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740472.pdfi USE PERMIT BUILDING DEPARTMENT Applicant FillZO ^ NL\t4tHER PERMIT APPLICATION Inaldo IieaYy Lines AD NAME (OR NAME OF BUSINESS) PE 11 SIDLE me ACTUAL r I.OT VO RAG LOT COVERAGE j / _ m ADD EBB MAILINGPEN PROPOSED HEIGHT O ! 11tlSIHLE HEIGHT � C �/} CITY TELEPHONE NUMBER ACT AL LOT AREA TOTAL BLDG. AREA > I 778 •- Slh� Zr— REQUIRED YARDS PROPOSED YARDS REAR FIONT 8IDE REAR FRONT BIDE NAME I �QJ✓L LE AL LOT VARIANCE OR CONDITIONAL USE F ADDRESS [ IES ❑ NO PERMIT NUMBER _F_Lj NNING DEPT. VAL ATE• �7 CITY TELEPHONE NUMBER BT1 EETA {V - EX STING STREET R/W ............FT. D CIENCY• THIS PROPERTY NAME' PLAN ST. R/W ............FT. .. .IT. 14 I 1 • 1 /�/ MCOT3P. REIA�RKS fid' (JW/1��� ADDRESS �//� Z CHECXED BY CITY TELEPHONE NUMBER M ME II.It SIZE SERVICE SIZE CLEARANCE C C/K�ED HY O STATE LICENSE NUMBER CITY LICENSE NUMBER I I I (�✓"•'Ri RE RKS Legal Description of Property (Show Below or Attach Four Capt..) .ter N4 Y E/CC NNECTION VERIFIED BY v 0 IC. TEST I PERMIV NUMBER � nW F7 REMARKS � 1 F1jlE 20NE TYPE OF CONST lON STREET IMPROVE I ' A 04"..❑ NO I `CIAL INSPECTOR QUIREDOCCUPANCY GROUP GAS RESIDENTIAL LINE ❑ (YES P[{AN CHECKED IIP SITE IS LOCATED IN THE CITY NEN THIS EDMO TAX ❑ NON-RESIDENTIAL ❑ SON Qjf�-J 6HOULD BE C, ODED 3A04SALE5 ❑ ADD ❑ RETAINING WALL , E�I iARK9 ❑ DEMOLISH /`,r /'�� p_mi f %�%A/ V ✓1(L)�L-/LJ i�L./r� ALTER ❑ EXCAVATE FENCE OR FILL (......... .z.......... Ft.) I j UV ❑ REPAIR ❑ INSPPRE-ASOVE ❑ POOLswiS / ^'�`'•' '� 1 NUMBER OF STORIES NUMBER OF DWELLING UNITS NATURE OF WORK TO BE DONE``II Valuation Fee Recetpt No. /N S%.9 -t, —i r/ ry/J�e_ iie2 (i7 �GJ rum Check No..................... o BI UILDING I., L PROPOSED UBE I ! yE PLUMEING I ; }TEAT A GAS LINE ! W PLOT (Indicate Building setbacks, abutting streets) O /✓ /7, d1 FAIENCE SIIGN RETAINING WALL N SWIMMING POOL (DEMOLITION TAE-MOVE INSPECTION (EXCAVATION .I OR FILL I I I ,TOTAL AMOUNT DUE 7 �� 3538 I I hereby acknowledge that I have read this application; that the In- formation given le correct; and that I am the owner, or She duly author- leed agent of the owner. I agree to comply with city and state lawn rngu- ATTENTION APPLICATION APPROVAL laling construction; and In doing the work authorized thereby, no person Willbe employed In violation of the Labor Code of the Biala of Washington THIS PERMIT This application is not a permit until relating to Workmen's Compensation Imurance. AUTHORIZES signed by the Building Official or his Dep- NOTE: Permit Limit One Year (Except DE51OLITIONS which ONLY THE and fees are paid, and receipt is ac- WORK NOTED Uty shall be completed In ninety days; MOVED-IN BUILDINGS shall be com. knowledged in space provided. plc d In six month..) B NA t • to It AOE ) DATE SIGNED INSPECTION DI R'S IONA URE DEPARTMENT CITY OF DATE Appfi t S.bi,,t to Plan Check Fee p2 % •- NOT 775-2525 This Perri covers work to ba done on Pflvnte property ONLY. t Any construction an the public domain (curbs,eldewniks, driveways, FILE ! maa., etc.) 11111 reVW re scp_.Il perm(.ston. ms i 9 1✓/.��, /.: r- /, l-+ : //l. flan Check Nn ..................... "/ / 1 // V -1-111.❑NO NUMBER t SPECIAL INSPECTOR REQUIRED OCCUP U ❑ YES [3'NO BUILDING DEPARTMENT Applicant Fill ONE f : PLAN CHECKED BY is 11�1r _- ,j �...'' PERMIT APPLICATION Inside Heavy Lines ._:> S' _ JOB ❑ ❑ ❑ — HE ARKS ---- : -' i%.0 :•/liI/ (� L'. r _ �/ �.''�/>' /✓ f �L-/:J (/ /'7 1..� �/ . (__- �/ �l'�%i-/' (�� (.-e l•!—L':' G. l/ /,%�4 1 ADDRESS . ; �r �'-• () r u --' l / NUMBER OF STORIES NUMBER OF " NAME (OR NAME OF BUSINESS) .