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740258.pdfI . i BUILDING DEPARTMENT ApplleantFill USE PERM 7#0258 ONE %J � � t/ NU IIER I Inside heavy Linea PERMIT APPLICATION NAME (OR NAME OF BUSINESS) ADDRESS m 7 (1 I(J Q Y Sf) I'[ �I•L f, f. f� rI S Ll r,� PERMISSIBLE " ACTUAL LOT COVERAGE� / LOT COVE1tJ A.E O (/ MAILING ADDRESS 1 `1 %7.9 ii 11 ct <: Gla :"E PERMISSIBLE REIGIIT Pit OPCSED REIGII �O 7lr.�r .s� CITY TELEPHONE NUMBE(R/ ACTUAL LOT AtjEA T., I. L A: k. Z Sa IMBED FI tl (k, C �� d 5('f 7 16_RrICEr/qU YARDS /PROPO 'D YARU9 • NAM FROM' SIDE REAR FRONT BIDE REAR 1 1 I ADDRESS LE6 LOT VARIAN EOR CONDITIONAL US N U O PERMIT NUMBER PLANI G EP R D TE: 1 a] CITY TELEPHONE NUMBER— cc BT ..T �))__ p EXISTI STREET R/W?OJ+P1'• DEFICIENCY THIS PROPERTY NAME •/��� COMP. PLAN ST. R/VV)�7'�JFT,y.•-t-•I'• WW1 ' . REMARKS F• Q ADDRESS Driveway slopes not to exceed those z G %�% % 7/S`C` l�i3C.F' lii'C5� indinated nn gtanA.„d Dwg, No 103 w CHECKED BY _ CITY TELEPHONE NUMBER 17jC-"d I tlu�' CPhCNl� \A; deL LG l2& tD, I ���A O I Loo( :�yrt) wend METER S1ZE SERVICE SIZE CLEARANCE CHFKYD//$/jf q BTA'E LICENSE NUMBER CITY LICENSE NUMBER I I I HZ"(//BIZ 2� 0 1 / 5 Ci 3 0 I / Legal Description of Property (Show Below or Attach Four Copies) REMAI S C', F i-1, V `` r TYPE CONNECTION VPRIFIE i �l -WEER PERC. TEST PERMIT IT h( ER REMARKS t M ``Ai G — 111.71 ()r u1 t t�-^� 1 lC^� \ )JST 3 - if FIRE ZON TYPE OF CONSTRUCTION STREET IIIIPIi OVED []NO SPECIAL INSPECTQUIRED OCCUPANCY GROUP GAB RESIDENTIAL ❑ ® ❑ LINE ® NEWI AN PLAN CtIECKE DY THIS SITE IS LOCATED IN THE CITY NON-RESIDENTIAL HIGH OF EDMONDS. LOCAL SALES TAX; ADD ❑ EMOLISH WA DEMOLISH DED 31,04, Ali 9 1 ' El EXCAVATE FENCx..........Ft.) J / �J d� / 0 ALTER ❑ OR FILL O REPAIR MOVE T -r-- ��Q O INSPPRE-swim POOL I �t+I / O Oil/ -f/�'� /�lf'G1'Crisidl NUMBER OF STORIES NUMBER OF ]�. DWELLING / UN ITB NATURE OF +W{O�\RK��TOtJBE Valuation Fee Receipt No. j �J� �// "" _ 12,11 A",L1r_ Ff.. Check No ..................... �1 BUILDING PROPOSED USE pLUMHINO PLOT (Indicate setbacks, abutting streets) HEAT @ GAB LINE G �PLAN /JBuilding PENCE J j (J 1 SIGN RETAINING WALL N SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL U� TOTAL AMOUNT DUE //'' /3 I hereby acknowledge that I have read this application; that the In- V / o formationm given le Correct: and that I athe owner, or the duly author - Iced agent of th.... r. I agree to Comply with .11y —4 .late laws regu- ATTENTION APPLICATION APPROVAL and lating conetructlon; and In doing the work authorised thereby, no person will be employed In of the Lobar Code of the State of Washington THIS PERMIT This application is not a permit until relating to Workmen's Compensation Insurance. AUTHORIZES Signed by the Building Official or his Dep - NOTE: Permit Limit One Year (EZcept DEMOLITION8 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 win- knowledged in space provided. pleted In sig months.) �tQQQNNNATUAE (OWNER OR AGENT DATE 83ONED w %� Z INSPECTION Dl Fy({TO lONATU DEPARTMENT Ih'1// .,7;j L ` CITY OF i� EDMONDS DATE --- NOTE: Applicant Subject to Plan Check Fee PA a-1107 This 1•ermlt coven work to be done an private property ONLY. Any wnslri ellan m the public domain (curbs, sidewalk., driveways, —.uses, ate.) .1. require ..poral. permission. FILE .NUMBER! 4 — BUILDING DEPARTMENT ZONE / PERMI`, ..: !