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740081.pdfRESIDENTIAL F� NEW ❑ LiNE NON-RESIDENTIAL ❑ SIGN ADD ❑ DEMOLISH WALKING LFJ ALTER EAVAT❑ OR FILL E ❑ P'ENC........... Ft.) REPAIR ❑ PRENa MOVE ❑ Pool,, NUMBER OF STORIESDWELLNUMBER OF CAI 4r-- I UNITS INC NATURE OF WORK TO BE DONE [[[zrrr /V _#--,V- 1//1 oN/77LL �/,(��Zfir BUILDING PROPOSED USE PLUMBING /l��si.b�nJC� O PLOT PLAN (Indicate Building eett,"ke, abutting streets) HEAT d: GAS LINE 5 � FENCE SIGN RETAINING WALL N SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL PERC. TEST PERA11'I' NUdInGR F, 3 REMARKS co FIRE ZONE ITYPE OF CONSTRUCTION STREET IMPROVED D YES ❑ NO SPECIAL INSPECTOR REQUIRED IOCCUPANCY GROUP E3 YES ❑ NO PLAN CHECKED BY THIS SITE IS LOCATED IN THE CITY OF EDMONDS. LOCAL SALES TAX Plan Check No........... TOTAL AMOUNT DUE I hereby acknowledge that I have read this application; that the In- formatdo. given U correct; and that I am the owner, or the duty author- ised agent of the owner. I agree to comply with city and state laws raga- ATTENTION Is Ing construction; and In doing the work authorised thereby, no parson will be employed in violation of the Labor Code of the Elate of Washington THIS PERMIT relating to Workmen's Compensation Imuraaa. AUTHORIZES NOTE: Permit Limit One Year (Eieept DEMOLITIONS which ONLY THE WORE NOTED shall be completed In ninety days; MOVED -IN BUILDINGS shall a com- pleted In sig mouth.,) �-�- BUILDING DEPARTMENT Applicant Fill USE PFRWT 7081 ONE NUMBER t �� DEPARTMENT Inside Heavy I.In°° PERMIT APPLICATION I ADDRESS �%/ CITY OF NAME (OR NAME OF BUBINEeg) /7 6 `�/� /� — �-' E NOTE: Applicant t Su to Md. Check Fre rn 8.1101 PERMIBeIBLE % ACTUAL LOT COVERAGE LOT COVERAGE j AI O ADDRUSIS SN PERMISSIBLE HEIGHT PROPOSED HEIGHT a i O PHONE NUMBER ACTUAL LOT AREA TOTAL BLDG. AREA CITY REQUIRED YARDSPROPOSED YARDS REAR t i ! I T NAME FRONSIDE REAR FRONT BIDE VARIANCE OR CONDITIONAL USE I ADDRESS LEGAL LOT 0 YES 0 NO PERMIT NUMBER i M CANNING DEPT. APPROVAL DATE: i CITY TELEPHONE NUMBER STREET R/W t9 EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY j[dy i NAMMH%/,t� C COMP. PLAN °T. R/W ............FT. ............FT. .tom C 1 6 E-(C�,y - RFIMARICB O Id ADDRESS _ CHECKED BY N ' C TELEPHONE NUMBER m9G METER 01LE SERVICE SIZE CLEARANCE CHECKED BY °TATE LICENSE NUMBER CITY LICENSE NUMBER I I C � REMARKS RESIDENTIAL F� NEW ❑ LiNE NON-RESIDENTIAL ❑ SIGN ADD ❑ DEMOLISH WALKING LFJ ALTER EAVAT❑ OR FILL E ❑ P'ENC........... Ft.) REPAIR ❑ PRENa MOVE ❑ Pool,, NUMBER OF STORIESDWELLNUMBER OF CAI 4r-- I UNITS INC NATURE OF WORK TO BE DONE [[[zrrr /V _#--,V- 1//1 oN/77LL �/,(��Zfir BUILDING PROPOSED USE PLUMBING /l��si.b�nJC� O PLOT PLAN (Indicate Building eett,"ke, abutting streets) HEAT d: GAS LINE 5 � FENCE SIGN RETAINING WALL N SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL PERC. TEST PERA11'I' NUdInGR F, 3 REMARKS co FIRE ZONE ITYPE OF CONSTRUCTION STREET IMPROVED D YES ❑ NO SPECIAL INSPECTOR REQUIRED IOCCUPANCY GROUP E3 YES ❑ NO PLAN CHECKED BY THIS SITE IS LOCATED IN THE CITY OF EDMONDS. LOCAL SALES TAX Plan Check No........... This PermR