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750506.pdf1 i ' BUILDING DEPARTMENT gpplicant Fill USE PERMIT Vl ZONE NUMBER �5 01O6 PERMIT APPLICATION inside Heavy Lines I los ADDRESS NA/ME IDR NAME OF BUSINESS) �- 1 R V E 1 LEGAL EST ❑ NO L T AREq r.o SUBDIVISION W ZI\,�O MAILING ADO. ESS '•� Gl r VARIANCE OR AOB GOND. USE NO. NO. D ONE NUM BEfl U I I CITY YF C) I-rt (n t,J b g ELEPH —7 'T4 � � i 5 0 II PROPOSED YARDS Vr_SIDE FRONTS REAR = I NAME Q�i tJ I��L ALLOWABLE PROPOSED •1 I i U SIGN AREA SIGN AREA ' i F ADDRESS OTHER REQUIREMENTS = U it CITYTELEPHONE : NUMBER PLANNING �`AL 0( ^IDATE < NAME QW f\i��L r-� STREET R/W E EXISTING STREET R/W FT, DEFICIENCY THIS PROPERTY ADDRESS I- COMP. PLAN ST. R/W FT. FT. U E I, Z REMARKS CITY TELEPMO.NE NUMSER Zpj O U W Z , STATE LIG ENSE NUMBER CITY LICENSE NUMBER CHECKED BY W Legal Description of Property (Show Below or Attach Four Copies) STREET AND/OR UTILITY ❑ YES LUT LO iL �I WORK REO•D ❑ NO UNDERGROUND ❑YES E G WIRING REQ'D ❑ NO TYPE CONNECTION VERIFIED BYIL F , �Q t ZCJ 1 2 pWj W ❑ YES PERMIT NUMBER W D SEPTIC SYSTEM APPVD BY CITY ENG. ❑ NO 3 W N I Q REMARKS O W J _ METER SIZE SERVICE SIZE CLEARANCE CH EGKED BY E W F REMARKS < •-Jy/S, NEW L��J RESIDENTIAL LAS INE LL J1 FIRE ZONE TYPE OF CONSTRU N CODE 11—T11I ❑NON-RESIDENTIAL ❑SIGN A/ I ADO IfQI RETAINING ❑ DEMOLISH OwALL SPECIAL INSPECTOR A EA REQUIRED OCCUPANCY OCCUPANT GROUP LOAD � � ❑ YES 4NVD , 1' ❑EXCAVATE FprNCE ALTER ❑ OR FILL ©( 1Z—ll Xf)OFT) W PLAN CNE KE BY THIS SITE IS LOCATED IN THE CITYOF PRE O O a{� SHOULD gN DS. SOCA; SALES TAX REPAIR IP POOL L Z MAR NUMBER OF STORIES NUMBER OF DWELLING j /J ---• -71 (f tl-/ //CCJJ UNIT5 0 _ NATURE OF WORK TO BE DONE V Li,T�+ UGY C-G IJ C. F-. /C / VALUATION FEE PLAN CHECK Z PROPOSED USE _ IJ L O�1.� l 1 li C 11 NO. If PLOT PLAN INDISETBACKS, �Af STREETSIBUILDING QG GI VG — E ABUTTING ♦f PLUMBING — d GAS LINE O HEAT rg CARPoY_7 - 1 SIL{.f T FENCE — Il SIGN aTur - yA�ll VUUr�nt(�I RETAINING WALL 6tIIFe re Le.gay, ti SWIMMING POOL 11j O 1 hereby acknowledge that I have read this apDllCallon; that the In- TOTAL AMOUNT DUE 12- [orma"an given Is c ect; and that 1 am the owner, or the duly aethor• "an I Ized agent of the owner. I agree to Comply with City and .let. law. reg.- ATTENTION In lath, Construction; Cad In doing the work authorized thereby. no Pars.. APPLICATION APPROVAL J will be employed In violation of the Labor Code of the State of Washington THIS PERMIT This application is not a permit until i 1 relatlbg m Workman'a In.uraaae. 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- shall be completed In meaty day.; atOVED-IN BUILDINGS shall be Co.