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740132.pdfC V A! L/ �q-iC �]� fie_ / .A25JE 1 Plan Check No ..................... x BUILDING rr�� r RESIDENTIAL ..... ...-- _-- GAS LINE ❑ YES P -NO I _J_ j' CI i �I _` USE PERMIT I4l1 I J J L BUILDING DEPARTMENT Appllottat FM ONE ZONE /l PERMIT APPLICATION Inside Heavy I1Dee I aDe ADDRESS / ��©� ❑ NAME (OR NAME OF BUSINESS) �+ -Z/SHOULD R1VMARXS PERMISSIBLE ACTUAL t (2- Aft LOT COVERAGE LOT COVESiAGE +' r -',Q NUG MAILING AD REBS ALTER PERMISSIBLE HEIGHT PROPOSED HEIGHT ❑ _ TOTAL BLUO. AREA C �C1TY l�.B ONE 'R ACTUAL LOT AREA Q^� S�/Z� IN�/6 C��I✓Irk ❑ IRE ftEOUIRED YARDS PROPOSED YARDS REA POOL NAME FRONT SIGN. REAR FRONT SIDE fifGi.✓! 171 Vic"' /a�L'pt/idc�y /=a,G Qf=S=ST � LEGAL LOT VARIANCE OR CONDITIONAL UBE Id ADDRESS YES ❑ NO PERMIT NUMBER p _� LANNI NG DEPT. APPROVAL PATE: _ 7 E I {Gq CITY PHONE UMBER LLL E relating to Workmen's Compensation Insurance. AUTHORIZES signed by the Building Official or STREET R/1V EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY Valuation NAME No. COMP. PLAN ST. R/W ............PT. ............FT. COMP. �,J ' r'/ "�O GL /[JS T 'e 6N TORE REMARKS M ADDRESS FILE q ?— ! rT O /t.% �S .STS C1iE K� ED BY - - CfTY TELEPHONE NUMBER A: tf I F $F—r t)✓�NUM S �3z /,/ METER SIZE SERVICE SIZE CLEARAN C ECKND SY STATCITCE E LICENSE Rp CENSE NUMBER I I I / 27-1, "O i - /7-t 7 6 I - REMARKS C V A! L/ �q-iC �]� fie_ / .A25JE 1 Plan Check No ..................... x BUILDING rr�� r RESIDENTIAL ��p10 GAS LINE ❑ YES P -NO I _J_ j' CI NEW I --I PLAN CHEC D Y' /' OF I EDMOND5.0 LN THE OCALCATED I SA ES TAX ADD ElNON-RESIDENTIAL ❑ SIGN RETAINING WALL -Z/SHOULD R1VMARXS 'E DEMOLISH FENCz +' r -',Q NUG _ / /% Iq� �) / 7,y / LO/N iGi�G/ yOCn/,r� �/ V ALTER EXCAVATE ❑ ❑ ........Ft.l ElREPAIR -NSP OVE O swim / 7O/✓S/ SC�.C7 =L%:�T Q^� S�/Z� IN�/6 C��I✓Irk ❑ IRE DEMOLITION POOL NUMBER OF STORIES NUMBER OF EXCAVATION OR FILL DWELLING I I hereby acknowledge that 3 have read this applleatfon; that the in- TOTAL AMOUNT DUE p _� UNITS GGGA� APPLICATION APPROVAL This application is not a per I NATURE OF WORK TO BE DONE relating to Workmen's Compensation Insurance. AUTHORIZES signed by the Building Official or his Dep - Valuation Foo,RrctlPt No. pitted In els months.) tlIGNATUREONN R ( OR AGENT, I DATE SIGNED INSPECTION DEPARTMENT T 'e 6N TORE "2 S CITY OF EDMONDS NOTE: Applicant Subject to Plan Cbeck Fee PH 6-1107 Z 17TE `22 C V A! L/ �q-iC �]� fie_ / .A25JE 1 Plan Check No ..................... x BUILDING ��p10 (0 PROPOSED UBE PLUMBING PLOT PLAN (Indicate Building setbacks, abutting streets) HEAT & GAB LINE n 0 FENCE BION RETAINING WALL N SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL I hereby acknowledge that 3 have read this applleatfon; that the in- TOTAL AMOUNT DUE p _� GGGA� APPLICATION APPROVAL This application is not a per it until formation given Is correct; and that I am the owner, or the duly author- ised agent of the owner. I agroa to comply with city and state laws ragu• ATTENTION lilting construction; and in doing the work tuthorlead thereby. no penon will he empioyad In vlolntlan of the Labor Code of the S4te of .1...n THUS PERMIT relating to Workmen's Compensation Insurance. AUTHORIZES signed by the Building Official or his Dep - ONLY TILE NOTE: Permit Limit One Year (EZC.pt DEMOLITIONS which WORK NOTED be completed I. ninety day-: MOVEI)•IN BUILDINGS shall be com• uty; and fees are paid, and reeelpt knowledged in space provided. tiS ac- 1 pitted In els months.) tlIGNATUREONN R ( OR AGENT, I DATE SIGNED INSPECTION DEPARTMENT T 'e 6N TORE "2 S CITY OF EDMONDS NOTE: Applicant Subject to Plan Cbeck Fee PH 6-1107 Z 17TE `22 FILE This Permit coven work to be done on private property ONLY. Any construction on the public domain Jonah., sidewalks, driveways, maroums, eta.) will reenire separate permission. \„- BUILDING DEPARTMENT AppucaDt;Fill PERMIT >tA 740,1 =Z. i Inside Heavy Lines PERMIT APPLICATION aon,_ ­o NAMADDR E to NAME OF BUSINESS) /Ji r ] i PERMI88IHLE LOT COVERAGE ACTUAL / LOT COVERAGE i A�T`TG ADDRESS �u 1 PERMISSIBLE HEIGHT PROPOSED II EIGHT I tAJ TSO¢ Z S TELEPHONIC PION HH&A ACTUAL LOT AREA TOTAL DLDO. AREA � �� QAJUy.