coven work to be done on "'Irate property ONLY. Any anst.ctlon on the public cloned. (.tubs, eidawalks, driveways, maeouees, eta.) will ream. separate peroWsla. Valuation I Fee 1 3, g-0 176, APPLICATION APPROVAL This application is not a permit until signed by the Building Official or his Dep- uty; and fees are paid, and receipt is ac- knowledged In apace provided. DIRT RIB SIONATURE DAT -aiTr 7V FILE / ad TOTAL AMOUNT DUE I hereby acknowledge that I have read this application; that the In- formatdo. given U correct; and that I am the owner, or the duty author- ised agent of the owner. I agree to comply with city and state laws raga- ATTENTION Is Ing construction; and In doing the work authorised thereby, no parson will be employed in violation of the Labor Code of the Elate of Washington THIS PERMIT relating to Workmen's Compensation Imuraaa. AUTHORIZES NOTE: Permit Limit One Year (Eieept DEMOLITIONS which ONLY THE WORE NOTED shall be completed In ninety days; MOVED -IN BUILDINGS shall a com- pleted In sig mouth.,) SIGNATURE (OWNER OR AGENT DATE SIGNED INSPECTION DEPARTMENT p 7 CITY OF EDMONDS NOTE: Applicant t Su to Md. Check Fre rn 8.1101 This PermR coven work to be done on "'Irate property ONLY. Any anst.ctlon on the public cloned. (.tubs, eidawalks, driveways, maeouees, eta.) will ream. separate peroWsla. Valuation I Fee 1 3, g-0 176, APPLICATION APPROVAL This application is not a permit until signed by the Building Official or his Dep- uty; and fees are paid, and receipt is ac- knowledged In apace provided. DIRT RIB SIONATURE DAT -aiTr 7V FILE / ad OAS ❑ YES �RESIDENTIAL LINE ❑ PLAN CHECKED BY THIS SITE IS LOCATED IN THE CITY NEW OF EDMONDS. LOCAL SALES TAX .. NoN•RESIDENTIAL SIGN SHOULD BE CODED 31.04. '. 1 REMARKS USE PERMIT ❑RETAINING DEMOLISH ALTER ❑ ORCFILL AVATE ❑ FENCEx.......... Ft.) BUILDING DEPARTMENT Applicant Fill ZOO Nu BSER` swim REPAIR ❑ ID SP. ❑ POOL Lines ---+� PERMIT APPLICATION IDalda wavy JOB ADDRESS — / — 1• DWELLING / C1 Al C-- UNITS C� I' .r t' NATURE OF WORK TO BE DONE / Valuation Fee Receipt No. ". NAME (OR NAME OF BUSINESS) PEHMI88IBLE % ACTUAL I,OT COVEAOE i L 7 i ( 1 ( _ LOI' COVERAGE ; PROPOS2u UBE PLUMBING A1LIN0 E.AD REB PERh1188IBLE HEIGHT BED HEIGHT } I 7 •R ACTUAL LOT AREA TOTAL BLDG. AREA _ CITY ON REQUIRED YARDS PROPOSED YARDS E( {{ FENCE I REAR FRONT REAR FRONT BIDF. d3DR''aV SIGN NAME T ftETAININ6 WALL USE E., S N q LEGAL LOT VARIANCE OR CONDITIONAL , ' POOL j ADDRESS ❑ YEB ❑ NO PERMIT NUMBER DEMOLITION yOj Ny S PLANNING DEPT. APPROVAL DATE: ) ,O. TELEPHONE NUMBER CITY EXCAVATION OR FILL _ a STREET 8/W EXI8TIN6 STREET R/W ............FT. DEFICIENCY THIS PROPERTY •� 5O i 4' 6 NAME COMP. PLAN ST. R/W ............FT. ............FT. ys •+ formation given Is correct; and that I am the owner, or the duly author - bed agent of the owner I agree to comply with city and state laws regu• ATTENTION APPLICATION APPROVAL, W THIS PERMIT This application i9 not a permit until d ADDRESS C will be employed In violation of the Labor relating to WoMkmea's Compensation Indutmee. AUTHORIZES signed by the Building Official or his Dep - Cj,TY PHONE NUMBER ONLY THE uty; and fees are paid, and receipt is ac - NOTE: Permit Limit One Year (Except DEMOLITIONS which be WORK NOTED /v I shall be completed In nicety days; MOVED•IN BUILDINGS .hall cone- Tom. ))t —7y.