Permit number 740526 plz attach to final file�.._,_.... _ —......- . V........... . .. _. ... .-.... _.......� ..._ ._ _ .......... _.. _ _._. ..... _. -
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is
it BUILDING DEPARTMENT Applicant Fw ZONE
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PERMIT APPLICATION Inside Heavy Lines
NAME (OR NAME OF BUSINESS)
1
CITY-S C 1rz&nIf L,-1At/
TELEPHONE NUMBER
2 ,---
l NAME
pU,l ADDRESS
JOB
ADDRESS /
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YERMItlSIBLE
LOT COVERAGELOT CpVERAGE�th
ACTUAL4
LOT COVERAGE
LOT COVERAGE
/C'
O, 1�
YElihlltlelHLE HF�GIST
PROPOSV.4Ei HTj
ACTUAL LOT AREA
TOTAL 9L. AREA
is 74A
171
D REQUIREYAIlDB
PROPOSED YAILDB
FRONT HIDE
REAR FRONT BIDE REAR
� r'
�s' as to aG'
LEGAL LOT VARIANCE OR C05DI7TONAL U8E
YES NO PERMIT NUMBER
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z
1
PLA?I O,�EP APYR VAL C ATE:
1
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CITY
TELEPHONE NUMBER
L 7
EXIBTIN6 STREET R/�4l. DEFICIENCYBTHIS PROPERTY
COMP. PLAN ST. R ..'1'. rGE�7�pj)
NAME
{114t1Y?1C ja kYeG( i?4MIC 12f�((A� ilbnn�l
REMARKS
e5 not t0 exceed those
Driveway slopes
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nDDREatl
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;nrl;ra+nrl all c+andard Dwg Nn_ 1(1� w
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TELEPHONE NUMBER
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METER 812E SERVICE SIZE
CLEARANCE
C E D BY
STATErLlC NSE NUMHEIL
I CITY LICENSE U D41C
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A—EMA/I—iK`J ;
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Legal Description of Property (Show Below or Attach Four Copies)
�,(t'1•T �I- �A h ELc) W 11�
TYPE CONNECTION
VERIFIED Y
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PERC, EB
PE
U ER 0..
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REMARKS
V
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j
FIRE ZONE
TYPE OF CONBTRU ION STREET IMPROVED
ES [] NO
j
SPECIAL INSPECTOR OCCUPANCY GROUP
RESIDENTIAL
❑ OAS
PINE
/REQUIRED I
[I YES
® NEW
PLAN CHECKED II THIS SITE IS LOCATED IN THE CITY
NON-RESIDENTIAL
OF EDMONDS. LOCAL SALES TAX
SIGN
H ULD BE CODED 31.04.
nnD RETAINING,.
WALL
RE B
DEMOLISH
ALTER EXCAVATE E FENCE
(� /T+! /
Q /
I
❑ OR (.......... z.......... Fl.l
REPAIR SWIM
❑ INSPbtOVE O
POOL
NUMBER OF STORIES NUMBER OF
-
DWELLING I'
-2'
UNITS r
NATURE OF WORK TO RE DONE
Valuation
Fee
Receipt No.
Plan Check No .....................
_
i
BUILDING
o_
l-Q
L
PROPOSED USE
PLUMBING
ff,a.
�^ / V
aPLOT
HEAT A GAS LINE
psa
i
PLAN (Indicate Building setbacks, abutting streets)
5
FENCE
SIGN
RETAINING WALL
IN
SWIMMING POOL
DEa[OLITION
'
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE
I hereby acknowledge that I have read LEIS appllcnllon; that We in.
Y'O�,
/ b r
iormnllon m given Is correct; and that I athe owner, or the duly author-
ized agent of the owner. I agree to Comply With oily and stale lawn rash.
ATTENTION
APPLICATION APPROVAL
lating construction; and to doing the work suthorisad thereby, no person
will 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's Compensation Ith uranu.
AUTHORIZES
signed by the Building Official or his Dep-
NOTE: Permit Limit One Year (EXcept DEMOLITIONS which
ONLY THE
WORK NOTED
uty; and fees are paid, and receipt is ac-
shall be completed In ninety days; MOVED -IN BUILDINGS shall be cons.
knowledged In space provided.
pleted In six months.)
SIGN RE (OWN£f\Olt AGENT) D TE tlIONED
O 'S 8 N TURE
r
DEPARTMENT
/1C
C
lINSPECTION
cTy OF
I
EDDLDNDS
ATE
,
NOTE: Applirant SRLjer/ 10 Plan Cbeck Fee
!r
775-2525
This P nnit r ark to be done on prlfate properly ONLY.
Any eonsrsurtlon au ll a public dol '11 IcurUs, sldrw¢Iks, driveways'
mnrqurre, el c.l will rcqul c separate permission.
