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750500.pdfH E U W 0 J Q O W J Z O al O TYPE CONNECTION VERIFIED BY SEPTIC SYSTEM ❑ YES I PERMIT NUMBER APPV D BY CITY ENG. ❑ NO ❑ NEW •L1 RESIDENTIAL ❑ L A. NE � FIRE ZONE TYPE OF j ❑ NON-RESIDENTIA111 BUILDING DEPARTMENT Applicant Fill USE PERMIT zone NUMBER/4 )r' I� ❑ ADD RETAINING ❑ DEMOLISH O WALL SPECIAL INSPECTOR Ai REQUIRED PERMIT APPLICATION Insido Heavy Linos JOB O AN CHECKED BY I� ❑PRE -MOVE SWIM INSP. ❑POOL 775-2525 ADDRESS •�../r J � � / ///1� /'/ REMARKS UMBER OF STORIES NUMBER OF PINK - 0,-, GOLD - A<<es5rr NA/M��E IDR NAME OF.BU IN ESS) '� / IQ ✓tet/ -G+ t,/`� ( ' LEGAL LOT LOT AREA SUBDIVISION NO, W �d L MAILING A -01— ❑YES ❑ NO f ,1 3�� Q VARIANCE OR GOND, USE NO. AD" NO. O CIT TELEPHONE NUMBER U Z 2^, Q •—J ( PROPOSED YARDS HEIGHT Z NAME FRONT SIDE REAR z 1. ALLOWABLE PROPOSED _1 a F V SIGN AREA SIGN AREA H ADDRESS OTHER t Z REQUIREMENTS U R CITY TELEPHONE NUMBER 4 PLANNING DEPT. APPROVAL DATE I NAME STREET R/W - C EXISTING STREET R/W FT. DEFICIENCY THIS PROPERTY - 0 t. U ADDRESS COMP, PLAN ST. R/W FT. FT. G REMARKS UI E F 2 CITY TELEPHONE NUMBER Z C O CHECKED BY W U STATE LICENSE NUMBER CITY LICENSE NUMBER •I Z 223-b -/ P z . Legal Description of Property iShow Below or Attach Four Copies) STREET AND/OR UTILITY ❑ YES 41 i WORK REQ'D ❑ NO I UNDERGROUND ❑ YES :1I 2 O WIRING REQ'D El NO H E U W 0 J Q O W J Z O al O TYPE CONNECTION VERIFIED BY SEPTIC SYSTEM ❑ YES I PERMIT NUMBER APPV D BY CITY ENG. ❑ NO ❑ NEW •L1 RESIDENTIAL ❑ L A. NE JAPPROVAL FIRE ZONE TYPE OF THIS PERMIT AUTHORIZES ❑ NON-RESIDENTIA111 SIGN aligned by the Building Official or his Dep - WORK NOTED ❑ ADD RETAINING ❑ DEMOLISH O WALL SPECIAL INSPECTOR Ai REQUIRED ❑ ALTER ❑ EXCAVATE FILL ❑ i ENCS X_F O AN CHECKED BY ❑ REPAIR ❑PRE -MOVE SWIM INSP. ❑POOL 775-2525 ' — _ S REMARKS UMBER OF STORIES NUMBER OF PINK - 0,-, GOLD - A<<es5rr DWELLING UNITS A11TURE OF WORK TOti E DONE 1 /1. d ( S I 't, — I h S/7 -L�� ; Gl ABUTTING herenyacknowledge thatI bave read this application; that the In- tian given le correct; and that Io r the duly aumor- laed agent or the owner. I agree to comply with city and state laws rngu- lating cenetruction; and la doing the work authorized meraby, no personwDe employed In violation of the Labor Code of lbe Slate of Washingtonrelating toWorkmen's Compensation Iosuranee. NOTE: Permit Limit One Year LEa«pt DEMOLITIONS whichshall b completed to ninety days; 310VED-IN BUILDINGS (hall be eom- pleted eta monm _JS."'aml G TUR OWN R OR AG NTI DATE SIGNED �;� N D OTIi: Applicant SI h ect to Plan Check Fee This Permit covers work to be done on private property ONLY. Any construction on the public domain (curbs, sidewalks, driveways, marquees, etc.) will require separate permission. PLAN CHECK NO. BUILDING PLUMBING HEAT d, GAS LINE FENCE SIGN RETAINING WALL SWIMMING POOL 1 OCCUPANCY OCCUPANT GROUP LOAD F THIS SITE IS LOCATED IN THE CITY w OF EDMONOS, LOCAL SALES TAX SHOU D BE LOCAL i 0 J_ 7 m VALUATION I FEE IL A OUNT DUE JAPPROVAL ATTENTION APPLICATION THIS PERMIT AUTHORIZES This application is not a permit until ONLY THE aligned by the Building Official or his Dep - WORK NOTED uty; and fees are paid, and receipt is ac- knowledged in space provided. INSPECTION DEPARTMENT DIR DR'S._-. GN ATIJ'H E, r 1.