— J t— REQUIRED YARDS PROPOSED YARDS , NAME FRONT BIDE REAR FRONT BIDE REAR 1 1�%1Pt�. /27 ace r< /i/Jc'd /=2,C. �Cyl%l=SI✓.�" i l O LEGAL LOT 'VARIANCE Oft CONDITIONAL SE FWl ADDRESS Ej YES I] NO ' PERMIT NUMBER PLANNING DEPT. APPROVAL i CITY TELEPHONE NUMBER STREET K/W O 't EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY 5 NAME COMP. PLAN ST. R/W ............FT. ............FT. ea ADDRESS y i z 9 G— (�, OIli nS Sr CHEQKED BY W - M C TY TE PHONE NUMBER /vf; I O G1 /� (� j� (.- f rl METER SIZE SERVICE SIZE CLEARANCE CHECKED BY BTATD LICENSE NUMB A CITY LICENSE NUMBER I I ep I U✓VL���/ W REMARKS Legal Description of Property (Show Below or Attach Four Coplee) La T�> �3e� Av, e v1) f`_n C. 6&7— TYPE CONNECTION VERIFIED BY '•.� I ✓• `•TEST / •t PERC PERMIT NUMBER y. I WREMARKS' m FIRE ZONE TYPE OF CONSTRUCTION STREET IMPROVED A e YES El NO SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP ❑ YES alki0 I T RESIDENTIAL GAS NEW ❑ LINE PLAN CHECKEDJJ{{��Y THIS SITE IS LOCATED IN THE CITY F EDMONDS. LOCAL SALES TAX NON-RESIDENTIAL [] SIGN ,t/1 t01� �HOULD BE CODED 31.04. ADD RETAINING A ARKS j DEMOLISH D WALL �r �L+ ALTER EXCAVATE FENCE �% /� : t/.) ;' /il U c. / /CI /� f Oz,. �(f / (J ❑ OR FILL (........_x .......... Ft.) REPAIR PRE -MOVE SWIM INSP. POOL �I / Zi /.! h +f C: •'.i / G N S / / C.� �N l //L` C/ %O /✓..S NUMBER OF STORIES NUMBER OF DWELLING p�s..c.. UNITE NATURE OF WORK TO HE DONE' Valuation Fee Receipt No. Plan Check Ne ..................... O HUILDIN6 '^e-- ddeLy„ PROPOSED USE PLUMBING l PLOT PLAN (Indicate Buildingeetbl" ghut`Igg�e{rJeett�Y HEAT k GAS LINE n C IIJ�1 FENCE SIGN \� I RETAINING WALL N �y1 _ I SWIMMING POOL DEMOLITION ' PRE -MOVE INBPECT)ON EXCAVATION OR FILL lr TOTAL AMOUNT DUE_6j—w�<.� / I V r) / S " I hereby acknowledge that I have rend this application; that t6a In- 1 formation given Is correct; and that I am the owner, or the duly, author• Izcd agent of the owner. I agree to comply with city and state laws'regu- ATTENTION APPLICATION APPROVAL ' laung construction; nod m doing the work authorized thereby, no person i"ll he employed In violation o1 the Labor Code of the Stale of Washington THIS PERMIT This application is not a permit until '•gelating to Workmen's Compensation Iaaurmce. 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 day.; MOVED -IN BUILDINGS shall be com- knowledged in space provided. plated In six months.) SIGNATURE (Ow R OR AGENT) DATE SIGNED INSPECTION DEPARTMENT, DIRECTOR'S SIGNATURE '• S17CITY t L{// �- !L �%-_l OF, i .r'•,�j�. EDMONDS DATE ti NOTE; Applicant Subject to Plan Check Fee PA 1.1107 This Permit toren work to be Gone an private property ONLY. Any construction on the public domain (curb., sidewalks, driveways, INSPECTOR marquees, eta) will require separate permission. _ r -'�. �` e+. ,.., ., i rr,a',w<r` .. +�"E. M.n � .. `::�tM '!L�"i.'1r E'}dli �9Y�,F: �.w 1C/A !]Yii F "N' ♦(PY'' �' ......... KpiiC t• t R A err S.'. f ��"2.�.aa: 1 L i..b ,.S,d1. 4'Y F4"Ii}iiY Ia',i')'i 12�tt j..t t rdU GtL` I T A di 2t'P $fir si�"k sS� I -• I pus! x l - FIS l•3 �.: IJ' : ! P: .,. f i'1 t .a 17 i 1 1 yS 'j S7 { I i i ry � I l ,.. .. -.. 1 1, t.N RECORD OF INSPECTIONS Date Passed Foundation 1'.Plumbing (Partial) (Rough) Frame — lT Furnace & Fuel Lines Final —