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750431.pdf2t—_ PERMIT ' y PLOT LAN INDICATE UILDING SETBACK., ABUTTING STREETS) BUILDING DEPARTMENT Applicant Fill USE ZONE NUMBER 750431 ' inside Heavy Lines APPLICATION toe U= pl 1 .� PERMIT ADDRESS _ HEAT & GAS LINE NAME IOR NAME OF BUSINESS) _---_ FENCE LEGAL LOT LOT AREA SUBDIVISION NO. SIGN e % ❑YES ❑ NO -- — RETAINING WALL el MAI LI GA.1 ESS qOe NO. SWIMMING POOL l Z S T VARIANCE OR GOND, USE NO. 0i L) _- 0 CI TELEPHONE NUMBER HEIGHT U, = TOTAL AMOUNT DUE PROPOSED YARDS REAR Z Z In - I hereby acknowledge that I have read this Application; that the N ME FRONT SIDE ALLOWABLE PROPOSED SIGN AREA -I a formation given le correct; and that I am the owner, or the duly author- F SIGN AREA Ized agent or tae owner, t agree to comply with city and state laws Mgu- ATTENTION APPLICATION APPROVAL U WADDRESS I. OTHER will be employed in violation of the Labor Code of the Slate of Washington i This application is not a permlt Until = AUTHORIZE. REQUIREMENTS NOTE. Permit limit One Year (Except DEMOLITIONS whichWORK - r Utyi and fees are paid, find receipt is aC- KCITY TELEPHONE NUMBER DATE PLANNL ING DEPT, APPROVAL' pleled In s1. month..) 1 < DATEGSIG�N7ED DEPARTMENT DIRE DR'S .1 % TU E �� F• --w,. ( NAME y VL( 1,11, STREET R/W E1:ISTING STREET R/W FT. DEFICIENCY THIS PROPERTY EDMONDS GATE p ADDRESS COMP. PLAN ST. R/W FT. FT. This Permit covers work to be done on private property ONLY. ORICINAL - f k YELLOW - lulpeclor U PINK , 0,-,-1 COLD • A'•,.cy,, U < REMARKS Z E CITY TELEPHONE NVMBER C H Z CHECKED BY W Z 0 U STATE LICENSE NUMBER CITY LICENSE NUMBER O 2 Property (Show Below or Atteeh Four Copies) STREET AND/OR UTILITY [03 YES w Legal Description of WORK REWD ❑ NO UNDERGROUND ❑ YES WIRING REQ'D ❑ NO Z 0 TYPE CONNECTION VERIFIED BY F a - a:PERMIT LJYES NUMBER eEj U sl W SEPTIC SYSTEM APPVD BY CITY ENG, ❑ NO W G B J REMARKS < u to J METER SIZE SERVICE SIZE CLEARANCE CHECKED BY I W F � REMARKS T� ❑ NEW El RESIDENTIAL LANE FIRE ZONE TYPE OF CONSTRUCTION CODE ❑ NON-RESIDENTIAL ❑ SIGN I /` RETAINING ❑ ADO T l /�� ❑ ILiPJJ�y SPECIAL INSPECTOR AREA OCCUPANCY OCCUPANT REQUIRED GROUP LOAD .MULISH WALL ❑ ALTER ❑ ORCFILLTE ❑ ENCS X—FT) YES PLAN CHECKED O D BY THIS SITE IS LOCATED IN NO THE CITY F W G OF EDMONDS. LOCAL SALES TAX PRE -MOVE SWIM REPAIR U DBE G INSP.POOL REMARKS G NUMBER OF STORIES NUMBER OF DWELLING UNITS II NATURE OF WORK TO BE DONE )p P/ VALUATION PROPOSED USE PLAN CHECK - Z NO. G r G( y PLOT LAN INDICATE UILDING SETBACK., ABUTTING STREETS) BUILDING U= pl PLUMBING _ — W o in HEAT & GAS LINE O _---_ FENCE SIGN -- — RETAINING WALL SWIMMING POOL — 0i L) _- a TOTAL AMOUNT DUE O O In - I hereby acknowledge that I have read this Application; that the formation given le correct; and that I am the owner, or the duly author- Ized agent or tae owner, t agree to comply with city and state laws Mgu- ATTENTION APPLICATION APPROVAL lating construction: and In doing the work authorised thereby, no person will be employed in violation of the Labor Code of the Slate of Washington THIS PERMIT This application is not a permlt Until relating to Workmen's Compensation Insurance. AUTHORIZE. e16rDed by the Building Official or his Dep - NOTE. Permit limit One Year (Except DEMOLITIONS whichWORK ONLY THE NOTED Utyi and fees are paid, find receipt is aC- shnil be completed In ninety days; MOVED -IN BUILDINGS shall be Com- itnowledged in apace provided. - pleled In s1. month..) INSPECTION SIG UR N OIj.AGE� DATEGSIG�N7ED DEPARTMENT DIRE DR'S .1 % TU E �� F• --w,. CITY OF y VL( 1,11, !