� S -'1 I AppucantFIU �7 PERMIT APPLICATION Inside Heavy Lines on I�• r ADDRESS /'I• {n �r r r/l.' / NAME (OR NAME OF BUSINESS) / �o �•�tiv-':.sort �v�r e.l" p rr=.e_ - PFISMISSIBLE ^e ! ACTUAL �p LOT COVERAGE LOT COVERAOE I I MAILING ADDRESS PItOP08ED REIOHT 1 C7 , I ,/ PERMISSIBLE HEIOII'C i P, 7 l.�l %J'3'4.. J_ Ju. C+E'. lUf'.S C_ / •'d .1 .1 a. A EAS >: , O3TY PHON UMBER ACTUAL LOT A EA TOTAL / i/Yl I) +_t-+ n� I`v SYl • / / 6- t/ J L�` REpV ED YAKD9 I'ROPO. :D YAItDB ., NAME FRONT HIDE RF.Att FRONT HIUE, REAR LE6gqL LOT VAR AA Olt CON 17�IONAL� -f W ADDRESS YE8 Il NO PERSIST NUMBER /— I PLA I(i6-, EPT. �RD CITY TELEPHONE NUMBER ✓ �r�-- / EXIBTILiO STREET R/W_].S .XBC. (/DEFICIENCY THIS PROPERTY NAMH�- .1 COMP PLAN ST. R/t4''..:..:s�FC. 41-N FT• l\• ��(� �� O J1 t- I1 Z -C.. I^ Y 1 r f -j REMARKS td 03 r� )- 77 ADDRESS vCCE': 1'rl.vrc-;ra'• e lrn�l:� sol !:o ' . 1 z l /?tea �VP i L inn'r• n `"'„ CHECKED BY 61 CITY TELEPHONE NUMBER KI METER SIZESERVICE W 11-1 SIZE CLEARANCE CHECK D HY STA E LICENSE NUMBER CITY—LICENSE NUMHEK �., I I I © I J tt j o I REMARKS // Legal Description o1 Property (.now Below or Altura Four Copley) . VJRIFIE� Y i F PE C. PERMITYR ELLR,, REM K i..'t t) ? !-�Lk V 1Jt� �- 1 •'� co co i I C. 1 C FIRE ZONE I TYPE OF GDNHT U 1 N R IMPROVED e ❑ NO SPECIAL INSPECTOR REGIRED OCCUPNMY 6 ® AE.IDENTEAL ❑ GA8 LINE ❑ YES E Nd _/.._.. ' �/ NEW PLAN CHECKED IIY. THIS SITE IS LOCATED IN THE CITY NON-RE.IDENTIAL ❑ slaty OF EDMONDS. LOCAL SALES TAX )-'./.•/," %''-'( SHOULD BE CODED 31.04. - ADD ❑ RETAINING ❑ WAIT' RED>!Aftl-t9 DEMOLISH FENCE f..l i: (r •' - , ,� i..: /` f I // /.':' J ' ,:/i'r; '.)i/ I'('' /.l !: / ❑ ALTER EXCAVATE ❑ OR FILL (.......... g .......... Ft.7 ,t'•. � ❑ REPAIR PRE -MOVE SWIM- INSP. ❑ POOL / - .1 /;s I^ r i (' r//� NUMBER OF STORIES NUMBER Oil DWELLING ,l ' �- !✓.]; F , _UNITS +/ NATURE OF WORK TO BE DONE A Valuations Fee Receipt No. Plan Check N O BUILDING ' (1 U PROPOSED UBE PLUMBING 1 `•3 aPLOT PLAN (Indicate Building setbacks, Abutting streets) HEAT A GAS LINE FENCE SIGN I RETAINING WALL _... N SWIMMING POOL j DEMOLITION PRE -MOVE INSPECTION If� EXCAVATION OR FILL ! I TOTAL AMOUNT DUE Cr ��--•-I �- �� Ihereby acknowledge that I have read this application; that the In- �" �• t ,' �/' I formation given Is correct; and that I am the owner, or the duly author. Iced agent o1 theowner. I agree to comply with City and state lawn raga- ATTENTION � APPLICATION APPROVAL 16ting ennstructlon; and in doing the work authorlred thereby, no person Will be employed In violation at Ne Labor Cade of the State of Washington THUS PERMIT This application is not a permit until relating to Workmen's Compensation Insurance. AUTHORIZES signed by the Building Official or his Dep- j NOTE: Permit Limit One Year (E.C.Pt DEMOLITIONS which ONLY TILE WORK NOTED uty{ and fees are paid, and receipt is ac shall be completed In ninety days; MOVED -IN BUILDINGS Shall be com- knowledged in space provided, i Pleled In Hix menthe,) SIGNATURE (OWNER OR AGENT) DATE SIGNED INSPECTION DIRECTOR'S 81GNATUAE DEPARTMENT OFEDMONDS 1, _ I CITY 4) ] NOTE: Applicant Subject to Plan Cbeck Fee PR a-1107 ---- Tins Permit coven work to be done on private property ONLY. Any rnnstruc , 6rivewge, ua the pwilla dennalequine INSPECTOR qua ecurbs, pe mlesi marquees, etc.) will require separate Dnmisslon. I