� / ' �(J O ` C/' METER SIZE BERVICE 81Z1 CLEARANCE CHECKED BY Din OR '8 1NAT , OTATE LICENS/tE HUMBER CITY CENSE NUMBER I I FFB� (/{' / cT-c•(9 � ll / •' '-1 1 Ip � I REMA1tKe . DATE I -- — Legal Description of Properly (Shaw Blow .r Attach Four Coplee) NOTE: Applicant Subject to Plan Check Fee _ PR g•uoI ' TYPE CONNECTION VERIFIED BY .y INSPECTOR Any db.slrutllem on the public domain iambs, sidewalk., driveways, PE RMIT NUMBER p; Fy D j11i ' •REM n R 8 I ' D 0 FIRE ZONE TYPE OF CONSTRUCTION BTR ROVED 7 I ❑YES [3 NO SPECIAL INSPECTOR REQUIRED GROUP'+'' NO IOCCUPANCY �RESIDENTIAL LINE ❑ PLAN CHECKED BY THIS SITE IS LOCATED IN THE CITY NEW OF EDMONDS. LOCAL SALES TAX .. NoN•RESIDENTIAL SIGN SHOULD BE CODED 31.04. '. ADD WALL REMARKS ❑RETAINING DEMOLISH ALTER ❑ ORCFILL AVATE ❑ FENCEx.......... Ft.) . swim REPAIR ❑ ID SP. ❑ POOL NUMBER OF STORIES NUMBER OF7 DWELLING / C1 Al C-- UNITS C� I' .r NATURE OF WORK TO BE DONE / Valuation Fee Receipt No. ". I4 Plan Check NO ........ _........ ... i L 7 i ( BUILDING PROPOS2u UBE PLUMBING () 1 I 7 W' PLOT PLAN (Indicate Building setback., abutting street.) BEAT d GAS LINE 32 FENCE I 1 SIGN T ftETAININ6 WALL N ISWIMMING POOL j DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL •� 5O i 4' 6 TOTAL AMOUNT DUE Ihereby acknowledge that I have read this application; that the In- •+ formation given Is correct; and that I am the owner, or the duly author - bed agent of the owner I agree to comply with city and state laws regu• ATTENTION APPLICATION APPROVAL, is".. construction; and In doing the work authorised thereby, no pardon Code of the Stale of Washington THIS PERMIT This application i9 not a permit until will be employed In violation of the Labor relating to WoMkmea's Compensation Indutmee. AUTHORIZES signed by the Building Official or his Dep - ONLY THE uty; and fees are paid, and receipt is ac - NOTE: Permit Limit One Year (Except DEMOLITIONS which be WORK NOTED knoWledged in space provided. shall be completed In nicety days; MOVED•IN BUILDINGS .hall cone- pleted In elx moplhs.) SIGNATURE (OWNER OR AGENT) DATE SIGNED INSPECTION Din OR '8 1NAT , - DEPARTMENT / (/{' ,.-•- —i-: ,- �` CITY OF EDM OltiD3 DATE I -- — NOTE: Applicant Subject to Plan Check Fee _ PR g•uoI This Permit coven work to be done on private property ONLY. INSPECTOR Any db.slrutllem on the public domain iambs, sidewalk., driveways, marquees, etc.) will require separate permledon. '..�'l�.c..�r..,x �. ,Y !': 1r� _ .;..,'i ,alt �.- :a:.:, :93..:.+ '� `i 'I(f :: c'+i[fi�y �t�ie.�•A, Ak N:•{;.�{,»-h?li.-:f'.}MF' .al:u Mx. 'i��gY// k' a E Gr a,n I ry , r 4.� IN J 1 � , t j { if I - , r : .Six .. ...... ..... .... ._ ...__. _. i 1 Pro. ...... - I I $ _ � f G I �: 1. ,..... ..i„ ` 1 i , .m i 1 i RECORD OF INSPECTIONS r Date Passed i Foundation C Plumbing (Partial) (Rough) !ZUS Frame i Furnace & Fuel Lines ' ) r . Final._., I i j• i