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740376.pdfI R ❑ GAS LINE ❑ YES BUILDING DEPARTMENT PERMIT APPLICATION Applicant Fin inside IieaYy Linos UBE PERMIT '7 '7 ZOO NUMBER (4O3 / 6 O ADDRESS /s—/ PLAN CHECKED BYI I NAME 11111 NAME OF1iUelNEBB) ff /v � LOT COVERAGE LOT COVESiAGE LETMIeeiBLE 7- LOT Co X O d 1 lyL�r. F .' 51y^ I t MAILI O ADDRESS i (LE/P�HONE PENA18838LE HEIOkT PROPOSED HEIGHT CITYTE NUMHl.A O/V AME ACTUAL LOT AREA TOTAL BLDG. AREA REQUIRED YARDSPROPOSED YARDS FRONT BIDE REAR FRONT BIDE HEAR RETAINING W Fy yq'PLANNING SHOULD BE CODED , ADDRESS LEGAL LOT VARIANCE OR CONDITIONAL UBE YES 0 NO PERMIT NUMBER (]PERMI DEPT. APPROVAL DATE: 1 � C � CITY TELEPHONE NUMBER _ STREET R/W EXISTING STREET R/W ....... .... Ir. DEFICIENCY THIS PROPERTY Co— PLAN ST. R/W ............FT. ............FT. ALTER ❑ OR FILL (.....................Ft.) N �G t REMARKS J N f O 14 ADDRESS ^ vv � � l / CH CKED BY CITY T/ELF.PHO E NUMBER DNEIN6 METER BILE SERVICE SIZE CLEARANCE ECKED HY V I I I4'1�— REMARKS STATE LICENSE NUMBER Q CITY LICENSE NUMBEA NATUR/�E r WORK TO BE DO Valuation Fee Receipt No. Legal DeecrlDllon o[ Ptoparty (Show Below or Allach Four Copies) / 1 CY%'L • U TYPE CONNECTION VERIFIED HY BUILDING I {O FO 1, 11��%%��/O V�/—v—�— j Od i i PERO. TEST P IT NUMBER V aPLOT n O m 1 I i PLAN (Indicate Building setbacks, abutting streets) REMARKS � v 7 I I� j FIRE ZZOONNE� TYPE OF CONST CTION STREE IMPROVED FENCE V� ( ❑ NO SIGN SPECIAL INHPECTORED OCCUPATNCY GROUP -7— R ❑ GAS LINE ❑ YES NEW rESIDENTIAL PLAN CHECKED BYI THIS SITE IS LOCATED IN THE CITY I NON-RESIDENTIAL s1aN OF EDMONDS. LOCAL SALES TAX 31.04. ® ADD RETAINING / MARKS SHOULD BE CODED j DEMOLISH WALL EXCAVATE FENCE ALTER ❑ OR FILL (.....................Ft.) PRE -MOVE swim REPAIR E] INSP. POOL NUMBER OF NUMBER OF STORIESILL DNEIN6 UNITS NATUR/�E r WORK TO BE DO Valuation Fee Receipt No. / 1 CY%'L • Plan Check No ..................... BUILDING I {O Y 'Iq PROPOSED USE PLUMBING V aPLOT PLAN (Indicate Building setbacks, abutting streets) HEAT A GAS LINE 7 I FENCE 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. i formation given Is correct; and that I am the owner, or the duly author- Ized agent of the owner. I agree 1„ comply with city and elate laws Mgu- ATTENTION APPLICATION APPROVAL lnting constructlon; and In doing the work authorized thereby, no Darman will be employed In Violation of the Labor Code of the Slate of Washington THIS PERMIT This application is not a permit until totaling to workmen's Compensation Insurance. AUTHORIZES signed by the Building Official or his Dep - NOTE: Permit Limit One Year (Except DEMOLITIONH which ONLY THE WORK NOTED utyi and fees are paid, and receipt Is ac - Shall be completed 1. nasty days; MOVED -IN BUILDINGS shall be com- knowledged In space provided, pleted in six months:) t` SIONATRE.tOWNER OR AGE DATE SIGNED INSPECTION DEPARTMENT I CToa e -N., RE CITY OF NOTE: Applicant Subject to Plan Cbeek Fee FD151ONDS 775-2525This DATE PC Perntlt raven work to be done on private property ONLY. Any construction on the Public domain (curbs, sidewalks, dfl—.7e, FILE marquees. etc.) will require separate Derntlselon. FIRE ZONEI S� /r1UAuty /� �.rl O �_�' 02 A ' I 7 PLOT PLAN (Indleata Hulrld\ingCs.tbaeke buSln6 streets) YES m'j7O 1 I _-7— 7 -, USE PERMITNUMBER ^. r e `v `-�"�� OF EDMONDS. LOCAL SALES TAX BUILDING DEPARTMENT AppllrmtFlll .A ZONE SHOULD BE CODED 31.04. � PERMIT APPLICATION Inside Heavy L1nes I JOB ADDRESS /�/ J NAME (OR NAME OF BUSINESS) Y " ACOVERAGE LOT COVAAGE ❑ NON-RESIDENTIAL _ 1 r. ON LOT pADD j SAILING ADDRESS-PERMISSIBLEYItOP08ED HEIGHT HEIGHT 4 �'• ` f� ' `= / 1 hereby acknowledge that I have rend this application; that the In- BLD°. AREA 1 E]( . CITY TELEPHONE NUMBIUR ACTUAL LOT AREA TOTAL PRE-INSP. ❑ -.. ( / )_6/ -f ��` (' REQUIRED YAii US PROPOSED YARDS -SIDE REAR ❑ AUTHORIZES NAME1 FRONT tlID1I REAR FRONT ' knowledged in space provided. plated In six months.) LEGAL LOT VARIANCE Oft CONDITIONAL USE DWELLING SIGNATURE (OWNER OR AGENT) DATE SIGNED W ADDII 11 YES [3 NO PERMIT NUMBER ; UNIT. PLANNING DEPT. APPROVAL DATE: NATURE OF WORK TO BE DONE, Fee O CITY TELEPHONE NUMBER DATE NOTE: Applicant Subject to Plan Check 775-2525i— This Permit coven Work to be done un private property ONLY. STREET EXISTING.ST STREET R/W ............FT. DEFICIENCY THIS PROPERTY d ^ / NAME()F,\) ^^ (-0, ) -) COMP. PLAN ST. R/W ............FT. REMARKS ............FT. .j '� �'-,- C /Iti `—G r Q ADDRESS /I' /.S /7 ( / � CHECKED BY ,J m CITY TELEPHO E NUMBER I �_- F METER SIZE SERVICE SIZE CLEARANCE BY STATE LICENSE NUMBER CITY LICENSE NUMBER I I ICHECKED ✓ _ 77 .