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750400.pdfe4ryU-�tt-///��u/��'�•�x(pA''-Qgof coli TYPE CONNECTION VERIFIED BY 1 BUILDING DEPARTMENT Applicant Fm USE PERMIT zO C__1NUMBER — a .� PERMIT APPLICATION I Inside Heavy Lines E r I ADDRESS AD -1-± _ ; V � 1 NAME (OH -NAME OF BUSINESS) PEIth1B e, ACTUAL LOT COVERVERAGE a . ILOT COVE AGE MAlI.I O A DREBB -7 yERAtI yISLE HEIG)AT In.—ED BHT p 2 rvl7�G"~ Gum t -60WP JOz A� Il yl LOT AREA TOTAL_lr . AREA E i S;fbafe i� 5)yltc ...s� C 1✓ ., Wel.sk�wjta SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP CITY T WP NUMBER ACI't1A$ ^ Pt'j�1'IROPOBEUl'h#rD8 YES 1�°/�y' ❑PLAN 7i THIS SITE 15 LOCATED IN THE CITY OF EDMONDS. LOCAL SALES TAX SHOULD BE CODED 31.04. / dEcQ I.4vO to ttS wrlS i't. t'1, '� -ONE �7v - REQUIRED YARDS _8113M ONT BI REAR a I REPAIR ❑ INSPhfOVE El swim POOL NAME RF.AIt FR,O�N`T`` (DnQE NUMBER OF STORIES NUMBER OF �� le— � DWELLING UNITS LOT V IANCE OR CONUITI N LUBE NATURE` OF WORK TO RE DONE ADDItL•'BB Fee Receipt No. W ALEGAL "5 YES ❑ NO PERhfIT NUMBER 11 r FF Plan Check No ........ ............ t o , YJ BUILDING I ° D PT. AP PROPOSED USE U C ' CITY NUMBER ;BEETR FENCE (TELEPHONE EXI8TIN6 REET R/W ............FT. DEFICIENCY THIS PROPERTY V '!�. ' SIGN NAME RETAINING WALL COn1P. PLAN ST. R/W ............FT. ........... REMARKS.�7 / SWIMMING POOL I I1 �y J- /- a (t -.'r" I V DEMOLITION PRE -MOVE INSPECTION ADDRESS tt (o3q 5c(—ove.c.t3 W.A,j CHECKED BY N I IW CITY TELEPHONE NUMBER formation given le correct; and that I son the owner, or the duly author - nn-- Eclryapva�{y) uJcaS� 9f�oz.O l 77&—lv7 3 y ,zed agent of the owner. I agree to comply with city and .late lawn regu- lating construction; and In doing the work authorized thereby, no parson will be employed In violation of the Labor Code of the Stale of Washington ATTENTION THIS PERMIT APPLICATION APPROVAL This application is not a permit until METER SIZE SERVICE SIZE CLEARANCE CHECKED BY tlTATLICENSE NUMBER E CITY LICENBL NUMBER NOTE: Permit Limit One Year (Except DEMOLITION8 which ehnll be completed In Nasty days; MOVED -IN BUILDINGS shall be cons. ONLY TIRE WORK NOTED I I I � Legal Description of Property (Show Below or Attach Four Copine) REMARKS NOTE: Applicant Subject to Plan Cluck Fee Title rermll coven work to be done on private property ONLY. Any tonstructlun on the pantie domain (carne, sidewalks, driveways' marquee., els.) n'lil require etparste 4ennlulon. e4ryU-�tt-///��u/��'�•�x(pA''-Qgof coli TYPE CONNECTION VERIFIED BY I/).r=f 4 -1f pY t6"'74% West [`0 c,,Attt- f -(,e- I PERMIT NUMBER E r I PERC. TEST Scl ItEMAFiKB p FIRE ZO TYPE OF CONSTRUCTION Br!e IMPROVED /Z YEH C3NG S;fbafe i� 5)yltc ...s� C 1✓ ., Wel.sk�wjta SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP NEW RESIDENTIAL ❑ LINE NON-RESIDENTIAL I/ Y SIGN ElADD ❑ DEMOLISH ❑ RETAININGI 0 ALTER ❑ EXCAVATE FENCE OR FILL (........ _x .......... Ft.) YES 1�°/�y' ❑PLAN 7i THIS SITE 15 LOCATED IN THE CITY OF EDMONDS. LOCAL SALES TAX SHOULD BE CODED 31.04. i CHECK DYO / REMARX9 REPAIR ❑ INSPhfOVE El swim POOL NUMBER OF STORIES NUMBER OF DWELLING UNITS NATURE` OF WORK TO RE DONE Valuation Fee Receipt No. K Plan Check No ........ ............ t o , YJ BUILDING PROPOSED USE PLUMBING PLOT PLAN (Indicate Building setbacks, abutting street.) HEAT A GAS LINE FENCE _,�//jj j / � �, ui-� SIGN , ao j RETAINING WALL r'J / SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL r 0 TOTAL AMOUNT DUE I hereby acknowledge that I have read this application ; that the In. formation given le correct; and that I son the owner, or the duly author - ,zed agent of the owner. I agree to comply with city and .late lawn regu- lating construction; and In doing the work authorized thereby, no parson will be employed In violation of the Labor Code of the Stale