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750416.pdfPOSED U E PLAN CHECK 0 ����)) y LYS/�/ //< NO. .S p 'L T PLAN JINDICA7h BUILDI­SETBACKS, ABUTTING STREETS) BUILDING USE ZONE NUMBER 750416 REMARKS ® NEW RESIDENTIAL LINE ❑ NON-RESIOENTIAL SIGN ❑ ADD ❑ ❑ RETAINING DEMOLISH WALL ❑ ALTER EXCAVATE FENCE ❑ OR FILL 1_ x_F11 PRE -MOVE SWIM ❑ REPAIR ❑ INSP, OPOOL FIRE ZONE TYPE OF CONSTR CTION I _ 0— BUILDING DEPARTMENT Applicant Fill SPECIAL INSPECTO AREA y REQUIRED / ❑ YES NO OCCUPANCY OCCUPANT GROUPLOAD J- PLAN CH K D BY THIS SITE IS LOCATED IN THE CITY OF EDMONDS. LOCAL SALES TAX SHDU D BE DE03 MAR — 2-% /if PERMIT APPLICATIOPI Inside Heavy Lines ADDRESS HEAT & GAS LINE NATURE OF WORK TO BE DONE 0 NAME IDR NAME OF BUS NESS) G•(2 /� 1 VALUATION FEE-, FENCE W /� / / jo . / A.` L f— LEG�jA� LOT I eu TES ❑ NO LO AREA QDO I SUBDIVISION NO, RETAINING WALL MAILING ADDRESS } A. Z VARIANCE OR ADO NO. D ?4 GOND. USE NO, I hereby acknowledge that I have read this Application; that the In- U CITY goAi-'a TE EPHONE NUMBER j��7ggy �1�L7� PROPOSED YARD. 2� ��,y""" / HEIGHT I SIDE "7a REAF�t 2, 1 2 THIS PERMIT This application Is not a permit Until NAME AUTHORIZES FRONTZ6 J1/1 G ONLY THE F U G d/�/ �LA ��� ALLOWABLE SIGN AREA SI OPO.EO SIGN AREA l/rp -w tiu LL INSPECTION F ADDRESS DEPARTMENT DIRE R'B SAGN ATU E / ! CITY OF I wl OTHER 1 REOVIREMENT��' GATE NOTE: Applicant Subject to Platt Ckeck Fee U E C/^^I..�TY [TELEPHONE NUMBER EP A(,/� VAL A E Any construction on the public domain (curbs, sidewalks, driveways, ORIGINAL - F,1c YELLOW - Inspeclor 7[/ 10 — ?7/ / — \ � A !� 9 NAME STREETR/W l�• VO FT. DEFICIENCY THIS PROPERTY �i E I- U ADORES EXISTING BTREET R/W P tt S R && U r'T. O FT. 4 F CITY TELEPHONE NUMBER REMARKS Driveway slopes not to exceed those W Z it S ZNo OCHECKED U 11713 BY W W Z STATE LICENSE NUMBER CITY LICENSE NUMBER STREET AND/OR UTILITY ❑ YES U W ? Legal Description of Property (Show Below or Attach Four Copies) WORK REO'D NO (7 UNDERGROUND AYES Z O WIRING REO'D ❑ NO F TYPE CONNECTION VEE BY a W 0 W D J Q U W ❑YES SEPTIC SYSTEM APPVO BY CITY ENG. El NO MIT NUMBER 3 W N REMARKS POSED U E PLAN CHECK 0 ����)) y LYS/�/ //< NO. .S p 'L T PLAN JINDICA7h BUILDI­SETBACKS, ABUTTING STREETS) BUILDING F Q d W G D I' Z D m REMARKS ® NEW RESIDENTIAL LINE ❑ NON-RESIOENTIAL SIGN ❑ ADD ❑ ❑ RETAINING DEMOLISH WALL ❑ ALTER EXCAVATE FENCE ❑ OR FILL 1_ x_F11 PRE -MOVE SWIM ❑ REPAIR ❑ INSP, OPOOL FIRE ZONE TYPE OF CONSTR CTION I _ 0— CODE ^ �� v /y 7,j SPECIAL INSPECTO AREA y REQUIRED / ❑ YES NO OCCUPANCY OCCUPANT GROUPLOAD J- PLAN CH K D BY THIS SITE IS LOCATED IN THE CITY OF EDMONDS. LOCAL SALES TAX SHDU D BE DE03 MAR — 2-% /if NUMBER OF STORIES NUMBER OF DWELLING / UNITS HEAT & GAS LINE NATURE OF WORK TO BE DONE 0 VALUATION FEE-, PRO E Z PLAN CHECK 0 ����)) y LYS/�/ //< NO. .S p 'L T PLAN JINDICA7h BUILDI­SETBACKS, ABUTTING STREETS) BUILDING d� 2C7 �' %J�'j — !C Il -6.36o Wl //�L� PLUMBING, �� W 0 -- m HEAT & GAS LINE QQ 0 FENCE SIGN — RETAINING WALL SWIMMING POOL TOTAL AMOUNT DUE J J I hereby acknowledge that I have read this Application; that the In- formation given he correct; and that I am the owner, or the duly author- Ixed agent of the owner. I agree to Comply with city and state taws reg.- lating "'itructhm; and la doing the work Authorized thereby, no person ATTENTION APPLICATION APPROVAL will be employed In Violation Of the Labor Code of the State of Washington Insurance. THIS PERMIT This application Is not a permit Until relating to workmen's Compensation AUTHORIZES signed by the Building Official or his Dep - NOTE: Permit Limit One Year (Except nE1tomltzoNS which ONLY THE uty; and fees are paid, and receipt is aC- shell be completed In ninety days; MOVED -IN BUILDINGS shall be com- WORK NOTED lfnowledged in apace provided. plrted In six months.) INSPECTION SIG ATU E WNER OR A E T) GATE .IG ED DEPARTMENT DIRE R'B SAGN ATU E / ! CITY OF i t �• ?a C / W I EDMONOS GATE NOTE: Applicant Subject to Platt Ckeck Fee 775-2525 This Permit covers work to be done on private property ONLY. Any construction on the public domain (curbs, sidewalks, driveways, ORIGINAL - F,1c YELLOW - Inspeclor marquees, eta) will require separate permission, PINK - (l:•. ---r GOLD-, T.--� 12 --�o - Ail �/,e '4Y sZ---- ' r t y .. rl , Al 12 --�o - Ail �/,e '4Y sZ---- ' r 12 --�o - Ail �/,e '4Y sZ----