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750503.pdf! BUILDING DEPARTMENT Applicant Fill USE ZONE )%5 _ D lV� NUMBER "750503 �~- -- PERMIT APPLICATION Inside Heavy Lines JOB ADDRESS NAME (OR NAME OF BUSINESSI. /�/� �• / �-/_ _144 �+ LEG LOT LOT AREA SU UDIVISION NO, W MAILING ADDRESS YES ❑ NO p� /� ` Z 3 s-2-3 9 I✓ %l e4-" VARIANCE OR COND. USE NO. ADB NO, O CITY NUMBER Z ��ELEPHONE p�nN%S I Al I& �� 3�� PROPOSEDYARDSOS t / le 1 HT Z FRONT SIDE REAR ALLOWABLE D U SIGN AREA 01 j F ADDRESS OTHER = U REQUIREMEN 8 I C CITY TELEPHONE NUMBERS 1 Q P E T. A P OVALDATE T i ENING e / .� NAME ©N C__le ev IC._ STREET R/W FT. DEFICIENCY THIS PROPERTY ` "I 6 F ADDRESS EXISTING STREET R/W COMP. PLAN ST. R/W FT. FT. " I U E z CITY TELEPHONE NUMBER REMARKS � A 5-rl oai" � �likll�L 1 Z a O U STATE LICENSE NUMBER CITY LICENSE NUMBER - CHECKED BY W Z O Legal Description of Property (Show Below or Attach Four Copies) STREET AND/OR UTILITY ❑ YES W 13 It OC@ 8H1 IH CIC WORK REQ'D ❑ NO + ,lU*S UNDERGROUND ❑ YES 1 o /,9HD 6GS /V WIRING REQ'D ❑ NO 1 1; a /'4-L/ TYPE CONNECTION VERIFIED BY :I 0 W W W J SEPTIC SYSTEM YES PERBER L]MIT NUM APPVD BY CITY ENG. ❑ NO N ( f 1 1 G U REMARKS I I METER SIZE SERVICE SIZE CLEARANCE CHECKED BY I REMARKS W F Q ® NEW RESIO ENTIAL ❑ O GAS LINE 3 FIRE ZO TYPE OF CONSTR VCT ON CODE Ub c -1173 NO N• RESIDEN TIAL ❑SIGN ADD ❑ RETAINING ❑ DEMOLISH Ew,ALL SPECIALINSPECTOR AREA REQUIRED OCCUPANCY OCCUPANT GROUP 1 LOAD ❑ ALTER EXCAVATE FENCE OR FILL (X_FTI ❑ YES ❑ NO PLAN CHECKED BY THIS SITE '--+ IS LOCATED IN THE CITY W OF EDMONDS. LOCAL SALES TAX G 1 REPAIR PRE-MOVE SWIM INSP. O POOL /'�W� HOU DBE U Z I NUMBER OF STORIES DWELL NGF��r REMARKS �/ r' / �+ /. 1�J��G✓72 O i / UNITS -1`14— ? m I NATURE OF WORK TO BE DONE �� N v'�� �� I VALUATION FEE Z PROPOSED VSE PLAN CHECK O NO. 6 PLOT PLAN IN BUILDING SETBACKS, ABUTTING STREETS) BUILDING V , W O PLUMBING m 0 - HEAT & GAS LINE FENCE SIGN RETAINING WALL SWIMMING POOL TOTAL AMOUNT DUE O O 1 hereby acknowledge that I have read this application; that the In- formation given Is correct; and that I am the owner, or the duly author- ized agent of the owner. I agree to comply with city and state law. rogu- Iating conetmctlon; and In doing the wont autborl..d thereby, no pereon ATTENTION APPLICATION APPROVAL 11111 be employed In violation of the Labor Code of the Stale of Washington THIS PERMIT This application is not a permit until relating to Workmen'. Compensation Ineurnace. NOTE: Permit Limit One Year (Except DEMOLITIONS which AUTHORIZES ONLY THE signed by the Building Official or his Dep- uty; and fees are paid, and receipt Is ac- shall be completed In nicely days; MOVED-IN BUILDINGS shall be com- WORK NOTED knowledged in space provided. pleted In .1. months.) INSPECTION SIGNATURE (OWNER OR AGENTIGATE • SIGNED DEPARTMENT C R' ATU CITY OF EDMUNDS DATE NOTE: Applicant Subject to Plan Check fee 775.2525 ThisPermit covers work to be done an private property ONLY. Any construction on the public domain (curbs, sidewalks, driveways, ORIGINAL - Ftic YELLOW - InspVClor marquees, etc.) will require separate permission. PINK - 0—er GOLD _ Asmss , I I � USE PERMIT NUMBER I ( 'I BUILDING DEPARTMENT Applicant Fill PP Z°NE Jl� F_ PERMIT APPLICATION Inside Heavy Lines ,OB ADDRESS NAME (OR NAME OF BUSINESS) ' .. / _ ,, Lt_/ / /V �j- / .