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740317.pdfi- ._. - - - --- ZO E NIT NUMBER 740317 BUILDING DEPARTMENT AppllcantFID -Z{/ PERMIT APPLICATION Inside Ileavy Lines O / �E^ W r ! ADDRESS / 2 O/�•i/—1 NAME (OR AM OF HUS1N' 8810LE OT AL LOTPKIC GE LOT CO LOT COVERAOT COVE AGE C MAILIN DURESS �• ti — /TELEPHON�,,, „ / E NUMHM.A PEILhI1dSIHLE HII EIOT PROPOSED HEIGHT O CITY( ACTUAL LOT AREA TOTAL BLDG. AREA h 77S'-3 REQUIRED YARDS PROPOSED YARDS NAME FRONT SIDE REAR FRONT BIDE REAR J S 7 d f- [lcL y OR CO ADDRESS LEO a LOT NO PERMIT NUMBER NDITIONAL UeE N PLA NO DEP ROVAL j—_ DA E] C CITY TELEPHONE NUMBER STREET V ,}. p EXISTS STREET R/v�d.i2. DEFICIENCY THIS PROPERTY NAME COMP. PLAN ST. R/ .IlU.FT. .... ..FT. _ w REMARKS O.K. to connect into sanitary sewers C ADDRESSp but with no larger line than 2". w HE D HY F CITY jT,}tETE PHONE NUMBER V I• • - r �� �� METER SIZE I SERVICE SIZE I CLEARANCE CH ED BY STATE LICENSE NUMBER CITY LICENSE NUMBER C v`K.3-OL 443 I L% REMARKS Legal Description f Property (Show below or AllachrFour Copies) TYPE CONNECTION VERI`F•IED BY i PERC. TEST PECiMIT NUMBER a L� n W REMARKS � O FIRE%Z�//1�1 !TYPE � /O)F�CON//S��T/�rR�)UCTION � STREET IM�PR/OVED �� I..7N/. r Y `� n p YES p NO SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP /� LM 6A8 ❑ YE8 � NO _ •/L� ���ff1777����11 RESIDENTIAL ❑ LINE PLAN CHECX D IIY NEW THIS SITE IS LOCATED IN THE CITY NON-.ES.DENTIAL SIGN , OF EDMONDS. LOCAL SALES TAX +.eJ SHOULD BE CODED 31.04. ADD RETAINING A K9 DEMOLISIi WALL _ ALTER a EXCAVATE FENCE fJ�� /Q,f/f%,G/,��,�e�./ �c�i i/Pc 1970 OR FILL -�/ (.........3........_Ft.) ❑ REPAIR ❑ PRE-MOVE I]\I pool. SV�t]c R%�•r TD L / NUMBER OF BTORI EB NUMBER OF DN ELLINO UNITS NATUR F WORII TO E BE DON�^ Valuation Fee Recelpt No. LI Plan Cheek N...................... BUILDING 4 PROPOSED USE -•�' PLUMBING O aPLOT PLAN (Indicate Building setback., abutting street.) HEAT & GAB LINE O PENCE SIGN TRETAINING WALL N SWIMMING POOL % �• DEMfOLITION PRE-MOVE INSPECTION EXCAVATION OR FILL TOTAL AMOUNT DUE I hereby acknowledge that I have rand t61e aDPilcntlon; that We In. Id / O formation given Is correct; and that I am the owner, or the duly author- Ized agent of the owner. I agree to comply with city and state laws regu- A:M'ENTION APPLICATION APPROVAL lating coMetructhm; and In doing the work authorized thereby, no person Will be employed In violation of the Labor Code of the elate of Washington THIS PERMIT This application Is not a permit until relatiag to Workmen's Compensation Insurance. AUTHORIZES signed by the Building Official or his Dep- ONLY TIRE NOTE: Permit Limit One Year (Except DEMOLITIONS which 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. pleled In six months.) d16N TUItE (OWNER OR AGE T) DATE SIGNED INSPECTION D C on's BIG URE DEPARTMENT CITY OF l NOTE: Applicant Subject to Plan Check Fee EDMONDS This I'ernllt a rero work to he done on private property ONLY. 775-2525 Any canslruethti on the public domain (curbs, eIdewniks, driveways, FILE n,.,ronrre, ,•1 r.t ,.III r, nolrr srpurnlr perndsslnn. dARKS F17Ell OtF CONSTRUCTION r� . t• i I I /P/E �CLf%1 l)� I 0 YES hN0 USE PERMIT I /i l.i 17 `Y 1 ❑ BUILDING — D E P A R T M E N T Applicant Fin Z° CJS_ yQ NUMBER,. NEW ❑ -' Inside Heavy Linos ADDRESS PERMIT APPLICATION I ❑ NAME (O...... )OF BU.,NEPSY) ,^ lJ /ACTUAL / ,1 PEl alisuIHLE r LOT COVERAGE ,,�,�, •J,yr•�l t�i�li LOT COVERAGES El YES ,A. NO 01 Mp1LIN6'A/DUDRrESS�HEIGHT PROPOSED HEIGHT •%t WALLNING PLAN CHECKED BY �• /`-7 TOTAL BLDG. AREA 7 ALTER ❑ O CITY TELEPHONH NUMBER ACTUAL LOT AREA t 1 A' ......Ft. Off- REQUIRED YARD. PROPOSED YARDS nrtx PRE -MOVE INBP. FROM' St DE REAR FRONT SIDE REAR NAME /j— 5 X14 POOL NUMBER OF STORIES NUIdBER OF LEOAI, LOT VARIAN Olt CONDITIONAL UBE ADDRESS yEe NO PERMIT NUMBER - FUW. NO DEP /i+f'ROV AL/ DATE: ,�� fel -^- l DWELLING I G=1 C CITY TELEPHONE NUMBER ST 'ETR V d RETAINING WALL EXIST1Nf)'BTREET R/P�J.f�.