- WORK NOTED knowledged in space provided. pleledIn six month., C INSPECTION -A SIG TORE (OW R ENT) DATE SIG NEO DEPARTMENT R R'S SIGN TORE t G� ✓ CITY OF EDMONDS OAT y NOTE: Applicant Subject to Plali 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 - hlc YELLOW - 1mnrecwr marquees, etc.) will require separate permission. PINK - Oor COLD - A•sessrr, 1� 1 '1 I x o,,_&/1 { 1 I I ` a -3o_7 ' RTMENT BUILDING DEPAApplicant Fill USE PERMIT -/l-'-- T ZONE NUMB Ell "1 I I HeavPERMIT APPLIC ADDRESS - \ 11 I NAME TOR NAME OF BUSINESS) ' �.,, LEGAL LOT LOT AREA ('�� SUBDIVISION NO. L_S`;. �.1 •C = •_-. i.f, •YES ❑ NO WMAILING ADDRESS ±+ VARIANCE OR CONO. USE NO. ADB NO. = ° TELEPHONE NUMBER Z CITY PROPOSED YARDS HEIGHT FRONT Cj SIDE REAR o Z j j NAME ( ALLOWABLE SIGN AREA PROPOSED SIGN AREA a p, —= U I; i I F ADDRESS = OTHER REQUIREMENTS PLANNING DEPT. APPROVAL GATE C CITY —_., TELEPHONE NUMBER - NAME /I `'•I 1�1 LV 1C STREET R/W EXISTING STREET R/W FT, DEFICIENCY THIS PROPERTY C O ADDRESS COMP. PLAN ST. R/W FT. FT. F U � O REMARKS Z C CITY TELEPHONE NUMBER Z ° CHECKED BY W U STATE LICENSE NUMBER CITY LICENSE NUMBER _ Z I Legal DescAptlon of Property (Show Below or Attach Four Copies) eZ STREET AND/OR UTILITY E3 YES WORK REQ'D ❑ NO L•U i l.) L"'') r UNDERGROUND ❑ YES ZWIRING REWD ❑ NO 1 I I TYPE CONNECTION VERIFIED BY F U`- l.1 , k l 1_ 1- I j ; ` ❑ VES SEPTIC SYSTEM PERMIT NUM OER W 1 W D APPVD BY CITY ENG.NO ❑ Is W I REMARKS J Q O J E METER SIZE SERVICE SIZE CLEARANCE CHECKED BY W I G 3 - REMARKS ( ❑ GAS .- NEW D RESIDENTIAL LINE FIRE 20NE TYPE OF CONSTRUCTION Z CODE _., ❑ NON-RESIDENTIAL ❑SIGN _�-" , '--' - l%`'; ii ;'.-i RETAINING ADODEMOLISHWALL SPECT AL INSPECTOR REQUIRED A EA OCCUPANCY OCCUPANT GROUP. -� LOAD ❑EXCAVATE FENCE ALTER ❑ OR FILL E I I a- X_eFT) ❑ YES Q:NO- F W PLAN CHECKED; BY THIS SITE IS LOCATED IN THE CITY OF EDMONDS. LOCAL SALES TAX D REPAIR ❑PRE -MOVE OSWIM INSP, POOL ( l�it'-1" �'- SHOULD O Z REMARKS NUMBER OF STORIES NUMBER OF LING �� /7i:) !:�/J ')'. �:I/.l% DWE, UNITS as I NATURE OF WORK TO BE DONE VALUATION FEE PROPOSED USE PLAN CHECK Z "1 —11I i�+ L- ' 6 PLOT PLAN INDICATE B' G SETBA KS, Vie/ JLC /I J L�V j ELD1 ABUTTING STRETS) BUILDING PLUMBING _ t. i I HEAT & GAS LINE FENCE '. ..�. SIGN r. 1 : 1 1•_- RETAINING WALL SWIMMING POOL ,1 1, y. 1 hereby acknowledge that I have read this application; that the In -TOTAL AMOUNT DUE lormatlon given Is co reet; and that I em the owner, or the duly author Ired agent of the owner. I agree to comply with city and state laws rogu- ATTENTION APPLICATION APPROVAL lating coaetructlon; sad In doing the work authorised thereby, no person - will beem ploy,d In Vlolnllon of the Labor Code of the State of Waibinaton THIS PERMIT This application is nota permit until relating t0 Workmen's Comptn-atlon Insurance, AUTHORIZES signs by the Building Official or his Dep - ONLY THE NOTE: Permit Limit One Year (Except DEMOLITIONS which uty; and fees are paid, and receipt is ac - WORK NOTED shell be completed In ninety day-; MOVED -IN BUILDINGS shall be earn. knowledged In space provided. pleled In .1 monlhe' INSPECTION SIGNATURE (OWNER OR AGENT) DATE SIGNED DEPARTMENT DIRECTp R•S SIGNATURE. / CITY OF EDMONDS DATE — -- NOTE: Applicant Su bject to PIm1 C71eck Fee -7 f % r% — -7 =~ ThisPermit covers work to be done on private property ONLY. ORIGINAL - Filc YELLOW - Inspector Any cc nstrudtion on the public domain (curbs, sidewalks, driveways, marquees, etc.) will require separate permission. PINK . Owner COLD - Assessor