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740160.pdfSTATEWU ... MUMBER CITY CENSE NUMBER 1223 6 1 -532.1 I RE�HKa�! Legal Description of Property (snow Below``or Attach Four °ogles)) 4r'+�N-I TYPE CONNECTION VERIFI • D IIY s St i �+ Pf TE REMARKS W a a J FIRE ZDAIL TYPE OfirCONBTRU ION 81'REET IMPROVED / I � �YE9 SPECIAL INSPECTOR REQUIRED OCCU ANCY ROUP r' I I OAS C1 YES j NO _ �EW RESIDENTIAL LINE PLAN CHECKED THIS SITE IS LOCATED IN THE CITY u NON-REBIDENTIALBION% OF EDMONDS. LOCAL SALES TAX ADD RETAINING RK SHOULD OE CODED 31.04, 1 DEMOLISH WALT // ALTER ❑ EXCAVATE FENCE i0/1(r Q/(fs/'4(/GTIdN �L� (�(3 C% 177dOR FILL (......,..5..........Ft.) El REPAIR ❑N8PPRE-MOVE El POOL Sr�,r3<rec J %D Dom% S!7'"[_� /it/J/�LrCT/O!✓S i NUMBER OF STORIES I NUMBER OF swim DWELLING 1 UNITS NATURE OF WORK TO BE DONE Val -ti -Fee Receipt No. / 7 1 J2/ tf Lkj C' C Plan Check No ..................... [[O BUILDING aJ 7 •� �.! 3 ^m ly PROPOSED USE pC Y' a PLUMBING —1:61S __0 PLOT PLAN (Indicate Building eetbaaka, abulltng atreete) HEAT A GAB LINE 5 I FENCE SIGN J �. RETAINING WALL SWIMMING POOL I n i2 — �• DEDSOLITION � PRE -MOVE INSPECTION 1 EXCAVATION OR FILL x � i TOTAL AMOUNT DUE I hereby acknowledge that I have read thl. application; that the 1n- formation given 1. Correct; and that I am the owner, or the duly author- V Iced agent of th.... r. I ..no to Comply with city and state law. ngu- ATTENTION APPLICATION APPROVAL - ,elle. construction; and In doing the work authorind thereby, no penou , will be employed 1. violation of the "her Code of the state of Washington THUS PERMIT This application is not a permit until relating to Workmen'. Compen.ation Imureame. AUTHORIZER ONLY THE signed by the Building Official or his Dep - NOTE: Permit limit One Year (E.Cept DEMOLITIONS which WOICR NOTED uty; and fees are paid, and receipt is ac - .hall be completed 1. bluely day.; MOVED -IN BUILDINGS shall be con- knowledged in space provided. plated In et. months.) SIGNATURE (OWNER OR GENT) DATE SIGNED INSPECTION 1 OR's ATU 3 _; 5-7 G/ DEPARTMENT l CITY OF EDhIOND9 DATE _ NOTE: Applicant Subject to Flan Check Fee PR a-Ilo7 Thl. Permit coven week to be done on private property ONLY. Any comtructhm oa the public domal. (curb., std—But, driveway., FILE marquees, ate.) wW ngwn separate parm,aelm. BUILDING DEPARTMENT AppllcantFlu ZOO �S^8 NVM"ER 740160 PERMIT APPLICATION rnB1dB wavy tmeB JGB pow _ poDC te• ADDRESS - NAME (OR NAME OF BUSINE88) /// % PERMISSIBLE ACTUAL IAT COVERAGE S 6 LOT COV ESiAOE 1 I td ia%i1LIN6 AD REBS PERNIBBIBLE IIEIOHT IEIG D 1 O L2 6_- a4— e Gv' 7 b A �TA Z I CITY ONE N MBLR A LOT AR ^ •I �J. `' 6 7_ () �7 G / C7 ;KA REq IRFD YAK.. PROPOSE: YARUs __T1`GREAR £S NAME FRONT 9IUE REAR FRONT ¢s i_5 C LE L VAHIA OR C.3,11111R)NAI, Ull. N A'1SDREBB EB 0 NO- MIT NUMBER ; •' L(J 6 DATE: DE A (C CITY TELE HONE' �NUMBER TRE/l r -O EXIBE6 STREETR/W/ ,... DEFICIENCY THIS PROPERTY O NAME �.r.