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740450.pdf1 NATURE OF WORK TO HE DONE Pian Check Nn ..................... Valuation Fee Receirt No. � Ga , J� _ i EXCAVATION OR FILL BUILDING SS ///E��//J PROPOSED USE PLUMBING PLOT PLAN (Indlenm Building setbacks, abutting .creel.) HEAT A 6A8 LINE FENCE SIGN RETAINING WALL N SWIMMING POOL DEMOLITION PRE MOVE INSPECTION ZONE BER 740450 1 hereby acknowledge that I have reed this application; that the In. TOTAL AMOUNT DUE BUILDING DEPARTMENT Applicant Fill .Pru PERMIT APPLICATION Inside IIenvy Lines APPLICATION APPROVAL IntlnR construction; and In doing the work authorised thereby, no person A DDREdO / will be employed In vlolntkm of the Labor Code of the Stale of Washington THIS PERMIT NAME (OR NAME OF BUSINESS) / V (P tJ•/ relating to Workmen's Compensation Insurance. C' ^ 405 ^ � signed by the Building Official or his Dep - Pt:RD1E 'e ACTUAL LOT COhillVER": LOT COV&GE �. I 7 ONLY THE WORK NOTED MAILING ADDRESSfl PEILV ISSIBLE HEI<iHT PILO POSED HEIGHT shall be completed In ninety days; MOVED -IN BUILDINGS shell be com- 4" TOTAL AREA TOTAL DLDG. AREA S plated In six month..) CITY TELEPHONE NUM(B}LR ACTUAL LOT IIGNAT ITE (OWNER Oft AGENT) DATE SIGNED INSPECTION IR S d1GN URE IEQUIRED YARDd PROPOSED YARDH SIDE REAR w DEPARTMENT NA lE FRONT AIDE REAR FRONT NADDRESS CITY OF r LEGAL LOT VARIANCE OR CONDITIONAL USE NUMBER ED11fOND5 AT ----' NOTE: Applicant Subject to Plan Check Fce 0 VES 0 NO PERMIT 775-2525 PLANNING DEPT. APPROVAL DATE: This Penult r ,,,it to be done on private properly ONLY. pa CITY TELEPHONE NUMBER Any const rued., on the public domain (curbs, sldewalks, driveways. I STREET R/lV EXISTING STREET R/W ............FT. DEFICIENCY TIiIB PROPERTY O a ryy J 1 NAME CODfP. PLAN ST. R/W ............Fr. ............FT. . l ir'A-)C'` GS � dfr5 .�/ REDURi(H ADDIU' 08 C Z ! /I? -7- 4' CITY TELEPHONE NUMBER ,`5'�7AI / ryf/rJ U Q 12 78 "'G) -a 8 METER SIZE SERVICE SIZE CLEARANCE E HY 31`ATE LICENSE N MBER CITY LICENSE NUMBER I I I kkpL' X'-1 — U/ — e- 7 SI G. REMARKS e Legal Description of Property (Show Below or Attach Four Copies) _ TYPE CONNECTION VERIFIED BY y. I PERC. TEST PERMIT NUMBFR U m i I REMARKS J L � � I � FIRE ZONE TYPE OF CONSTRJU7CTION/ STREET 1DfPROVED 1 []NO SPECIAL INSPECTOR IRED OCCUPANCY GROUP ® RESIDENTIAL LINE ❑ YES O �• ��-/ I NEW PLAN CHECI D Y THIS SITE IS LOCATED IN THE CITY NON-RESIDENTIAL ❑ SIGN OF EDMONDS. LOCAL SALES TAX ADD RETAINING HOUJLJD-BSE C7ODE/D�3/1n.0/4�.��j'7 DEMOLISH ❑ F CNCN E -- // t� �� (//��j(�p� / �/L (// �- EXCAV ALTER ❑ ORCFILL E (.....................Ft.) REPAIR PRE -MOVE ❑ El IN3P. L POOL 57A) NUMBER OF STORIES NUMBER OF DWELLING UNITS W NATURE OF WORK TO HE DONE Pian Check Nn ..................... Valuation Fee Receirt No. � Ga , J� _ i EXCAVATION OR FILL BUILDING SS ///E��//J PROPOSED USE PLUMBING PLOT PLAN (Indlenm Building setbacks, abutting .creel.) HEAT A 6A8 LINE FENCE SIGN RETAINING WALL N SWIMMING POOL DEMOLITION PRE MOVE INSPECTION 1 hereby acknowledge that I have reed this application; that the In. TOTAL AMOUNT DUE C9 � I EXCAVATION OR FILL 1 hereby acknowledge that I have reed this application; that the In. TOTAL AMOUNT DUE C9 formation given Is correct: and that I am the owner, or the duly author- Ired agent of the owner. I agree to comply with city and state law. mgu- ATTENTION APPLICATION APPROVAL IntlnR construction; and In doing the work authorised thereby, no person will be employed In vlolntkm of the Labor Code of the Stale 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 (Except DEMOLITIONH which ONLY THE WORK NOTED uty; find fees are paid, and receipt is ac - shall be completed In ninety days; MOVED -IN BUILDINGS shell be com- knowledged in space provided. plated In six month..) IIGNAT ITE (OWNER Oft AGENT) DATE SIGNED INSPECTION IR S d1GN URE DEPARTMENT �• t+ "7 CITY OF r ED11fOND5 AT ----' NOTE: Applicant Subject to Plan Check Fce 775-2525 This Penult r ,,,it to be done on private properly ONLY. Any const rued., on the public domain (curbs, sldewalks, driveways. FILE m-ri-es, etc.) will require separate pe—I.Ilon. J 1 USEPERMIT BUILDING DEPARTMENT Applicant Fm ZONE NUMBER `l i PERMIT APPLICATION Inside Heavy Lines NAME ((Olt NAME OF BUBINEBS) m MAILING ADDRESS .