FILE
-
S.E.9V1,rVV / /�JcS ��'% 0 , G!YOniAS vUNc;41Sr! c �� ��//it'4�
S17 iC-Vcc�Gac=��✓ �:'r'l±c: ��,c-:v7-0�/ I�✓i�5 ��oSS �//O/��
PERMIT
BUILDING DEPARTMENT
Applicant Fillz
' j-f NDMHIDL
PERMIT APPLICATION
Inside Heavy Linos
ADDRESS
ADD //�`' /
t, /I1�q.YGw=' Zy •
1
NAME
(OR NAME OF BUSINESS) '
PER— bljgetOtiE ^/e LpCAOYE ApE
R
M N RE88
PROPOSED HEI
PERMISSIBLE H!I_/GHT/
IT
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t,
0,S
f A
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O
LEPHONE NUMBER
ACTUAL LOT AREA TOTAL4 G )D.
Cl1
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5
/ ,R OGIRED YAHUS PROPOSED YARDS
REAR
., t Y•
FRONT SIDE REAR FRONT HIDE
NAME
p
ADDRESS
L 6n I. LOT VAR CE OH CONUtt OVAL u
[] YES No PERMIT NUMBER
1 I
7'I.ANNINO DEPT.)APFR, VAL DATfl:
i �' �T
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f
O
C
CITY TELEPHONE NUMBER
STREET It/tV
I
EXISTING STREET R/f.:aFGYT• DEFICIENCY THIS PROPERTY
1
NAME
[f: k• �'
COMP PLAN ST. A/W+.%jt. l-F'1'. ...r�...FT.
—
v M ,.1 i I ' r r• {_- ri ,. t r 'r f. t , .�4.1 n
REMARKS
CIS VP.Y!iY Slopes not tot
thoseel
.
ADDREe
i rtri i��rA•�,}';•.,nf 1 nn �.rj1,p 1 {LI.I T� hylry
�L(C�P.Cd
CRE BY
I f
TELEPH ONE NVMDER
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I`K1C>I
vi
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��BJItJ:1Jd='`8��
METER SIZE EltVJ E IZla CLEARANCE
CHEMHE BDT Y
'
BTAT➢ ENBE Nuntnarc i �IC.A
I
'i '] '" ^ /e" I ^ _ % � (-S Imo•.
REblAlilfd
Legal Description or Property (Show Below or Attach YOU; COplee)
•
-
N "I^ /( ['•e� (` I L=i 1 - (�-II f` �f
TYPE CONNECTION VERlF1{1ED BY
i
{
PL•'RC. —
Pe,II UAIHER
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U
ItEMA I/
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�Jl l r=1 P ,\
Q RESIDENTIAL ❑ GAB —
LINE
❑ YES
DY
/ /
IS LOCAT D IN THE CITY
i, NEN
PLAN CHECKED
THIS SITE
EDMONDS. LOCAL SALES TAX
❑ NON-RESIDENTIAL ❑ slcx
''>�(� ' I J Y (<-�
OF
SHOULD BE CODED 31.04.
❑ ADD
❑ RETAINING,
ItErA Ka
❑ DEbfOLIBH WALL
J '
❑ ALTCR EXCAVATE FENCE
❑
'
❑ OR FILL (......... .x.......... Vt.)
!
REPAIR ❑ PRE-AtOVE ❑ swim
IRE POOL
❑
(�.•. l� /�)
(
�f /,iitrrl_i'7r/�f
NUAlIIER OF STORIES NUMBER OF
DWELLING
I
' UNITS /
NATURE OF -WORK TO BE DONE
Valuation
Fec
ftecclpt No,
Pion Check No .....................
•.
•.
i ,
BUILDING
` �/ FfLr'i (^�•.`)
/ 7 ? ..nit
PROPOSED USE
PLUMBING
/S1J
PLOT PLnN (Indicate Building actbncke, abutting streets)
HEAT & GAS LINE
r�.S
.�
7
FENCE
SIGN
RETAINING WALL
• N
SWIMMING POOL
�l
DEMOLITION
t
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE
y '
I hereby acknowledge that I have rend this apDllcatlon; that the In
<•
formation given le correct; and that I — the owner, or the duly author-
Ized agent or the owner, f agree to eamD1Y with city and elate laws regu-
ATTENTION
APPLICATION APPROVAL
-
lating constructlow and In doing the work authorized thereby, no person
w171 be employed In violation of the Labor Code of the State of Wmhrngton
Till8 PERMIT
This application is not a permit until
relating to Workmen'& Compeneatlon Insurance.
AUTHORIZES
signed by the Building Official or his Dep-
NOTE: Permit limit One Year (Except DEMOLITIONS which
ONLY THE
WORK NOTED
uty; and fees are paid, and receipt is nc-
&hall be completed In bluely day.; MOVED -IN BUILDINGS shall be com-
knowledged in apace provided.
-
PkUd In Six month..)
SIGNATURE (OWNER OR AGENT) DATE SIGNED
INSPECTION
DIRECTOR'S SIONATURE
DEPARTMENT
%
CITY OF
(' "
EDMOND3
NOTE: Applicant Subject to Plan Chock- Fee
j�, -,
775-2525
Thle !'ermlt c ark to lM done on Dris'nln property ONLY.
A net ruction on the public domain (curbn, elAcwalkn, dchswve,
INSPECTOR
- rlrJ wIB .guure nee.=. Permleelon.
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