�.. COMP. PLAN ST. R/lir'.' .. ,..FT. W 1 ' �c �^ f S % h �.r. P ✓ R11 Rks Drivewry slopes not ■t to exceed those a 07 ADDREBB /� indicated on Standard Dwa No 103 ED Y w � O1 ClTY TEPLEPHONE NUMBER ` O L��'f��%���/� l•��i� ��aav I �^ 1 `)` / i if" ME ER BILE H IC' IZ CLEARANCE t:ii• BY STATEWU ... MUMBER CITY CENSE NUMBER 1223 6 1 -532.1 I RE�HKa�! Legal Description of Property (snow Below``or Attach Four °ogles)) 4r'+�N-I TYPE CONNECTION VERIFI • D IIY s St i �+ Pf TE REMARKS W a a J FIRE ZDAIL TYPE OfirCONBTRU ION 81'REET IMPROVED / I � �YE9 SPECIAL INSPECTOR REQUIRED OCCU ANCY ROUP r' I I OAS C1 YES j NO _ �EW RESIDENTIAL LINE PLAN CHECKED THIS SITE IS LOCATED IN THE CITY u NON-REBIDENTIALBION% OF EDMONDS. LOCAL SALES TAX ADD RETAINING RK SHOULD OE CODED 31.04, 1 DEMOLISH WALT // ALTER ❑ EXCAVATE FENCE i0/1(r Q/(fs/'4(/GTIdN �L� (�(3 C% 177dOR FILL (......,..5..........Ft.) El REPAIR ❑N8PPRE-MOVE El POOL Sr�,r3<rec J %D Dom% S!7'"[_� /it/J/�LrCT/O!✓S i NUMBER OF STORIES I NUMBER OF swim DWELLING 1 UNITS NATURE OF WORK TO BE DONE Val -ti -Fee Receipt No. / 7 1 J2/ tf Lkj C' C Plan Check No ..................... [[O BUILDING aJ 7 •� �.! 3 ^m ly PROPOSED USE pC Y' a PLUMBING —1:61S __0 PLOT PLAN (Indicate Building eetbaaka, abulltng atreete) HEAT A GAB LINE 5 I FENCE SIGN J �. RETAINING WALL SWIMMING POOL I n i2 — �• DEDSOLITION � PRE -MOVE INSPECTION 1 EXCAVATION OR FILL x � i TOTAL AMOUNT DUE I hereby acknowledge that I have read thl. application; that the 1n- formation given 1. Correct; and that I am the owner, or the duly author- V Iced agent of th.... r. I ..no to Comply with city and state law. ngu- ATTENTION APPLICATION APPROVAL - ,elle. construction; and In doing the work authorind thereby, no penou , will be employed 1. violation of the "her Code of the state of Washington THUS PERMIT This application is not a permit until relating to Workmen'. Compen.ation Imureame. AUTHORIZER ONLY THE signed by the Building Official or his Dep - NOTE: Permit limit One Year (E.Cept DEMOLITIONS which WOICR NOTED uty; and fees are paid, and receipt is ac - .hall be completed 1. bluely day.; MOVED -IN BUILDINGS shall be con- knowledged in space provided. plated In et. months.) SIGNATURE (OWNER OR GENT) DATE SIGNED INSPECTION 1 OR's ATU 3 _; 5-7 G/ DEPARTMENT l CITY OF EDhIOND9 DATE _ NOTE: Applicant Subject to Flan Check Fee PR a-Ilo7 Thl. Permit coven week to be done on private property ONLY. Any comtructhm oa the public domal. (curb., std—But, driveway., FILE marquees, ate.) wW ngwn separate parm,aelm. NO Plan Check No ..................... BUILDING PROPOSEDUSE PLUMBING J NEW AD. RESIDENTIAL ❑ NON-RESIDENTIAL DEMOLISH o Ej GAS I.,, RETAINING WALL 0 YES 'D NO PLA ' N CHEC!FD BY THIS SITE IS LOCATED IN I Ht CITY (;..(r.I. OF EDMONDS. LOCAL SALES TAX i -SHOULD BE CODED 31.04. REMARKS, ALTER ] REPAIR ❑ EXCAVATE OR FILL PRE -MOVE I❑ NSP. USX PERMIT FENCE ( I I . .......... Ft.) swim POOL BUILDING DEPARTMENT cant M Applicant M' ZONE NUM13M APPLICATION Heavy Lines Inside Heavy Lines .IOD B / PERMIT DEMOLITION NAMB,(OR N E Oil I�USIVIESB) ACTUAL PFRMIBSIBLE 4�' -Ij COVERAGE - LOT COVE AGE j� LOT W V11111111 Foe R 111 No, M•AI•LING AD TOTAL AMOUNT DUE PERMISSIBLE HEIGHT 0 Eft TOTAl, 5PTST r Islip. .