4-/'�• (- / 1ry'�J S Pry) 2,(n [�, �V /"�`� � `-'�� / _'/Z `/7 -736OL IO NUMBER OF STORLES DWELL NOFl DNITH �— /u TG'7Y Q/�. /�C%\•�a% c MAY NATURE OF WORK TO HE DONE O O/' S , Pm Check_N................ Valuation Fee ff00 �� Recelpl No. PROPOSED UBE yq i BUILDING PLUMBING 6- t /. /�� 3 UCS s /� HEAT & GAS LINE C / PLOT PLAN (Indicate Building srtbUka, abutting streets) FENCE j I SIGN i tRETAINING WALL N SWIMMING POOL DEMOLITION PRE-MOVE INSPECTION EXCAVATION OR FILL TOTAL AMOUNT DUE n Y O 77f��J or I hereby acknowledge that I have read this application; that the in. formation given Is correct; and that I ant the owner, or the duly author- ATTENTION APPLICATION APPROVAL leed agent of the owner. I agree to comply with city and state law' regu- intln, construction; and In doing the work authorized thereby, no Dere.. will beemployed In violation of the Labor Code of the Slate of W"hmston relatl.g to Workmen's Compensation Imurance. NOTE: Permit Limit One Year (Except DEMOLITIONS which .hall be completed in ninety day'; MOVED-IN BUILDINGS shall be cont• plcted In six months,) THIS PERMIT This application is not a permit until AUTHORIZES Signed by the Building Official or his Dep- ONLY TILE WORK NOTED uty; and fees are paid, and receipt is ac- knowledged in Space provided. - INSPECTION DEPARTMENT DIRECT R'S tl10N/tr RE CITY OF SIGNATURE {VNER Oft CE DATE BIG ED 6 NOTE: Applicant S,, ject to Plan CGeck Fee EDMONDS DAT 775-2525 Thle Per It furan work to be dune an private properly ONLY. Any construction on the public domain (curbs, sidewalks, driveways, marquees, s,will require separate permission. FILE i 8 o ^ a w CS -,A 8 3 � � A v ® c -n Oi19 n v ® "*� Cm A N A `° �C v O� O N 14 � � N 4 o a o O w C (x R' M m 1Y 7 td � d 'T1 o Cb o C � 6 p b m pn H 8 ^ s wb d d 4 n f a n 9 + 4 m � w 0 x ' C J 1.71 O g z q w n S, � k z CS -,A 8 3 � � v ® c -n Oi19 n v ® "*� Cm A N A `° �C v O� O N l C C ' BUILDING DEPARTMENT Applicant Fin USE k' 1 - PERMIT U sIETR 7� PERMIT APPLICATION I Inside Heavy Lines ADDRESS NAME AOR NAME OF BUSINESS) �:.-.-_•'' �_, y�('�M fir_ ;�, --+'�? f ,! LOT COVERAGE' M; LOT COVERAGE Its MAILING ADDRESS PERMISSIBLE HEIGHT _ PROPOSED HEIGHT l ,�, e,. yyz� ✓ ` r CITY TELEPHONE NUMBER ACTUAL LOT AREA TOTAL BLDG. AREA r i �/ 4 - __ __j y J 1` (..; rt'1; - A/:�� - / r(4/ "'Cl...:� J I,� 3 REQU ED YARDS PROPOSED YARDS a' j NAME FRONT BIDE REAR FRONT HIDE REAR W ADDRESS LEGA LOT VARIANCE OR CONDIT7 NA 'USE fl.•YEB 0 NO PERMIT NUDtHER -2 I^ (j C/ •,Tt :, 5, .-� rAf� �j (,'/1/. PVLANNINOJDEPT. APPROVAL [� - • CITY f TELEPHONE NUMBER RDA "� \ ' 1f STREET R/W EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY O <y F— " r'•Ir,/i.C�CX �J.� /!'i--�l� �17 t NAME COMP. PLAN ST. R/W ............FT. ............FT. ,L REMARKS x W i 94 ADDRESS V (CHECKED BY F CITY TELEPHONE NUMBER I METER SIZE SERVICE SIZE CLEARANCE CHECKED BY STATE LICENSE NUMBER CITY LICENSE NUMBER I fd I tta Legal DcacrlPtion of P[operly (Shaw Below of Attach Four Caples) REMARKS /,-, The N 1/2 of Tracts 27 E 28, and the S 1/2 1< X7 S TY - VERIFIED 13Y0 Tracts 25 E 26, Solners Five Acre Tracts, 30310 Xaccording to the Plat thereof recorded in P R e t PE AIT A �� ( -] t • IiEMARKB w a Vol. 7 of Plats, Pg. 25, records of Snoho- L --Y! T- C mish Cty. , Washington; together with that FIRE ZONE TYPE OF CONSTRUCTION STREET IMPROVED 13 NO portion of 216th St. SW now vacated. -YES SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP GAS ❑ RESIDENTIAL E] C] YES `©_NO / J ^ 1 LANEPLANCHECxED NEW -BY THIS SITE IS LOCATED IN THE CITY � �-=•{ NON.RESIDENTIAL E]BICN r , ! 1 r OF EDMONDS. LOCAL SALES TAX Ann RETAINING , REMARKS- SHOUJLD BE CODED 31.04. DEMOLISH WALL v ALTER❑ EXCAVATE FENCE OR FILL (..........x..........Ft.) ❑ . REPAIR PRE -MOVE INS?. ❑ POOL _ /% !� �I!r�/`7 - SEE r2H 7 NUMBER OF STORIESNUMBER OF DWELLING �-? // ,,yy /r�r ! l -_._";Flog— UNITS NATURE OF WORK TO BE DONE — l/ 7� O', � rt! Valuation Fee Rcceln[ No. f N Check NoY 60 y - I' x O 1 � r' o BUILDING h0 C) PROPOSED UBE PLUMBING :'' � p f 'l. •-' r �- ?.� / Q PLOT PLAN (Indlento Building eetbncka, abutting eUcele) HEAT A GAS LINE ..�[-�.1 T 7 FENCE SIGN tRETAINING WALL N SWIMMING POOL 1 DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL ' TOTAL AMOUNT DUE I hereby acknowledge that 1 have read title application; that the In- formation given Is correct; and that I am the owner, or the duty author - tied agent of the owner. I agree to comply with city and slats laws regu. ATTENTION APPLICATION APPROVAL luting construction; and 1¢ doing the want authorl..d thereby, no person will be employed In violation of the Labor Code of the State of Washington TI PERMIT This application Is not a permit until relntl¢g to Workmen's Compensation Insurance. AUTHORIZE" signed by the Building Official or his Dep - NOTE: Permit Limit One Year (Except DE51OLITIONS which ONLY THE ut and fees are paid, and receipt is nc- WORK NOTED p ehall he completed In ninety days; MOVED -1N BUILDINGS 'hall be cont. ltnowledged In space provided. pleted In six months.) SIGNATURE (OWNER Olt AGENT) DATE e1GNED INSPECTION DIRECTOR'S SIGNATURE • DEPARTMENT -, l t r r r CITY OF EDMONDS DATE NOTE: Applicant Subject to Plat) Cbcck Fee 7t 775-2525 Thls Permit e m Work to be done an Private properly ONLY. Any corall—floe on the public domain (curbs, sidewalk., dri—ays, marquee., ele.i will require separate pernasslon. INSPECTOR