• EDMONDS GATE NOTE: Applicant Subject to Plan Clieck Fee 775-2525 This Permit covers work to be done on private property ONLY. ORICINAL - f k YELLOW - lulpeclor Any construction On the public domain (curbs, sidewalks, driveways, PINK , 0,-,-1 COLD • A'•,.cy,, marquees, etc.) will require separate permission. J a J IBIOW Or Aileen r, EXISTING STREET R/W BUILDING DEPARTMENT Applicant Fill PERMIT APPLICATION Inside Heavy Lines FE RMI T ZONE NUMBER - %";I ,DB ADDRESS / AJ �� ✓ •' FT, FT. REMARKS I D RESIDENTIAL NAME (OR NAME OF BUSINESS) V p CHECKED EY W ❑ SIGN ❑ �. / • LEGAL LOT LOT AREA SUBDIVISION NO, O Z STREET AND/OR UTILITY ❑ YES W WORK RECI'D C It�.., f.. .'1 j C l•' ! T-� ❑YES ❑ NO WIRIN6"R'EO10 ,1 ❑ IS MAILING AO ESS Z % i L •, !l '-^ j VARIANCE OR ADB NO, GOND. USE NO. SIGN I J ❑WIM it ,.r.t ti'•, I .3 �!) INSP. NUMBER OF STORIES O C TELEPHONE NUMBER Z PROPOSED YARDS HEIGHT Z I DWELLING UNITS FRONT SIDE REAR Z NAME G TOTAL AMOUNT DUE J ALLOWABLE PROPOSED a SIGN AREA SIGN AREA formation given le co rest; and that I sm the owner. Or the duty author- M ADDRESS ized agent or theowner. [agree to eomD1Y with city and state laws Rgu• thereby, ATTENTION APPLICATION APPROVAL = THIS PERMIT OTHER REQUIREMENTS relatlog to workmen's Compensation Insurance. AUTHORIZES U B CITU TELEPHONE NUMBER GATE ONLY THE UCyi and fees are paid, and receipt is ae- a WORK NOTED PLANNING DEPT. APPROVAL plated In SIX month..) INSPECTION NAME STREET R(W DATE SIGNED I J a J IBIOW Or Aileen r, EXISTING STREET R/W FT. DEFICIENCY THIS PROPERTY COMP. PLAN ST. R/W FT, FT. REMARKS O Z D RESIDENTIAL WW ABUTTING STREETS) CHECKED EY W ❑ SIGN ❑ 2 0-__-.-.-...�-.-..__•..----.._�.__--. O Z STREET AND/OR UTILITY ❑ YES W WORK RECI'D ❑ NO UNDERGROUND El WIRIN6"R'EO10 ❑ NO NATURE OF WORK TO BE DONE D FIED BY PERMIT -- - - - GROUP LOAD ❑ NO f SED BY THISSITE IS LOCATED IN THE CITY o _ OF EDMONDS. LOCAL SALES TAX O D Z D J_ 7 sl PROPOSED USE Z _ PLAN CHECK 1 ❑ NEW D RESIDENTIAL AS ElLINE ABUTTING STREETS) ❑ NON-RESIDEN�/TIAL ❑ SIGN ❑ AOD 0-__-.-.-...�-.-..__•..----.._�.__--. ©:DEM•OLISH HEAT e& GAS LINE - ((-/� OWALLINING ❑ ALTER ❑ ORCFILLTE ❑ FENCE X_FT) SIGN REPAIR ❑WIM OPOOL �!) INSP. NUMBER OF STORIES NUMBER OF DWELLING UNITS NATURE OF WORK TO BE DONE D FIED BY PERMIT -- - - - GROUP LOAD ❑ NO f SED BY THISSITE IS LOCATED IN THE CITY o _ OF EDMONDS. LOCAL SALES TAX O D Z D J_ 7 sl PROPOSED USE Z _ PLAN CHECK 1 6 PLOT PLAN INDICATE V L ING SETBACKS, ABUTTING STREETS) BUILDING 1 PLUMBING 0-__-.-.-...�-.-..__•..----.._�.__--. sl) 1 HEAT e& GAS LINE - FENCE ! .. t-(�•: SIGN �!) RETAINING WALL ! SWIMMING POOL I hereby acknowledge that I have read this apPllcatton; that the In- TOTAL AMOUNT DUE formation given le co rest; and that I sm the owner. Or the duty author- ized agent or theowner. [agree to eomD1Y with city and state laws Rgu• thereby, ATTENTION APPLICATION APPROVAL lating conetrectloa; and in doles the Work authorized no porion will be employed In Violation Of the Labor Cade of the Slate of Washington THIS PERMIT This application is not a ermit until pp p relatlog to workmen's Compensation Insurance. AUTHORIZES signed by the Building Official or his Dep - NOTE: Permit Limit One Year (Except DEMOLITIONS Which ONLY THE UCyi and fees are paid, and receipt is ae- shall be completed In ninety days; MOVED -IN HOILI11N08 eMll be oam- WORK NOTED knowledged in space provided. plated In SIX month..) INSPECTION SIGNATURE tOWN.ER Oti AGENT) DATE SIGNED DEPARTMENT DIRE R'S SI ' `1 ./.•.I; r c.I 1 CITY OFfi'Li.i (/ATU EDMON DS DATE NOTE: Applicant Subject to Plan Check Fee 775.2525 7r This Permit covers work to be done on private property ONLY. on the domain (curbs, sidewalks, driveways, ORIGINAL - File YELLOW -Ins otter P 1 Any construction public marquees, etc.) will require separate permission. PINK -0—c, GOLD . Assessor 1 I I .1 , ;:+ a n Kr kir..::.. .. . .. : .. :; ..r, ,..,. •, r• r , x _ i r r ": r. I , r , : t : f j r. t' , - c t .. '... .. .... .... t 1111 , r , ill r` i 1 IM1R 1 : � I t ttECC7q't UF 1 ISPLG'I•IONS Da!e Passed Founila!icn Fltlrtl:irtti:; fcC;tiia,j i, f U.'IMIC 0. , Duel I_irl