�' •1` tri .� CITY OF EDMONDS DATE 775-2525 ' — _ S ORIGINAL - Fdc YELLOW - In;pcUor PINK - 0,-, GOLD - A<<es5rr 0 1 BUILDING DEPARTMENT Applicant Fill USE ZONE PERMIT NUMBER (,_;r✓"f _ )J� i �.r PERMIT APPLICATION Inside Heavy Linos dDB ADDRESS ')-.'j NAME (OR NAME OF BUPINE551 _ ' LEGAL LOT LOT ARCA SUBDIVISION NO, ' ? ❑YES ❑ NO W MAILING DTIESS 1 /) Z -AO ry^) / / '? VARIANCE OR CORD, USE NO. ADB NO. O CITY ELEPH ONE NUMBER O I j •� - _ (",) PROPOSED YARDS HEIGHT Q / /r� FRONT SIDE REAR Z l NAME < i ALLOWABLE SIGN AREA PROPOSED SIGN AREA y - 1 U W ADDRESS i F OTHER REOUIREMENTB V E CITY TELEPHONE NUMBER 1 I < PLANNING DEPT. APPROVAL DATE NAME I 1 STREET R/W EXISTING STREET R/W FT. DEFICIENCY THIS PROPERTY r O ADDRESS COMP. PLAN ST. R/W FT. FT. U CITY TELEPHONE NUMBER REMARKS U 'C Z E j O U STATE LICENSE NUMBER CITY LICENSE NUMBER CHECKED BY In Z jLegal Description of Property (Show Below or Attet:h FOUL Copies) STREET AND�OR UTILITY ❑YES IJ WORK REQ'D ❑ NO i UNDERGROUND ❑YES i WIRING REQ'D ❑ NO Q TYPE CONNE TI N VERIFIED BY 1 C 1 U } ❑ YES PERMIT NUMBER pj W SEPTIC S APPVO BY E ❑ NO W O H i j J 't REMARKS \ )' O W J METER SIZESERVIC C A E CHECKED BY W REMARKS < 3 I ❑ NEW RESIDENTIAL El L NE 1E] FIRE ZONE TYPE OF CONSTRUCTION D E NON-RESIDENTIAL ❑SIGN ' ❑ ADD ❑O RETAINING DEMOLISH SPECIAL INSPECTOR AREA UPANC PANT REQUIRED GROUP O D WALL ❑ LTER EXCAVATE FENCE A ❑ OR FILL E]1_ X_FTJ ❑ YES El NO By THIS SITE IS LOCATED IN THE CITY a W PRE -MOVE SWIM PLAN CHECKED OF EDMONDS. LAL SALES TAX SHOULDBE OC D O REPAIR INSP. ❑ POOL REMARKS Z_ D NUMBER OF STORIES NUMBER OF in DWELLING UNITS B NATURE OF WORK TO BE DONE VALUATION FEE 2 PROPOSED USE PLAN CHECK O NO. y PLOT PLAN INDICA'T`E gU1L%.J TACKS, �uTjiE S) \ E ABUTTI G BUILDING N W PLUMBING l 0 j in HEAT a GAS LINE - C FENCE SIGN RETAINING WALL SWIMMING POOL I hereby acknowledge that I have rend this appllCatloR; that the In• TOTAL AMOUNT DUE - - formation given to Correct; and that I am the owner• or the duly author- - Ired agent of the owner. I agree to comply with City and state laws "Su- ATTENTION APPROVAL IsUng construction; and Ia doingthe work authorized thereby, ao person APPLICATION will be employed In violation of the Labor Code of the Slate of Wssbington THIS PERMIT This application Is not a permit Until relating to Workmen's Compensation Imnnnee, 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 6C- shall ba completed m Noety days; MOVED -IN BUILDINGS shall be wm- WORK NOTED knowledged in apace provided. pleled In eta months,) SIGNATURE (OWNER OR AGENT) DATE SIGNED INSPECTION DEPARTMENT I% •/r DIR GTOR'S Sh�rNAT/I� • I CITY OF :�j ft/Y"L{IC�GGG�I EDMONDS DATE NOTE": Applicant Subject to Pan L7ieck Fee — 775-2525 1 This Permit covers work to be done on private property ONLY. the domain (curbs, si pdwalks, driveways, ORIGINAL - File YELLOW -Inspector Any construction on public marquees, etc.l will raquire separate permission. PINK - Owncr COLD - A,xs;,, I