% PER 118SIBLE 7e ACTUAL LOT COVERAGE - LOT COYEfiAOE O PLOT PLAN (Indicate Building setbacks, abutting streets) - M Y 4'1_1 DWELLING I���JP\ FENCE IPIS 1 EBS PERMISSIBLE HEIGHT PROPOSED It O -' UNITS , / f ! / O !, CITY, TELEPHONE NUMBER ACTUAL LOT AREA TOTAL BLDG. AREA z , Fee Receipt I II L i i• 1 /rC�— F��'CI , LS REQUIRED YARDS PROPOSED YARDS NAME FRONT BIDE REARFRONT BIDE REAR I., U '�� +� J'J SWIMMING POOL f LEGAL LOT VARIANCE OR CONDITIONAL USE N A SS YES , NO PERMIT NU,Di. CITY TELEPHONE NUMBER PLANNING DE T. PDAE; P OVAL , / T �� PRE -MOVE INSPECTION , STREET R/W U0 EXCAVATION OR FILL - EXISTING STREET R/W ............FT. D FICIENCY THIS PROPERTY 'y NAME COMP. PLAN BT. R/W ............FT. ............FT. W� TOTAL AMOUNT DUE /"-Z- / REMARKS I hereby acknowledge that I have rend this application; that the In- C ADDRESS formation given iscorrect; and that I am the owner, or the duly author- . Ized agent of the owner. I agree to comply with city and state laws reg'-ers CHECKED BY w lilting construction; and In doing the work authorized thereby, no pon eUe C CITY TELEPHONE NUMBER THIS PERMIT This application is not a permit until relating to Workmen's Compensation Imuranu. AUTHORIZES signed by the Building Official or his Dep - F I ONLY TILE WORK NOTED utyi and fees are paid, and receipt is ac - shall be completed In ninety days; 31OVED-IN BUILDINGS shall be Com- linowledged in space provided. pleted In six months,) 8 METER BILE SERVICE SIZE CLEARANCE C4ECKED BY DIRECTORS SIONATURE (/ I DEPARTMENT STATE LICENSE NUMBER CITY LICENSE NUMBER CITY OF I I NOTE: Applica'rit Subject to Plan Cbrck Fee EDMOND$ ATT / �1 �17 U 775-2525 This Permit c work to he done on private property ONLY. Any Construction on lh. pub..0 domain (curb., sidewalks, drWeways, marquees, etc,) will require separate permission. REMARKS Legal Description of Properly (Show Below or Attach Four Copies) TYPE.CONNECTION VERIFIED BY I PERMI+ NUMBER a r i) f 1'✓ t 1 ' i c aenlna i, ��. m a 9 1✓/.��, /.: r- /, l-+ : //l. flan Check Nn ..................... "/ / 1 // V -1-111.❑NO SPECIAL INSPECTOR REQUIRED OCCUP U ❑ YES [3'NO 1_� ElRESIDENTIAL GAS ❑ NEW ❑ LINE ❑ NON-RESIDENTIAL s:cN ❑ PLAN CHECKED BY is 11�1r _- THIS SITE IS LOCATED IN THE CITY OF EDMONDS. LOCAL SALES TAX SHOULD BE CODED 31.04. ❑ ❑EXCAVATE ❑ ADD ❑ ALTER REPAIR ❑ DEMOLISH OR FILL INSP. PRE -MOVE INSP. ❑ ❑ ❑ RETAINING WAIT' FENCE (.....................Pt.) SWIM POOL POOL HE ARKS ---- : -' i%.0 :•/liI/ (� L'. r _ �/ �.''�/>' /✓ f �L-/:J (/ /'7 1..� �/ . (__- �/ �l'�%i-/' (�� (.-e l•!—L':' G. l/ /,%�4 1 Uq w NUMBER OF STORIES NUMBER OF O PLOT PLAN (Indicate Building setbacks, abutting streets) HEAT A GAS LINE / DWELLING I���JP\ FENCE UNITS , NATURE OF WORK TO BE DONE SIGN Valuation Fee Receipt I RETAINING WALL N 1✓/.��, /.: r- /, l-+ : //l. flan Check Nn ..................... 7. BUILDING [„'Jy, 0, PROPOSED USE a, PLUMBING Uq w O PLOT PLAN (Indicate Building setbacks, abutting streets) HEAT A GAS LINE / I���JP\ FENCE , SIGN RETAINING WALL N SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL - TOTAL AMOUNT DUE I hereby acknowledge that I have rend this application; that the In- formation given iscorrect; and that I am the owner, or the duly author- Ized agent of the owner. I agree to comply with city and state laws reg'-ers ATTENTION APPLICATION APPROVAL lilting construction; and In doing the work authorized thereby, no pon Will be employed In violation of the Labor Code of the State of Washington THIS PERMIT This application is not a permit until relating to Workmen's Compensation Imuranu. AUTHORIZES signed by the Building Official or his Dep - NOTE: Permit limit One Year (Except DEMOLITIONS which ONLY TILE WORK NOTED utyi and fees are paid, and receipt is ac - shall be completed In ninety days; 31OVED-IN BUILDINGS shall be Com- linowledged in space provided. pleted In six months,) SIGNATURE, (OWNER OR AGENT) DATE 816NED INSPECTION DIRECTORS SIONATURE (/ I DEPARTMENT CITY OF s -. ;�(+_q•_ ,/,:'/ - NOTE: Applica'rit Subject to Plan Cbrck Fee EDMOND$ ATT / �1 �17 U 775-2525 This Permit c work to he done on private property ONLY. Any Construction on lh. pub..0 domain (curb., sidewalks, drWeways, INSPECTOR marquees, etc,) will require separate permission.