of Washington ATTENTION THIS PERMIT APPLICATION APPROVAL This application is not a permit until relating to Workmen's Compensation Insurance. AUTHORIZES signed by the Building Official or his Lep- ' NOTE: Permit Limit One Year (Except DEMOLITION8 which ehnll be completed In Nasty days; MOVED -IN BUILDINGS shall be cons. ONLY TIRE WORK NOTED uty, and fees are paid, and receipt is ac- Imowledged In apace provided. pitted In six months.) SIGN UI[E (OWNER OR AGENT) DATE SIGNED 3 `7J INSPECTION DEPARTMENT CITY OF EDMONDS 775-2525 DIREC '8 81GN URE DATE -7 -- — �•-! FILE I NOTE: Applicant Subject to Plan Cluck Fee Title rermll coven work to be done on private property ONLY. Any tonstructlun on the pantie domain (carne, sidewalks, driveways' marquee., els.) n'lil require etparste 4ennlulon. J I yJ ZONE NUMBER BUILDING DEPARTMENT I AppllcantFlll PERMIT APPLICATION Heavy LInoH ,toy ADDRESSNAME (OR NAME OF... ;"a PI•:ISMISHIBLE / / l ACTUAL IAT COVERAOI:A LOT COVEAOE 1 I mniLl O A 8 1 T--� • PROPOSED 111•.IOHT O PERMISSIBLE IlEIUi nl I TOTAL BL Q. All— IT. EA TELEPHONE MDt•.R ACf (IA (Yf AREA I •' C•E 1/...Ut.a� S - - RKQUIItEU YARUH PROPOSED YARDS - F ONT H1OF 12 1 '"' i1tONT HIDE REAR NAME a L, •. [nj'j IjdJ • t . , .;t ..1 r . S.�—..:i`i� plc,,,).. ANCI•, Olf CONDITIONAL 1.i ADDRESS YES NO 1'EItM IT NUt•(BER IyNN[Nll D P -T. AP! O AL E; 1 CITY T LEPHONE NUhtBElt - EXISTING/�6KKT R/W ............FT. DEFICIENCY THIS PROPERTY NAME COMP. PLAN ST. R/W ............FT. ............PT. �N /n 4 G Q He—,; REMARKS O IC A DRESS .J E E�+ 6 3 i �[� tM O vv S (t%0. _I I CFIECKED BY q CITY ITELEPHONE NUMBER t /y Ulw tMD�v yS �lf>GS� t/$tA.tO /fO �i<' / , htL••TEtt tll'LK I tlSIZE I CLEARANCE NCE I DYEtVICE ff 00 t iz z M//,4e FLUE ZONE '1'TPF: Or' iuNtlruucuuN I u ••.••„�•-•-- j 0 NO 4 r �.11� �t;� yt�= Ll1NSPElt IIED OCCUPANCY GROUP CTOREQUII GAO RESIDENTIAL LINE DYEH :-, -0,NU -. •.Ali IN THE CITY 0 NEN - NON-RESIDENTIAL SIGN '' PLAN CIIEc E BY ) 1 ;{?.-J _r'--7HI6 SITE IS LOCATED OF EDMONDS. LOCAL SALES TAX BE CODED 31.04. ADD ❑ RETAINING 1lKMA1tKS SHOULD . ➢EMOLIB[i WALL EXCAVATE El F( Fl.) ALTER ❑ ORFILL ❑ REPAIR PRE-INSPhIOVE ❑ POOL NUMBER ON STORIES NUhIBEit OF I •;_P'•�,.,UFjITe'i1 i' i')l.- •'. 'i ,�.. l,.i „� _'i'.-L� %}1-I.1 NATURE OF WORK TO HE DONE a v\ lunllnn Fcc Recclpt No. Plan Chrrk X �,� wtr' I' • I I��J:G i PROPOSED UHE PLUMt11N6 ...J._ 1 ` PLOT PLAN (Indicate BUOding Setback., allotting Street.) HEAT A CAB LINE \ PENCE �. SIGNo -N RETAINING IV AI.I. N / I SWIMMING POOL DEMOLITION PRE• MOV I: INSPECTION EXCAVATION Olt FILL /C%� '2.0 TOTAL AMOUNT DUE I hereby acknowledge that I have recd this application; that the In- formation given le correct; and that I am the owner, or the duly author- I agree to comply with city and elate laws reg.- APPLICATION APPROVAL Ired agent of the owner. Iating cons ructlon; and In doing the work authorized thereby. no person w1i1 beemployed In vlolnllon of the Labor Cade of the State of W.M.9ton ATTENTION THIS I .101IT This application is not a permit until retailing to Workmen's Compensation Insurance. AUTHORIZES signed by the Building Official or his Dep- , NOTE: Permit Limit One Year (E ... pt nF,a1G1.ITu)NH which ONIN THC. WORK NOTED uty; and fees are paid, and receipt is Re . shall be completed In nicely days; AIOVED-IN BUILDINGS shall be -.1- knowledged in space provided. plated In sl: months.) 316NATURE (OWNEit OR AGENT) DATE 81ONED INSPECTION DIRECTOR'S S10NATURE j [ DEPARTMENT CITY OF I q`✓� �/ -�r,L._r..y 11[ !/t,i .�, ✓'�[ifl. — r i ” .Yu DAf EDMONDS / 7 I NOTE: AP liea)li Subject to Plan Check fee 775.2525 '2 This Penult cnvere work to he do" -on Private property ONLY. 1 Any eenelruellun on lh. Imblle domain (curb., Md—I ts, driveways. INSPECTOR marpuces, eta.) wilt reticles cep -.11 Vermiselon.