�C.I DEFICIENCY THIS PROPERTY {, .••• II NAME /, COMP.PLAN AT. R/WL.i(.4•FT. ••••( ••FT• W NATURE_O_ F WOR"KK TO 13 00 REMARRB psf" to ronnect into sanitary Valuation C ADDIUb HtlC hit � ")i t)l no larger 1 i lie' 1:han 2" w I HEpt 1(yF�\D BY � � � S •' 2� �Gtt • , _ Plan Check Nn ..................... Sy tx CITY TELEPHONE NUMBER I �� / /� T �J % III 1 1 y f-\ / � �i �c./ NETEIt HlLE BERVICEe1ZE CLEARANCE CHE ED HY R !d•...t v�2J -J I at PRE -MOVE INSPECTION tlTATE LICENSE NUDfBER CITY L10EN81, NUMBER I I ^ //Z//rte 'Four I Legal Description of Property (Show Below or Atlnch Copies) 'i dARKS F17Ell OtF CONSTRUCTION STREET 1111 "1 I /P/E �CLf%1 l)� I 0 YES hN0 ©GAS RESIDENTIAL ❑ LINE NEW ❑ NON-RESIDENTIAL ❑ SIGN El YES ,A. NO ADD ElDEMOLISH WALLNING PLAN CHECKED BY THIS SITE 15 LOCATED IN THE CITY ALTER ❑ EXCAVATE ', ORFILL E]( A' ......Ft. REPAIR ❑ PRE -MOVE INBP. POOL NUMBER OF STORIES NUIdBER OF SIGN DWELLING I RETAINING WALL UMTS NATURE_O_ F WOR"KK TO 13 00 io Valuation Fee WeliPt No. I _ Plan Check Nn ..................... DEMOLITION dARKS F17Ell OtF CONSTRUCTION STREET 1111 "1 I /P/E �CLf%1 l)� I 0 YES hN0 SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP PLUMBING El YES ,A. NO PLAN CHECKED BY THIS SITE 15 LOCATED IN THE CITY _y OF EDMONDS. LOCAL SALES TAX 1HOULD BE..CODED 31.04. RE AIt 9 FENCE SIGN RETAINING WALL 00 io Valuation Fee WeliPt No. I _ Plan Check Nn ..................... BUILDING PROPOSED USE 12 PLUMBING U aPLOT PLAN (Indicate Building setback., ¢butting streets) HEAT & GAS LINE 7 FENCE SIGN RETAINING WALL 00 io SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL TOTAL AMOUNT DUE I hereby acknowledge that I have read this application; that the I. - formation given le correct; and that I am, the owner" or the duly author- ` tied agent of the owner. I agree to comply with city and elate law. reg.. ATTENTION APPLICATION APPROVAL lating cons ruction; and In doing the work authorized 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'. COmpensetlou Insurance. AUTHORIZES signed by the Building Official or his Dep - NOTE:fees NOTE: Permit limit One Year (Except DEMOLITIONS which ONLY THE WORK NOTED uty are paid, and receipt is ac - .hall be completed In ninety days; MOVED -IN BUILDINGS .hall be cons• Itnowledged In space provided. pleted In .Ix months.) HIGNATUItE (OWNER OR AGENT) DATE HIONED INSPECTION DIREC OR'8 SICNATURE; DEPARTMENT i •� /� I; •R ,• '• CITY OF x ! � ON EDhiD3 MONS DATE' � - NOTE: Applicant Subject to Plats Check Fee 7 !j This Permit co rork to be done so private property ONLY. Any conslrucllnn on the nubile domain (curb., eId.walk.. drlrew'ay., INSPECTOR mnrnurr., rl e.) will rrnulrn xepnr¢le I— l..l.n. l++' ...�yT R�i�^7H F c } I f T {.' f r? SPLi`►nt! 7! 27 -toejl-;,. :Y Er' i 1. ��i.��• ./w �x:f:)��! �J � :w'���y . �CIN!-I IF-�G�J ,tiT •�,`'� Ei1!'t'r y".-+.�•�:K;C.G:.'�-.. c^G SL.IJ S =r-nON 7/ WI -17H Iv° ; j ' =f �!. cr �Lt 4-6.7. -_1�5 FEEj 1. -, f&44E Wr`S'r. 1013, 8Go Fie I 'iyLt-r-F N^F'Ttt �}4° 1!.' so° 15A. -ST 15':--FGr=T'-p HFMO:s7 so:-rMEi---f �GKh OF j i T94,, --f' H IM PE5e�.5!50 6 !•+p THS 7gJ5 ftlu Ir OF 1H= err-.hIGE NoFN 45 40- to W55T�1� Fief ;.:TMt; +c,E T rt. -4 4S 10, :..a,!: -,T ) 4 5 950-r; 1115N66 60 -*1 441,' 5: 70�(oF TURP IN ?}4e GO,,:N7Y —F . NO OMf }�t r `-5TA'ra OF WP -I; -iIW--jt H. w 6p `7q (D RECORD OF INSPECIIUNS D//at--e Passed Foundation Plumbing (Partial) (Rough) Frame Furnace &Fuel Lines Final b