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750480.pdfi i r I BUILDING DEPARTMENT gppiieant Fill USE ZONE _ (� Z/ PERMIT (1AC71"1 NUMBER 750480 PERMIT APPLICATION Inside Heavy Lines ADDRESS 3 0 - NAME (OR NAME OF BU SIN E551 C r� 10 , , LEGAL OT LOT AREAIBOIV ISION NO. E MAILING L OV'-E RE55+ '_ YES E] NO qOe NO. ' Z 3 /! 330 9 6�r1 LV- VARIANCE OR GOND, USE NO. U 0 CITY TELEPHONE NUMBER Z PROPOSED YARDS Z H(rT �MON�S '/' h /FRONT "% /� REAR / I 1!� SIDE a i NAME ALLOWABLE SIGN AREA PROPOSED y SIGN AREA F f I U I- ADDRESS = OTHER REOUIREMENTanwt— �Y a - 't i UCITY TELEPHONE NUMBER' PLANNINr= near. APPROVAL O`A-WE 1 - to _ NAME Sr J. STREET R/W EXISTING STREET R/W FT. DEFICIENCY THIS PROPERTY 0 ADDRESS his T �% COMP. PLAN ST. R/W FT. FT. Odl1 . REMARKS D Z Ic CITY TELEPHONE NUMBER I Orr InfN �3'�7S�S CH ED BY E W W U STATE LICENSE MBE- CITY LICENSE NUMBER Z X67 z w Legal Description of Property (Show Below or Attach Four Copies) STREET AND/OR UTILITY ❑ Y WORK REQ'D ❑ NO� UNDERGROUND ❑ YES WIRING REQ'D 0<,N0 o SF[ A?TA GH)zt VERIFIED Y 6 TYPE CONNECTION EE E3 YES P MIT NUMBER W at SEPTIC SYSTEM APPVD BY CITY ENG. ❑ NO W J REMARKS � I W J METER 512E SERVICE SIZE CLEARANCE CHE BY R I W REMARKS Q ❑NEW L_I RESIDENTIAL LINE E� FIRE ZONE TYPE OF CONSTR UCTI CODE/))////��//�� ❑ NON-RESIDENTIAL ❑ SIGN A. CIAL INSPECTOR A J 1 EA OCCUPANCY OCCUPANT RETAINING ❑ DEMOLISH ❑WALL SP REQUIRED GROUPr / LOAD ❑ EXCAVATE FENCE ALTER []EXCAVATE OR FILL ❑ (� X FTI ❑ YES O _VE F• PLAN CHEC E BY THIS SITE IS LOCATED IN THE CITY W OFOUDMONDS. LOCAL SALES TX REPAIR PRE-M ❑ ❑OVE INSP. ❑PO` K 13 +I NUMBER OF STORIES NUMBER OF ARK -• �O�tI jy� �`72 0 DWELLING UNITS m - NATURE OF WORK TO BE DONE C RPo2T I i VALUATION FEE PROPOSED USE PLAN CHECK NO. pF, PLOT PLAN INDICATE BUILDING SETBACKS. aG QU ABUTTING STREETS) BUILDING N to PLUMBING f D 0 HEAT & GAS LINE 0 FENCE SIGN RETAINING WALL SWIMMING POOL TOTAL AMOUNT DUE `% Q I hereby acknowledge that I have read this application; that the in- . e...eet; and that I am the owner, or the duly author- formation given i.­ Ired agent of the owner. I agree to Comply with city and state laws reg.. thereby, no ATTENTION APPLICATION APPROVAL lating construetlon; and In doing the work authorized person will be employed In violation of the Labor Code of lhs stale or Wa.hington THIS PERMIT This application Is not a permit until relating to Workmen's ComP.thut mt Insurance. AUTHORIZES Signed by the Building Official or his Dep. ; NOTE: Permit Limit One Year (Except DEMOLITIONS which ONLY THE uty; and fees are paid, and receipt is ac- .hall be completed In ninety day., MOVED-IN BUILDINGS .hall be nom- WORK NOTED ltnowledged Space provided. pleted In .Ix month..) INSPECTION SIGp` gTc�R IOWNER R AGE DATE GNE DEPARTMENT IRE OR 51G UR J �/� CITYOF 1 ` EDM ONDS DATE NOTL, pplicant Subject to Plan Check ]-Tc 775.2525 This Permit Covers work to be done on private property ONLY, on the domain Icurbs, sidewalks, driveways, ORIGINAL - Fk YELLOW - Impec lar Any construction public marquees, etc.) will require separate permission, PINK -Owner COLD - Av.e,ur I USE. PERMIT BUILDING DEPARTMENT l gpplicant Fill ZD"E NUMBED PERMIT APPLICATION inside Heavy Lines ,DB f 1 NAME (OR NAME OF BUSINESS; ,,^h ,� �� (/ / "' � ([•-+ LNC—', l •;. �1 ` , !-: LEGAL LOT LOT AREA _ SUBDIVISION NO, to - ) fL ES ❑ NO W MAILIN DRE55 '1 / VARIANCE OR ADB NO. .ZT,: CORD, USE NO. O CITY ELEPHONE NUMBER D PROPOSED YARDS �" HEIG YT Z 00'FRONT % t!