�. �! Q ✓ -'ci ��" REMARK. Legal Description of Property (.haw -77 7r Attach Four Copley) TYPE CONNECTION VERIFIED BY i PE611nT NUMBER 99 REMARK. 1 FIRE ZONEI V /� �.rl O �_�' 02 i PROPOSED USE PLUMBING NO I a PLOT PLAN (Indleata Hulrld\ingCs.tbaeke buSln6 streets) YES m'j7O 1 I _-7— 7 `v `-�"�� OF EDMONDS. LOCAL SALES TAX SHOULD BE CODED 31.04. � GAS RETAINING WALL NEW J SWIMMING POOL ❑ NON-RESIDENTIAL _ 1 r. ON pADD PRE -MOVE INSPECTION RETAINING EXCAVATION OR FILL Valuation DEMOLISH O WALK, 1 hereby acknowledge that I have rend this application; that the In- ALTER ❑ OR FILL EXCAVATE E]( x .......... Fl.) Ized agent of th. owner. I or.. to comply with city and slate laws rcgu- REPAIR PRE-INSP. ❑ will beemployed Ia vlolathm of the Label Code of the State of Washington THIS PERMIT This application is not a permit until ❑ AUTHORIZES POOL ONLY MOTE: Permit Limit One Year (Except DEMOLITIONS Which WORK NOTED NUMBER OF BTO.i..I NUMBER OF shall be completed In ninety days; MOVED -IN BUILDINGS shall be COM- knowledged in space provided. plated In six months.) DWELLING SIGNATURE (OWNER OR AGENT) DATE SIGNED INSPECTION Di ECTOR'8 a130NATURE UNIT. ' CITY OF NATURE OF WORK TO BE DONE, Fee EDMONDS DATE NOTE: Applicant Subject to Plan Check 775-2525i— This Permit coven Work to be done un private property ONLY. Any const2rtl.. on itis public dnmeln (curb., sidewalks, driveways, INSPECTOR FIRE ZONEI TYP�F CO/STR CTION B T, 3DfP❑R /� �.rl O �_�' 02 i PROPOSED USE PLUMBING NO I 9 CIAL INSPECTOR REQUIRED OCCUPANCY GROUP / PLOT PLAN (Indleata Hulrld\ingCs.tbaeke buSln6 streets) YES m'j7O 1 I _-7— PLAN CHECKED BY THIS SITE IS LOCATED IN THE CITY `v `-�"�� OF EDMONDS. LOCAL SALES TAX SHOULD BE CODED 31.04. � TREMA KS I RETAINING WALL N SWIMMING POOL _ 1 r. --n �" ZI i7.e� T,• iZ' /�b�t✓!- r'.'i/iiJ('. PRE -MOVE INSPECTION EXCAVATION OR FILL Valuation Fee Receipt No. \ •"j [/ f rrI' ` 1 hereby acknowledge that I have rend this application; that the In- Plan Check No ..................... formation given Is correct; 'and that I am the owner, or the duly aulhor- [j BUILDING /� �.rl O �_�' 02 i PROPOSED USE PLUMBING V - PLOT PLAN (Indleata Hulrld\ingCs.tbaeke buSln6 streets) HEAT & GAS LINE `v `-�"�� FENCE 9IGN � RETAINING WALL N SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL TOTAL A3IOUNT DUE \ •"j [/ f rrI' ` 1 hereby acknowledge that I have rend this application; that the In- formation given Is correct; 'and that I am the owner, or the duly aulhor- Ized agent of th. owner. I or.. to comply with city and slate laws rcgu- ATTENTION APPLICATION APPROVAL latmg canetntctlon; and In doing the work authorized thereby, no person will beemployed Ia vlolathm of the Label Code of the State of Washington THIS PERMIT This application is not a permit until relating to Workmen's Compensation Imurnna. AUTHORIZES signed by the Building Official or his lisp- ONLY MOTE: Permit Limit One Year (Except DEMOLITIONS Which WORK NOTED uty; and fees are paidand receipt Is ac - , P shall be completed In ninety days; MOVED -IN BUILDINGS shall be COM- knowledged in space provided. plated In six months.) -- - SIGNATURE (OWNER OR AGENT) DATE SIGNED INSPECTION Di ECTOR'8 a130NATURE DEPARTMENT ' CITY OF Fee EDMONDS DATE NOTE: Applicant Subject to Plan Check 775-2525i— This Permit coven Work to be done un private property ONLY. Any const2rtl.. on itis public dnmeln (curb., sidewalks, driveways, INSPECTOR marquee., ele.l will require .eparote permission, Frame Furnace & Fuel Lines Final