-Amation; and In doing the work authorized thereby, no person will be employed In vj.kstkm of the Labor Code of the State Of Washington z ne,wul—D YARDS YA RUB REAR AUTHORIZES NOTE: Permit Limit One Your (E.c.pt DEMOLITIONS Which ONLY THE WORE NOTED shall be completed 1n -laity day.: MOVED -1N BUILDINGS shalt be corn- 1.1PROPOSED - FUPNT 110N pl,l,d 11 ILIF—Ithe" NAME -7- INSPECTION USE DEPARTMENT ADDRESS L 7:';y_—VARlANCE OR CONDITIONAL �,T NUMBER NOTE: Applicant Subject to Plan Check Fee ,8 PR 0.1107 71f d", /W :T.W. aDEFICIENCY PROPERTY I STREET THIS NAM ' E COMP. PLAN ST. R/W ............ FT. ..!2 Fr. -KO—DRESS REMARKS urivL752 F,151— indicated on Standard n,19. NO. 103. z 61 51 =7 icy C;Ty ...,NUN V �Trc A C'T Y LICENSE NUMBER -7r SIZE SER V SIZE CLEARANCE [CHECJj1EU "I STl� LICENSE NUMBER _:32 Legal Deso ription OfProperty(nQW Be[on OrItIalbPon, C L T,,'y_ A TYPE CONNECTION IT—RCTEST P1111T UMBER y REM 11 �i 1\71 11 M I I I N U) NO z Plan Check No ..................... BUILDING PROPOSEDUSE PLUMBING _PLOT NEW AD. RESIDENTIAL ❑ NON-RESIDENTIAL DEMOLISH o Ej GAS I.,, RETAINING WALL 0 YES 'D NO PLA ' N CHEC!FD BY THIS SITE IS LOCATED IN I Ht CITY (;..(r.I. OF EDMONDS. LOCAL SALES TAX i -SHOULD BE CODED 31.04. REMARKS, ALTER ] REPAIR ❑ EXCAVATE OR FILL PRE -MOVE I❑ NSP. El FENCE ( I I . .......... Ft.) swim POOL j RETAINING WALL 4UMBERUMBER or SWIMMING POOL / ZWELL NO I DEMOLITION I NITS NATURE OF WORK TO BE D014E­ EXCAVATION OR FILL V11111111 Foe R 111 No, z Plan Check No ..................... BUILDING PROPOSEDUSE PLUMBING _PLOT PLAN (Indicate BUIlding setbacks, abutting street.) HEAT & GAS LINE PENCE SIGN RETAINING WALL N SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL TOTAL AMOUNT DUE I hereby acknowledge that I have read this application; that the in- formation give. 1e correct; and that I son the Owner, or the duty acithos• ited a"" Of the Owner. f acres to comply with city and state lam raim- a ATTENTION Islip. .-Amation; and In doing the work authorized thereby, no person will be employed In vj.kstkm of the Labor Code of the State Of Washington TINS PERMIT relating to Workmen'. Camp .... it.. Initurence. AUTHORIZES NOTE: Permit Limit One Your (E.c.pt DEMOLITIONS Which ONLY THE WORE NOTED shall be completed 1n -laity day.: MOVED -1N BUILDINGS shalt be corn- pl,l,d 11 ILIF—Ithe" ga'A' DATE PIONED S107 NW;rUE. ER GEN�)/ INSPECTION DEPARTMENT CITY OF EDMONDS NOTE: Applicant Subject to Plan Check Fee PR 0.1107 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 space provided. IDJ�WCTOR'B i 81 . ONATURE. I DATE d This p.—It covers work to be done On privet. P -M -7""'I Any remitruction an the P-1,116 domain (--be, -id---Jk-- Art away., INSPECTOR marquees, to.) will remire iiel'"Ste permission. .,, ,; �.. � _ . ,; I _ . _. .., ,; � r; I :� i .. � � !