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750398.pdfi I I I 1 U 3 ❑ NEGAS W El RESIDENTIAL LINE PLAN CHECK NO. FIRE Z NE TYPE OF CONSTRUCTION CDUD DE/�., ABUTTING STREETS) NON-RESIDENTIAL BUILDING DEPARTMINT Applicant Fill USE zoNE PERMIT NUMBER 750398 "- PERMIT APPLICATION Inside Heavy Lines ❑ ADD W PLUMBING /l .Loa ADDRESS ©,� NAME IDR NAME OF BUSINESS) ❑ T�PC0 �/4 �%Q X� LEGAL LOT LOT AREA SUBDIV SION NO. AREA C W MAILING—RESS ❑ YES ElNO ❑ ALTER EXCAVATE Z i 0 D �,(� G VARIANCE OR ADB NO. !- O CITY_ TE PHONE NUMBER COND. USE NO. PLAN CHECKED BY D IS LOCATED IN THE CITY w t1'- O ck PROPOSED YARDS SWIM ❑POOL HEIGHT Z I D t7 NAME UMBER OF STORIES FRONT SIDE REAR 2 - F 2 ALLOWABLE PROPOSED 6 R U ATTENTION SIGN AREA - SIGN AREA ATVRE OF W/SiT/(TO F ADDRESS 0 = signed by the Building Official or his Dep - OTHER U WORK NOTED REQUIREMENTS , Of CITY TELEPHONE NUMBER knowledged in space provided. - Q SIG T RE IOW O GENT) GATE SIGNED PLANNING DEPT. APPROVAL DATE NAM CITYOFN 2 I ^ /n� �/L Ll II STREET R/W 1 1eJ C IC U EXISTING STREET R/W FT. DEFICIENCY THIS PROPERTY l U ADDRESS Any construction on the public domain (curbs, sidewalks, driveways, H U 4 COMP, PLAN ST. A/W FT. FT. PINK C. GOLD- ' Or, F CI Y TEL NUMBER REMARKS D Z o �at� fl t% STATE LICENSE NU BER CITY LICENSE NUMBER CHECKED BY W ' Legal DBscription of Property (Show Below or Attach Four Copies) STREET AND/OR UTILITY❑YES w - WORK REQ'D ❑ NO .I UNDERGROUND ❑ YES ) WIRING REQ'D ❑ NOo - M1 TYPE CONNECTION VERIFIED BY - INyll t/�'V, u h WO ElVES PERMIT NUMBER W SEPTIC SYSTEM APPVD BY CITY ENG. II J Q REMARKS ❑ NO W O D _.( < J L 7 METER SIZE SERVICE SIZE ICLEARANCE ICHECKE. .7 —7 i I I I 1 U 3 ❑ NEGAS W El RESIDENTIAL LINE PLAN CHECK NO. FIRE Z NE TYPE OF CONSTRUCTION CDUD DE/�., ABUTTING STREETS) NON-RESIDENTIAL ❑SIGN N 1 1 f 1 1. 7 Z 11 r`-- l ❑ ADD W PLUMBING /l ( J ❑ DEMOLISH ❑RETAINING WALL SP CIAL INSPECTOR REQUIRED AREA OCCUPANCY OCCV PANT GROUP LOAD ❑ ALTER EXCAVATE FENCE ❑ YES ❑ NO SIGN !- ❑ oq FILL X—�) ❑ PLAN CHECKED BY THIS SITE IS LOCATED IN THE CITY w REPAIR PRE -MOVE INsP. SWIM ❑POOL OF EDMONDS. LOCAL SALES TAX SHOU DBE E D t7 UMBER OF STORIES I hereby acknowledge that I have read this application; that the In- NUMBER OF DWELLING REMARKS )) (�� J �r''j'j �WI c— S 2 leed agent Of the owner. I agree to comply with city and slate Isws regu- UNITS IMIng construction; and In doing the work authorized thereby, no person ATTENTION APPLICATION APPROVAL - I ATVRE OF W/SiT/(TO BE DONE This application is not a permit until 0 ONLY THE i I I I 1 U PROPOSED USE VALUATION FEE Z O PLAN CHECK NO. p PLOT PLAN INDICATE BUILDING SETBACKS, ABUTTING STREETS) BUILDING N l W PLUMBING /l Is o HEAT & GAS LINE FENCE SIGN RETAINING WALL — SWIMMING POOL �© - TOTAL AMOUNT DUE I hereby acknowledge that I have read this application; that the In- formatlon given Is correct; and that I am the owner, or the duly author. 1 leed agent Of the owner. I agree to comply with city and slate Isws regu- IMIng construction; and In doing the work authorized thereby, no person ATTENTION APPLICATION APPROVAL I will be employed In violation Of the Labor Code Of the Stale Of Washington relating t0 Workmen's CompeneallOn Iaaurmu, THIS PERMIT AUTHORIZES This application is not a permit until NOTE: Permit Limit One Year lEicept DEMOLITIONS whlch ONLY THE signed by the Building Official or his Dep - .hall be completed In ninety days; MOVED -IN BDILDINOS atoll be com. WORK NOTED uty; and fees are paid, and receipt is ac- ple ed n el: month.." knowledged in space provided. SIG T RE IOW O GENT) GATE SIGNED INSPECTION DEPARTMENT CITYOFN DIRECT S SIG RE EDMODS 1eJ NOTE: Apphcant Subject to Plan Check Fee 775-2525 DATE / I This Permit covers Work to be done on private property ONLY. Any construction on the public domain (curbs, sidewalks, driveways, ORIGINAL - Fk YELLOW - Ls,pcctcr marquees, otc.) will require separate permission. PINK C. GOLD- ' 7777 4 j rt r YY711 - I I : . ; I .._.. k� , r i l 0 o I i F r I �I I I f I, I RECORD OF INSPECTIONS Date Passed Foundation �I Flurnbine (Partial) (Rough) Frame _ Furnace ,pr Fuel Lin s ° 7 Final. � _... 1 _ .._ Ike Ell NZ 0