-. G CITY TELEPHONE NUMBER > >?� �v NAME WA.D.S. JOB ADDRESS / / ')0 H M PrRM18SIBLF. LOT COVERAOfie LOT COVESiAOE PEUMIUSIBLE HEIGHT PROPOSED HEIGHT ACTUAL LOT AREA TOTAL BLDG. AREA REQUIRED YARDS FRONT Mop, REAR PROPOSED YARDS FRONT HIDE REAR \) - i %/il/ �} .':'Z=: �✓ frL' C Il(��' !c LEGAL LOT VARIANCE Olt CONDITIONAL USE 0 YES 0 NO PERMIT NUMBER O H M i - I � 1 1 7 i CITY i ALTER EXCAVATE ElPENCE H M PLANNING DEPT. APPROVAL DATE: ❑ OR FILL f.......... x .......... Ft.) i CITY TELEPHONE NUMBER STREET R/W EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY \) - i %/il/ �} .':'Z=: �✓ frL' C Il(��' !c NllE[HER OF STORIES NUMBER OF I o DWELLING NAME I UNITS COMP. PLAN ST. R/W ............F'r. ............FT. � l \ et!a C x 41 m ADD1iEtl8 // I� �Zi: �-•`1 ��•.,-�--�' .*4'�, � (:ll / ( 'SERVICE CHECKED SY F% CITY 1//,,.....y✓� %J I TELEPHONE NUMBER / 7iJ'L' i `� METER SIZE SIZE CLEARANCE CIIEGKED BY / STATE LICENSE NVaIHER CITY LICENSE NUMBER a PLUMBING —� C PLOT PLAN (Indicate Building setbacks,abutting streets) HEAT k GAS LINE ' Legal Dcecripllon of Yropetty (d aw ..law or Attach Four Coplee) Legal R EMARHB PENCE TYPE CONNECTION VERIFIED BY SIGN n Q O TRETAINING WALL a. m 1 PERO. TEST PERMIT NUMBER A7 12 SWIMMING POOL LIVU DEMOLITION I A FIRE ZZONEE. TYPE OF CONSTRUCTION STREET IMPROVED EXCAVATION OR FILL .1-�� .... .. /--..i Ifi %/ll 6 I m'YC [3 No I hereby acknowledge that I have read this application; that the In. -- ' SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP ATTENTION ❑ YES [3 0 1. J- , l laling canetruellaa; and In doing the work authorized thereby, no person _ ' CA8 RESIDENTIAL E]LINE El NEW NON-RESIDENTIAL-'- SIGN ADD ❑� RETAINING DEMOLISH WALL PLAN CHECKED Y � THIS SITE IS LOCATED IN THE CITY OF EDMONDS. LOCAL SALES TAX ."�;-^f /moi,, SHOULD BE CODED 31.04. REMARKS! ! ALTER EXCAVATE ElPENCE LL / ❑ OR FILL f.......... x .......... Ft.) El REPAIR PRE -MOVE El SWIM INBP. POOL ,i'C,rl(: 1�• / \) - i %/il/ �} .':'Z=: �✓ frL' C Il(��' NllE[HER OF STORIES NUMBER OF DWELLING UNITS NATURE OF WORK TO DE DONE Valuation Fee Rocolpt No. / - Pian Check No ..................... 3 q BUILDING PROPOSED USE a PLUMBING —� C PLOT PLAN (Indicate Building setbacks,abutting streets) HEAT k GAS LINE ' PENCE SIGN TRETAINING 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. -- m formation given le correct; and that I athe owner, or the duly author- ized agent of the owner. I agree to comply with city and elate laws regu- ATTENTION APPLICATION APPROVAL laling canetruellaa; and In doing the work authorized thereby, no person Will be employed In violation of the Labor Code of the State of Washington THIS PERMIT This application Is not a permit until relatlag to Workmen's Camp ensatlon Insurance, AUTHORIZES Signed by the Building Official or his Dep - NOTE: Permit Limit One Year (Except IrEatO1.1TIONd whieb WORK THE uty: and fees are paid, and receipt Is ac- ehall be completed In ninety days; MOVED -IN BUILDINGS Shall be core. Itno_wledged In space provided. pleted In six months.) SIGNATQRE.(OWNER OR AGENT) DATE SIGNED INSPECTION DEPARTMENT DIRECTOR'S SIGNATURE}/ r. It p 1. _ l } ''-�•1 �� CITY OF `1 •/•C�/✓,., ) ED3IIONDB Te. 1f NOTE: Applicant Subject to Plan CGeck Fre 775.2525 Thls Pemdt raven work to be done on prlrale property ONLY.-� - Any canetruetion on the public domain (curb.. sidewalk., driveways, marquee., etc.) will require separate Plrmleslon, INSPECTOR