� its, DE f `� REAR t'j z NAME ALLOWABLE PROPOSED ! I SIGN AREA 5IGN AREA U W ADDRESS OTHER = REOUIREMENTB U 0:CITY TELEPHONE NUMBER - V.'J'C.'�-d- G/`� �.✓,l.C/ orf is "1 1 I C PLANNING DEPT. APPROVAL - DATE 1OhL11L/Iy c� - ' I NAME - / / r STREET R/W E .�7jY ri �1, LL - (,'I I rl t EXISTING STREET R/W FT. DEFICIENCY THIS PROPERTY l O ADDRESS i COMP. PLAN ST. R/W FT. FT. � F CITY TELEPHON E NUMBER REMARKS Z • 1`/ CHECKED BY W G :� A771_ ._ i U STATE LICENSE NUMBER CITY LICENSE NUMBER Z ' Legal Description of Property (Show Below or Attach Four Caples) STREET AND/OR UTILITY ❑ YES Id I WORK REO'D ❑ NO UNDERGROUND ❑ YES ' Z WIRING REQ'D "El \NO H TYPE CONNECTION VERIFIED BY West 139.66 ft. of the S 1/2 of tract / U 6 an measuced along the s line Qf.tractin ❑ yE5 PERMIT NUMBER W 0 6 all in block 4 Lake Ballinger Land Co. APPY BYeE NG N W N I Q RE O W A AA 11 J METER SIZE SE V C 1 C EA NC H E F REMARKS 6 3 ❑ NEW �,R EStOENT IAL L NE FIRE ZONE TYPE OF CONSTRUCTION CODE !- ❑ ADD NON-RESIDENTIAL ❑ SIGN / RETAINING SPECIAL INSPECTOR AREA V OCCUPANCY OCCUPANT ❑ DEMOLISH ❑WALL REq UIRED GROUP r LOAD i ❑ ALTER ❑ ORFILL ❑ I ENCS X_FT C3 YES CH ECK❑HD BY THIS SITE IS LOCATED IN THE CITY W ❑OF EDMONDS. LOCAL SALES TAX D REPAIR PR-MOVE ❑POOL I'�'/" '/ SHO BE E i ! INSP. _ REMARKS NUMBER-OF STORIESN UMBER OF f _ B DWELLING UNITS m NATURE OF WORK TO BE DONE i VALUATION FEE PROPOSED USE PLAN CHECK Z NO. O a PLOT PLAN INDICATE BUILDING SETBACKS, C ABUTTING STREETS) BUILDING i• /--- U i N PLUMBING O I HEAT S, GAS LINE 0 FENCE SIGN RETAINING WALL SWIMMING POOL I hereby acknowledge that I have read this application; that the In- TOTAL AMOUNT DUE formation given Is correct; and that I am the owner• or the duly author- Iced agent of the owner. I nares to comply with city and state taws regu- ATTENTION lacing construction; and In doing the work alltharized thereby, no person APPLICATION APPROVAL will be employed In violation at the Labor Code of the elate Of R'aabington THIS PERMIT relating to Workman's CompensatlOo. Insurance. AUTHORIZES This application 1s not S permit until ONLY THE signed by the Building Official or his Dep- NOTE: Permit limit One Year (E—Pl. DEMOLITIONS which WORK NOTED nty; and fees are paid, and receipt is ac shall be completed in ninety days: MOVED-IN BUILDINGS shall be nom- Pieted In six months,) knowledged in space provided. INSPECTION JSIGNATURE IOW NER OR AGENT) DATE SIGNED DEPARTMENT DIREC.TORIS SIGNATURE 1 CITY OF EDMONDS ATE:; NOTE: Applicant Subject to Plan Check Fee 775.2525 This Permit covers work to be done on private property ONLY. Any construction on the public domain (curbs, sidewalks, driveways, ORIGINAL -Pile YELLOW -Inspector marquees, otd.) will require separate permission. PINK - 0.ncr GOLD - nssesscr {f i 23309 76th W. West 139.66 feet of the South I- of tract 6 as mea-,,. cured along the South line of tract 6 all in block 4 Lake Ball- *a inger Land Company, subdivision #1 as per plat recorded in volum 9 of plats on pages 57 and 58, Records of Snohomish te of Washington. jty} Count , situate in the county of Snohomish, staj . I { /1 'r i �.. .l e�7r !+ r.� +. ! ciN F.., r 4 1 i LIEGAL DESCRIPTION 23309 76th W. West 139.66 feet of the South I- of tract 6 as mea-,,. cured along the South line of tract 6 all in block 4 Lake Ball- *a inger Land Company, subdivision #1 as per plat recorded in volum 9 of plats on pages 57 and 58, Records of Snohomish te of Washington. jty} Count , situate in the county of Snohomish, staj .