� LEGgI. LOT .,p LOT AREA f L SUBDIVISION NO. !1 E . YES ❑ NO �� `�) (� l W MAILING ADDRESS OR ADB NO. , VARIANCE COND. USE NO. O CITY ELEPH ONE NUMBER Z /) /�/ / fii�i�":J .1. !✓!� PROPOSED YARDS , 1 ( � HEIGHT Z FRONT �! SIDE � REAR , I NAME ALLOWABLE SIGN AREA J PROPOSED �`,, 1}�' I7f��j.-� f.•f_ •i-, �a 6 SJfP,LAREA� I- I V F ADDRESS OTHER REOUIREMENTSk (�-; L\-'\ 1'�; } U C CITY TELEPHONE NUMBER `rV (7 1-t/Lf/_. +�'�'•-�'>,.i(. Ci DATE i Q PLANNING pEPT. APPROVAL ,_rl� v 1) 1 NAME STREET R/W EXISTING STREET R/W F 1. VEFICIENCY THIS PROPERTY O ADDRESS COMP. PLAN ST. R/W FT. FT. U Q E CITY TELEPHONE NUMBER REMARKS U Z E: x� 1, 2i'>> wiy Z , W U CHECKED BY W i U STATE LICENSE NUMBER CITY LICENSE NUMBER Z, O STREET AND/OR UTILITY ❑YES W ! Legal Description of Property (Show Below or Attach Four Copies) WORK REQ'D ❑ NO ! 1 /. '9Ci 8'1ti IN, ftc UNDERGROUND ❑YES WIRING REQ'D ❑ NO I ! y I a TYPE CONNECTION VERIFIED By 1 U ❑ YES PERMIT NUMBER W W W D SEPTIC SYSTEM APPVD BY CITY ENG. ❑ NO �y LI W j J REMARKS l,h W , J METER SIZE SERVICE SIZE CLEARANCE CHECKED BY C REMARKS f F ; NEW ❑ RESIDENTIAL LA. HE FIRE ZONE TYPE OF CONSTRUCTION CODE ❑ NON-RESIDENTIAL ❑ SIGN ❑ ADD ❑ DEMOLISH ❑N,ALLI NTNG SPECIALREOU RED SPECTOR AREA OCCUPANCYRO OCCUPANT EXCAVATE FENCE ❑ ALTER ❑ OR FILL ❑ (� X_Frl ❑ YES ❑ NO-� PLAN CHECKED BY THIS SITE F IS LOCATED IN THE CITY W D PR E•MOV E OF EDMONDS. LOCAL SALES TAX {fit/��_ �' / / / /- tai S LD B Z ! ❑swimPOOL REPAIR ❑ INSP. — REMARKS O NUMBER OF STORIES NUMBER OF - - f_'_� '- ' �'} :'/:% DWELLING _! UNITS - m NATURE OF WORK TO BE GONE 1 /e / I " /C %i �' a 7 `l C! =1r. "C� VALUATION FEE Z PROPOSED USE PLAN CHECK O NO. p E PLOT PLANINDI ATE BUI D! TRACKS, ABLTTTING�STR BTS) BUILDING I ' N W PLUMBING a ' to HEAT &GAS LINE O FENCE SIGN RETAINING WALL SWIMMING POOL TOTAL AMOUNT DUE - I hereby acknowledge that I brave read this application; that the m- ftlon Niven Is correct; and that I an the owner, or the duly author- ornla Jere agent or the owner. I agree to comply with city and state laws resu. thereby, no ATTENTION APPLICATION APPROVAL lating eonetrucuon; and In doing the work authorlted Denon will be employed In 01.tion or the Labor Code of lhs State of Washington v1 THIS PERMIT This application is not a permit until relating to Workmen's Compensation Iasuraabs. AUTHORIZES signed by the Building Official or his Dep- NOTE: Permit Limit One Year (Except DEMOLITIONS which ONLY THE utyi and fees are paid, and receipt is ae- uty; End shall be completed In Nnety days; MOVED-IN BUILDINGS .hall be con- WORK NOTED ed apace provided. pitted In sig months.) INSPECTION SIGNATURE (OWNER OR AGENT) GATE SIGNED DEPARTMENT DIRECTOR'S SIGNATURE CITY OF I- EDMONDS NOTE: Applicant Subject to Plafl Oieck Fee DATE 775.2525 This Permit covers work to be done on private property ONLY, domain (curbs, sidewalks, driveways, ORIGINAL • File YELLOW - h,speelor Any construction on the public marquees, etc.) will require operate permission. PINK . Owner COLD - Asseacr !